The first installment of this series explored the financial complexities of specialty value-based care and highlighted innovative models designed to address those challenges. From bundling payments to advanced episode-based reimbursement strategies, the focus was on aligning financial incentives with high-quality outcomes while mitigating risk. Building on that foundation, this article delves into the mechanisms that…
Behavioral health has lagged behind in the shift to value-based care, and a new paper from experts at Cigna outlines why these providers should consider making the switch along with the barriers they may face. For example, there are significant technology gaps that may hinder uptake of value-based care, according to the report. Mental health…
Value-based care isn’t the only priority highlighted in The New Healthcare C-Suite Agenda: 2024-2025 Market Report. It’s just the only one where providers identified payers as part of both the solution and the problem. The new report from Sage Growth Partners is based on annual survey responses from more than 100 hospital and health system…
Analytics driven by artificial intelligence could transform value-based care by addressing long-standing inefficiencies and enabling providers to deliver better outcomes at lower costs. This is among the key findings from a HealthScape Advisors report, which also highlighted the persistent challenges facing value-based care. Despite significant investments, value-based care (VBC) has struggled to achieve its original…
University Hospitals’ accountable care organization had a math problem: More than 64,000 diabetic patients and only a few endocrinologists. Besides the lack of available endocrinologists, there is a warped perception of who should care for the estimated 129 million Americans with at least one chronic disease, according to Peter Pronovost, MD, PhD. “Across America, the…
LOUISVILLE, Ky.–(BUSINESS WIRE)–Value-based care results in patients spending more time with their primary care clinician, less time in the hospital, and more frequent preventive care, based on research released today by leading health and well-being company Humana Inc. (NYSE: HUM) in its annual Value-Based Care Report. The report’s data shows that Medicare Advantage (MA) patients…
Primary care physicians (PCPs) practicing in value-based care (VBC) practice models spend more time with patients, reduce unnecessary hospitalizations and demonstrate more frequent preventive care, according to Humana’s 11th annual Value-Based Care Report released Wednesday. “Coordinated care that delivers the right care at the right time must become the standard,” Kate Goodrich, MD, MHS, chief…
A new report is highlighting continuing trends and areas of opportunities that skilled nursing providers can consider while addressing persistent industry developments, such as increasing implementation of Medicare Advantage plans and a hyperfocus on value-based care. The trends unveiled in accounting firm Plante Moran’s “2025 Skilled Nursing Facility Medicare Benchmarking Report” should be used as…
With the value-based care (VBC) market predicted to grow to $43.4 billion by 2031, this healthcare model continues to gain momentum, prioritizing patient-centered, outcome-focused approaches. Personalized care addresses the shortcomings of traditional fee-for-service models, which have long prioritized treatment volume over patient outcomes, further driving up costs while often failing to improve long-term patient health….
Every year brings changes to the skilled nursing industry, and operators entered 2025 with many new elements on their plate. This is where Forvis Mazars comes in. The professional services network works with providers, hospitals, physicians’ offices and community health centers (CHCs), providing financial and consultative services. Their focus this year includes changes to the…