Healing the Healers: Using Value-Based Care Strategies to Mitigate Physician Burnout

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Where Physician Burnout and Value-Based Care Intersect This series explores legal issues related to physician burnout and potential solutions, and here we explore the potential impact of value-based care (“VBC”). Our first post addressed how healthcare organizations can foster the psychological safety and emotional well-being of their physicians. Our second post discussed artificial intelligence solutions as a potential way…

RECORDED WEBINAR: Healthcare’s (Not-so)Secret Weapon: Combining the Power of Advanced Data Analytics with In-depth Price Transparency

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 Download Slides Understanding your healthcare organization’s bottom line can be a challenge. Without the proper insight into organizational efficiencies and financial oversight, optimizing spend and patient care isn’t a reality. There’s a better way. In this webinar, we’re sharing the secrets of successful healthcare organizations – advanced data analytics and in-depth price transparency. Here’s…

Achieving Value-Based Care Through the Payvider Model

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A year ago, Sentara Health rebranded itself and launched One Sentara, an initiative to better unite its healthcare and health plan businesses to deliver a more cohesive customer experience. Technology plays a pivotal role. Sentara’s IT team has migrated most data center workloads to Microsoft Azure and is integrating disparate patient care and health plan…

ACO REACH PY2025 changes: What do they mean for my ACO?

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In late July, the Center for Medicare and Medicaid Innovation (CMMI) announced updates to the ACO Realizing Equity, Access, and Community Health (REACH) model beginning in performance year (PY) 2025.1 This announcement coincided with the recent publication by CMMI of the Global and Professional Direct Contracting (GPDC) Model PY2022 Evaluation Report, which cites some of the early…

VBC Contract Management with Healthcare Analytics | Milliman MedInsight

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The transition towards value-based care (VBC) is rapidly reshaping the healthcare landscape. While this shift holds immense promise for improving patient outcomes and reducing costs, it also presents a unique set of challenges that demand careful consideration for successful contract negotiations and management. In this blog post Milliman MedInsight product manager, Umang Gupta, explains the…

DaVita CMO on the Impact of Value-Based Models on Kidney Care

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Fortune 500 company DaVita is one of the largest kidney care companies in the United States. It has about $5 billion at risk in value-based contracts and is on a pathway to have about $10 billion at risk for patients with kidney disease. Jeff Giullian, M.D., chief medical officer at DaVita, recently spoke with Healthcare…

Value-Based Care Is a Four Layer Cake — Why Do We Only Focus on The Icing?

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The healthcare industry’s movement away from fee-for-service care models and toward value-based care has been an incredibly gradual process. Contracting in these arrangements remains difficult for providers and payers, and clinicians continue to struggle with the administrative burden that comes along with delivering value-based care. Three healthcare experts shared their thoughts on this issue last…

Primary care-centric ACOs generate better savings and better outcomes

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According to the Primary Care Collaborative’s (PCC’s) 2024 Evidence Report, “Primary Care: The MVP of MSSP,” primary care-centric accountable care organizations (ACOs) provide better quality health outcomes and generate 2.4 times higher savings, compared to their peers. The 2024 Evidence Report, written in collaboration with Robert Graham Center and Simple Healthcare, considered more than six…

From silos to synergy: Uniting health plan and EHR insights to drive success in value-based care

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As the health care industry increasingly adopts value-based care (VBC) models, providers face the dual challenge of enhancing patient outcomes while controlling costs. To succeed in this environment, integrating health plan data — such as claims, enrollment and care gap information — into clinical and operational workflows is essential. By combining health plan data with…