As the threat of significant Medicaid cuts loom, the urgency to control costs while maintaining or improving quality in the safety net has never been greater. Value-based payment (VBP) models offer a clear path forward by shifting incentives from volume to value, rewarding providers for improving patient outcomes rather than simply delivering more services. By…
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…
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….
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…
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….
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,”…
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,…
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…
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…
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…