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Many CMMI models didn’t generate savings: report

April 14, 2025Garrett Schmitt

Only one-third of the models analyzed produced substantial savings for the federal government, according to Avalere Health. Dive Insight: The CMMI was created by the Affordable Care Act to test new payment and care delivery models in a bid to lower costs and improve quality in government healthcare programs. Most models have focused on Medicare, the…

RECORDED WEBINAR: Risk Adjustment, Revenue Integrity…Then What?

April 10, 2025Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides Fraud, waste, and abuse (FWA) cost healthcare payers billions every year, negatively impacting operational efficiencies. Is your organization ready to detect, prevent, and effectively combat these issues? Join us for this valuable session to gain actionable insights for strengthening your company’s defenses against FWA. We’ll walk you through the essential steps of…

The case for value-based care in women’s health: A win-win in improving maternal care

April 10, 2025Garrett Schmitt

Over the past several years, providers and technology-focused physician enablement organizations across the country have been working together to initiate the transition from traditional fee-for-service models to value-based care (VBC) arrangements. They have been adopting analytics tools and service solutions to help improve health outcomes, provide more cost-effective care and close gaps in care, all…

RECORDED WEBINAR: Transforming Community Health: El Centro de Corazón’s Innovative Approach to Reducing Health Disparities & Improving Outcomes

April 9, 2025Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides Join leaders from El Centro de Corazón as they share their journey as an FQHC serving Houston’s East End community. Discover how El Centro has evolved to address the health needs of its patients, focusing on quality, innovation, and community-driven care. Hear about its implementation of deviceless remote patient monitoring which has…

Organizational Factors Associated With Variation in Primary Care Providers in ACOs

April 8, 2025Garrett SchmittNo Commentsrecruitment

The rapid expansion of the accountable care organization (ACO) program implemented by CMS in 2012 has resulted in different types of health care organizations participating in this value-based payment model.1,2 The ACO model encourages providers to coordinate patient care across the continuum and financially rewards participants through shared savings for containing costs while improving the quality…

Why health systems are turning to VBC consultants

April 7, 2025Garrett SchmittNo CommentsApple, community health, creativity, digital health, health care, health disparities, health inequity, healthcare, healthcare innovation, Jefferson Health, SPAC, Steve Jobs, Steve Klasko, structural health disparities

  As interest in value-based care (VBC) grows, more health systems are turning to consultants to help them transition from a traditional fee-for-service model to VBC.  More health systems invest in VBC Over the last few years, interest in VBC has accelerated and is expected to continue to grow. According to a 2022 report from McKinsey…

5 Value-Based Care Strategies to Control Patient Care Costs

April 7, 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 cutting services is through a…

RECORDED WEBINAR: An Inside Look: The Illusive Fundamentals of Operating a Provider Business

April 3, 2025Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides Lucerna Health will provide a behind the scenes look at how to develop actionable insights and connect provider operational processes to improve business effectiveness and efficiency. We will discuss how to turn your data into an asset, creating actionable insight, so you aren’t flying blind and can better manage performance improvement efforts….

Risant Health Fills Out Its Value-Based Care Team

April 2, 2025Garrett Schmitt

Risant Health, a nonprofit organization created by Kaiser Foundation Hospitals in 2023 and dedicated to increasing access to value-based care, has filled out its leadership ranks, naming Jessica Bartell, M.D., M.S., M.B.A., its chief medical information officer. Also Deepak Sadagopan has joined Risant as business lead, value-based platform. KP Medical Foundation physician Chris Cable, M.D.,…

Addressing Malnutrition Through Advances In Value-Based Care

April 2, 2025Garrett Schmitt

Malnutrition, defined as the “inadequate intake of nutrients, particularly protein, over time,” affects 20 percent to 50 percent of hospitalized patients despite only 8 percent being diagnosed. Malnutrition has been shown to increase hospital costs (34 percent more) and 30-day readmission rates (54 percent higher) compared to hospitalizations in patients without a malnutrition diagnosis. Addressing malnutrition through targeted nutrition interventions improves…

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