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No More ‘Dabbling’: It’s Time to Embrace Value-Based Care

February 25, 2025Garrett SchmittCoding, FFS, HCC, Risk adjustment coding

Presidential transitions are always a time of great change, but few leaders have ushered in a shift as sweeping as the rewiring of one-seventh of the U.S. economy. President Trump has the opportunity to do just that by doubling down on the health transformation achievements of his first term. A key to success is continuing the…

Black Book Research Unveils 2025’s Top-Rated Population Health & Value-Based Care Vendors: AI, Interoperability, and ROI Take Center Stage

February 25, 2025Garrett SchmittNo Commentsrecruitment

Black Book Research, a leading independent healthcare research firm, has released its highly anticipated 2025 rankings of top-rated vendors in population health and value-based care solutions. Based on direct client feedback from 2,230 healthcare professionals across hospitals, physician organizations, health plans, and accountable care organizations (ACOs), the report identifies the most trusted and effective technology…

RECORDED WEBINAR: Insights for Navigating Value-Based Care Policy and Regulatory Trends in 2025

February 25, 2025Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides Join us for a deep dive into the latest policy and regulatory updates shaping the future of value-based care (VBC). Led by James Pelletier, National Director of Provider Quality at MRO, the webinar provides actionable insights to help you adapt and thrive in this evolving landscape. James will be joined by Maria…

Hospital Execs Share Infrastructure, Quality Measure Issues in Value-Based Care

February 24, 2025Garrett Schmitt

A Feb. 24 discussion among hospital system executives at the Value-Based Payment Summit focused on the challenges and opportunities they face in transitioning to value-based care. They discussed barriers such as data management, infrastructure costs, and risk adjustment methodologies, as well as where they expect to focus their efforts in the future. Rural hospitals can…

Humana looks to deepen meaning of ‘value-based care’

February 24, 2025Garrett SchmittCoding, HCC, Risk adjustment coding

Few buzzwords are as popular in healthcare as “value-based care.” But understanding of the term is often superficial, according to Alex Ding, MD, enterprise deputy chief medical officer at Humana. The company published its annual value-based care report in February. The annual report provides data on savings and outcomes achieved through value-based care — but…

How Climate-Driven Disasters Could Reshape Health Care Quality Measures

February 23, 2025Garrett SchmittNo Commentsrecruitment

One question is whether these results apply to other health plans beyond Medicare Advantage contracts and whether certain types of contracts may be more affected by disasters than others. For example, larger health systems may be able to triage patients to other sites of care and shift patients to facilities that are unaffected by disasters…

Value-based payment models: Doctors describe the disconnect between theory and practice

February 20, 2025Garrett Schmitt

Value-based programs have a triple aim: better care for patients, better health for populations and lower cost of health care, according to the U.S. Centers for Medicare & Medicaid Services (CMS). By 2030, CMS has a goal of 100% of Traditional Medicare beneficiaries and a vast majority of Medicaid beneficiaries participating in accountable care relationships….

RECORDED WEBINAR: Mastering Value-Based Care Networks: Insights for Competitive Edge in PY 2026

February 13, 2025Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides As value-based care organizations continue to demonstrate success and optimize their approaches, the importance of building the right value-based care (VBC) network has become increasingly important. No longer are organizations blindly creating VBC rosters. Organizations, and ultimately patients, depend on actionable insights and robust data to serve as the foundation for high-quality…

Curate Your Data to Tackle Cost of Care: Master These Basics

February 13, 2025Garrett Schmitt

The staggering reality that health care could soon account for one fifth of all domestic spending has put a bull’s eye on health care cost control. Is your ACO, health system, or physician organization ready to manage the coming congressional budget cuts? The only effective way to tackle Total Costs of Patient Care (TCoC) without…

Smart, sustainable growth in the era of Medicare Advantage — 4 takeaways

February 12, 2025Garrett SchmittCCM, Chronic Care, HCC

As the aging population continues to shift into Medicare eligibility and toward Medicare Advantage programs, provider organizations are seeing their margins shrink to worrisome, unsustainable levels. For health systems, the time is now to pursue smart strategies for sustainability and growth. This was the main theme during an executive learning session at Becker’s 12th Annual…

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