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RECORDED WEBINAR: Mastering Value-Based Care Networks: Insights for Competitive Edge in PY 2026

February 13, 2025Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides As value-based care organizations continue to demonstrate success and optimize their approaches, the importance of building the right value-based care (VBC) network has become increasingly important. No longer are organizations blindly creating VBC rosters. Organizations, and ultimately patients, depend on actionable insights and robust data to serve as the foundation for high-quality…

Curate Your Data to Tackle Cost of Care: Master These Basics

February 13, 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…

Smart, sustainable growth in the era of Medicare Advantage — 4 takeaways

February 12, 2025Garrett SchmittCCM, Chronic Care, HCC

As the aging population continues to shift into Medicare eligibility and toward Medicare Advantage programs, provider organizations are seeing their margins shrink to worrisome, unsustainable levels. For health systems, the time is now to pursue smart strategies for sustainability and growth. This was the main theme during an executive learning session at Becker’s 12th Annual…

Addressing The Burden Of Spine-Related Disorders Through Integrated Value-Based Care

February 12, 2025Garrett Schmitt

The unsustainable rise of health care costs in the US, coupled with suboptimal health outcomes, is driving both conversation and real action toward value-based care (VBC) models in this country. There is no more low-hanging fruit for this effort than spine-related disorders. Low back and neck pain cost us more than $134 billion annually and continues…

Improving Audit Readiness Through Robust Medical Coding Practices

February 11, 2025Garrett SchmittCoding, HCC, Risk adjustment coding

Medical coding plays a vital role in healthcare, converting patient encounters into standardized codes used for billing, insurance claims, and performance tracking. Despite its behind-the-scenes nature, coding significantly impacts revenue cycles and regulatory compliance in healthcare organizations. With increased scrutiny from payers and government agencies, ensuring that medical coding practices align with current regulations has…

AI and Value-Based Care Growth Igniting Fresh Urgency for Interoperability

February 11, 2025Garrett Schmitt

Since passage of the HITECH Act, which included the “Meaningful Use” financial incentive program for providers to adopt electronic health records (EHRs), acceptance of the technology has rapidly grown from 12% in 2009 to 96% in 2021, according to a federal survey. Results show that the vast majority of these EHR systems have been certified by…

Aledade Adds 500 New Primary Care Practices to Value-Based Care Network

February 11, 2025Garrett Schmitt

What You Should Know:  – Aledade, the nation’s largest network of independent primary care providers, announced the addition of over 500 new primary care practices, clinics, and community health centers to its network. – The expansion brings the total number of supported organizations to more than 2,400, serving nearly 3 million patients through value-based care programs across the…

How to build provider networks and contracts in specialty value-based care

February 10, 2025Garrett Schmitt

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…

Evernorth study: A look at the progress toward value-based care in behavioral health

February 7, 2025Garrett Schmitt

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: One Priority Among Many

February 7, 2025Garrett Schmitt

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…

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