AI in healthcare and value-based care enablement are top developing trends in healthcare, but lack scalability so far, while big box retailers as providers and data interoperability have shown a high volume of activity in 2023, and are scaling with long-term trajectories. Rock Health’s report, which utilized data to determine the sequence of developments in…
ACOs just gained a reprieve from implementing all-patient APP quality reporting in 2024. A provision in CMS’s Physician Fee Schedule Final Rule, which goes into effect on January 1, 2024, enables ACOs to report on Medicare patients only, based on CMS provision of eligible patient lists for three APP measures. If your ACO decides to…
During last week’s Primary Care Transformation Summit, Amy Nguyen-Howell, M.D., M.B.A., chief of the Office for Provider Advancement at Optum Health, and Nwando Olayiwola, M.D., M.P.H., chief health equity officer and senior vice president at Humana, detailed the data infrastructure they are building in their respective organizations to support health equity initiatives. As Humana’s first…
Download Slides In this webinar, we’ll discuss the critical role providers play in the success of improved health outcomes, Star ratings, HEDIS measures and risk adjustment. We’ll dive into: – What provider organizations should know about the latest trends in Star ratings, HEDIS measures and risk adjustment – Risk adjustment claw-back exposure for health…
Download Slides In this webinar, we’ll discuss the critical role providers play in the success of improved health outcomes, Star ratings, HEDIS measures and risk adjustment. We’ll dive into: – What provider organizations should know about the latest trends in Star ratings, HEDIS measures and risk adjustment – Risk adjustment claw-back exposure for health…
Over the past year, we have had in-depth health-equity conversations with many health care and life sciences executives, and we have participated in quite a few conference panels on the subject. Based on our conversations, it’s clear that health equity continues to be seen as a business strategy. We have also heard that being a…
Aetna is a “little bit behind” its peers in value-based care, but it can get ahead by leveraging the rest of the CVS Health business, Aetna President Brian Kane said. At CVS Health’s 2023 investor conference on Dec. 5, Mr. Kane said the company is “under-penetrated” in value-based relationships in Medicare Advantage but plans to…
Download Slides As the healthcare ecosystem continues to undergo rapid transformation, it has become increasingly crucial for healthcare leaders to proactively anticipate shifts in the digital health landscape. In this insightful webinar, we will delve into the critical trends that are reshaping the industry and examine how stakeholders can leverage emerging opportunities. Key topics…
Download Slides Provider engagement is a key tenet in success in value-based care contracts. Providers serve as the key to ensuring patients receive the right care at the right time. However, with limited bandwidth and having data scattered in multiple systems, providers often are not able to have a full picture of the patients’…
As healthcare sprints toward value and away from volume, many physicians participating in value-based care (VBC) models are in the middle of a precarious balancing act right now. Value-based contracts demand different business and clinical practices from fee-for-service arrangements based largely on volume of service. And because many physicians still rely primarily on fee-for-service arrangements…