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Tech and Value-Based Care: How Leaders of Northbridge, Juniper, Anthem Are Pivoting for the Boomers

May 20, 2025aco

From new tech to value-based care, leaders of Anthem Memory Care, Juniper Communities and Northbridge Companies see a need to alter the senior living model and innovate for the industry’s next residents. Senior living companies are innovating by implementing new tech into their operating models while also enhancing them with new value-based care payment sources….

Value-based care expected to see revenue increases this year, survey finds

May 19, 2025aco

Sixty-four percent of healthcare organizations say they expect higher revenue this year from value-based care arrangements as compared to last year, finds a new report from Innovacer and the National Association of Accountable ACOs. Based on a nationwide survey of 168 healthcare leaders across 142 organizations, the results mark a sharp increase in confidence despite ongoing structural and operational…

How payers can drive value-based care forward

May 19, 2025aco

Healthcare is undergoing a major shift. Rising costs, a growing number of chronic disease cases and an aging population have revealed the limitations of the traditional fee-for-service (FFS) model. Under FFS, providers are paid based on the volume of services rendered—regardless of the outcomes. This has led to inefficiencies, fragmented care and increasing financial pressure on both patients…

In Medicare Advantage value-based care, women PCPs outperform and outearn their male peers

May 19, 2025aco

Women primary care physicians (PCPs) participating in full-risk Medicare Advantage (MA) value-based payment models earned more than their male counterparts and delivered better clinical outcomes, according to a new study published May 16 in JAMA Health Forum. The findings show a reversal of the well-documented gender pay gap in medicine, raising new questions about how different payment structures affect equity…

The ‘price’ of value-based care

May 14, 2025acoMA, skilled nursing facilities, SNF, SNFs

The term “value-based care” is tossed around like a political football among healthcare policy makers. Nowhere is the meaning of this so variable as in nursing homes. The Nursing Home Value-Based Purchasing Demonstration project, completed over a decade ago, was not found to lower spending or improve quality. Webster’s Dictionary defines value as “the monetary worth of something,”…

The Evolving Physician Advisor: From UM to Value-Based Care & AI

May 13, 2025aco

In today’s complex healthcare landscape, Physician Advisors (PAs) play an increasingly vital role in ensuring hospitals and health systems function smoothly, efficiently, and with a focus on patient-centered care. As healthcare spending continues to rise, the need for professionals who can effectively navigate the intersection of clinical practice and financial stewardship has never been greater. What is a Physician Advisor? Physician Advisors serve as…

CMMI Announces Make America Healthy Again Strategy, Prioritizes Choice For Care Settings, Including In Homes

May 13, 2025aco

The Center for Medicare and Medicaid Innovation (CMMI) announced its approach to President Donald Trump and Secretary Robert F. Kennedy’s call to “Make America Healthy Again” – and it promises to, among other aims, increase patients’ ability to receive care in the setting of their choice, including the home. The new strategy, announced Tuesday, also…

RECORDED WEBINAR: Best Value-Based Care Strategies PT 2: Controlling Specialty Patient Care Costs and Total Costs for Negotiating Leverage

May 13, 2025acoNo CommentsACO reporting, ACOs, APP, APP measures, eCQM, vbc, Webinar

 Download Slides Best Value-Based Care Strategies for A Cost-Focused Future Provider strategies for Value-Based Care participation will be significantly different under the new federal administration’s cost cutting agenda. Along with changes in Medicare Advantage’s position in the new CMS vision of Value-Based Care, there are fewer payment models and hints of other changes to come….

A More Holistic Approach To Measurement For Value-Based Care

May 8, 2025aco

Through pay-for-reporting and pay-for-performance programs, payers such as the Centers for Medicare and Medicaid Services (CMS) rely on quality measures to incentivize and make inferences about care quality and evaluate the performance of health care delivery innovations. The growth of pay-for-performance and value-based care (VBC) programs in the United States drives demand for quality measures…

Understanding the Fundamentals of Accountable Care Organizations

May 8, 2025aco

The healthcare payment process is undergoing a dramatic transformation as payers and providers shift from volume to value. While stakeholders are currently piloting many value-based care models, accountable care organizations are among the most popular and successful models to date due to their emphasis on coordinated healthcare. These organizations not only facilitate seamless coordinated healthcare…

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