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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…

RECORDED WEBINAR: Insights for Navigating Value-Based Care Policy and Regulatory Trends in 2025

February 25, 2025Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides Join us for a deep dive into the latest policy and regulatory updates shaping the future of value-based care (VBC). Led by James Pelletier, National Director of Provider Quality at MRO, the webinar provides actionable insights to help you adapt and thrive in this evolving landscape. James will be joined by Maria…

Hospital Execs Share Infrastructure, Quality Measure Issues in Value-Based Care

February 24, 2025Garrett Schmitt

A Feb. 24 discussion among hospital system executives at the Value-Based Payment Summit focused on the challenges and opportunities they face in transitioning to value-based care. They discussed barriers such as data management, infrastructure costs, and risk adjustment methodologies, as well as where they expect to focus their efforts in the future. Rural hospitals can…

Humana looks to deepen meaning of ‘value-based care’

February 24, 2025Garrett SchmittCoding, HCC, Risk adjustment coding

Few buzzwords are as popular in healthcare as “value-based care.” But understanding of the term is often superficial, according to Alex Ding, MD, enterprise deputy chief medical officer at Humana. The company published its annual value-based care report in February. The annual report provides data on savings and outcomes achieved through value-based care — but…

How Climate-Driven Disasters Could Reshape Health Care Quality Measures

February 23, 2025Garrett SchmittNo Commentsrecruitment

One question is whether these results apply to other health plans beyond Medicare Advantage contracts and whether certain types of contracts may be more affected by disasters than others. For example, larger health systems may be able to triage patients to other sites of care and shift patients to facilities that are unaffected by disasters…

Value-based payment models: Doctors describe the disconnect between theory and practice

February 20, 2025Garrett Schmitt

Value-based programs have a triple aim: better care for patients, better health for populations and lower cost of health care, according to the U.S. Centers for Medicare & Medicaid Services (CMS). By 2030, CMS has a goal of 100% of Traditional Medicare beneficiaries and a vast majority of Medicaid beneficiaries participating in accountable care relationships….

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