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Integrating Specialists for Success in Value-Based Care

March 9, 2025Garrett Schmitt

In 2025, the continued growth of Medicare Advantage underscores the increasing importance of specialists in value-based care, as healthcare models shift toward more integrated, patient-centered approaches. On this episode, Dan sits down with Lynn Carroll, COO and Head of Strategy at HSblox, to explore how specialists can successfully engage in value-based care models. Tune in…

How Can EHRs Support the Shift to Value-Based Care and Reduce Clinician Burnout?

March 7, 2025Garrett SchmittAI, Artificial Intelligence

A webinar sponsored by Elation Health highlighted some of the challenges primary care practices face and how a more thoughtful, nuanced approach to health tech could transform healthcare practices. MedCity News Editor-in-Chief Arundhati Parmar moderated a conversation with Elation Health executives Dr. Sara Pastoor, head of primary care advancement, and Meaghan Sullivan, senior sales engineer….

BrightSpring CEO: Home-Based Primary Care Holds Major Upside For ACO, Payer Strategies

March 6, 2025Garrett Schmitt

The leadership team at BrightSpring Health Services (Nasdaq: BTSG) has highlighted home-based primary care as a major business opportunity in the near future. “Home-based primary care represents a significant opportunity in the coming years, with ACO and payer strategies continuing to develop,” BrightSpring President and CEO Jon Rousseau said Thursday during the company’s fourth-quarter 2024…

3 Essentials to Cut Health Care Costs Without Cutting Patient Care

March 6, 2025Garrett Schmitt

There is an understandable fear and a little outrage right now about health care budget cuts. Some proposed cuts will raise the amount of unfunded care for hospitals and physicians if Medicaid coverage is reduced, and impact patients in nursing homes. Other proposals will eliminate offsets for medical debt or physician education through residency programs….

ASCs poised to win big in the value-based care revolution

February 26, 2025Garrett SchmittCoding, HCC, Risk adjustment coding

As the healthcare industry continues its shift toward value-based payment models, ASCs could be poised to be major beneficiaries of this transformation. Many industry leaders believe ASCs’ cost efficiency, streamlined operations and focus on quality outcomes make them ideal candidates for success in a value-driven healthcare landscape. According to FTI Consulting’s “Hospital Operations Outlook Survey,”…

The Vibe at ViVE: Health Tech Leaders Share Insights from AI to Value-based Care

February 26, 2025Garrett SchmittAI, Artificial Intelligence

Executives from TailorCare, Altera Digital Health, and WiPro shared insights at the ViVE 2025 conference in Nashville. John Petito, TailorCare Chief Strategy Officer, talked about what sets the company apart, particularly its multi-pronged approach to specialty value-based care. TailorCare is focused on using PT to improve outcomes for patients with joint, back, and muscle conditions,…

Inside Value-Based Care Models Eyeing a Future Without Gaps in Care Between Nursing Homes, Other Settings

February 26, 2025Garrett SchmittACOs, CMS, nursing homes, SNFs

The future of value-based care programs will likely focus on greater integration of care, as nursing homes and other providers in the health care continuum discover the benefits of more thoughtful discharges – less focused on swiftness and more on moving patients through a continuum of care – in order to close costly gaps in…

Coding Compliance: Mitigating Risk In Medicare Risk Adjustment Programs

February 26, 2025Garrett SchmittCoding, HCC, Risk adjustment coding

In the complex world of healthcare, the importance of accurate coding and billing cannot be overstated. For healthcare providers participating in Medicare Risk Adjustment (MRA) programs, coding compliance is crucial in ensuring that patients receive the right care and that healthcare organizations meet legal and financial obligations. Non-compliance can lead to significant financial risks, regulatory…

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…

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