CMS has released several resources to help support federal agencies, states and local and tribal governments to better coordinate healthcare, public health and social services, including a 54-page playbook for addressing social determinants of health. The playbook highlights actions that federal agencies are taking to support health by improving the social circumstances of individuals. It…
Accountable care organizations (ACOs) have become the “de facto” strategy for traditional Medicare. Their incentives for proactive care were designed to improve quality and access to care by aligning incentives among clinicians, hospitals and behavioral health providers. But a new Health Affairs study found that being enrolled in an ACO was not associated with any…
Healthcare inequity is a pervasive issue plaguing our society, driving a divide in access and quality of care that negatively impacts patients. The reality is that many people cannot receive quality medical care due to factors such as type of insurance, (in)ability to pay, and location. These factors are identified as social determinants of health, or SDoH….
Download Slides Artificial Intelligence (AI) has the potential to reshape the healthcare landscape—but is that a good thing or a bad thing? That depends on how the technology is defined and applied. The healthcare market has seen a flood of new AI solutions that, according to the companies behind them, will revolutionize healthcare; so…
Value-based care is smarter healthcare that lowers costs and keeps Medicare Advantage members healthier, according to the tenth annual Value-Based Care Report released today from Humana Inc. The 2023 report shows that Medicare Advantage (MA) patients receiving care under value-based arrangements spent more time with their primary care physician and were more likely to receive…
Big Tech and retail giants continue to expand into healthcare, investing more money in value-based care and putting more pressure on hospitals and health systems to bend the cost curve and prioritize digital health investments capable of providing value. With more competitors entering the sector —- and patients increasingly shopping for the best value for…
Download Slides The Centers for Medicare and Medicaid Services (CMS) is displaying a strong commitment to transitioning the healthcare system towards 100% value-based care (VBC) by 2030. This ambitious goal signifies a significant shift from the traditional fee-for-service model to value-based payment models. The move towards VBC is driven by the increasing recognition of…
Clinical factors are responsible for just 20 percent of individuals’ health outcomes; the remainder can be attributed to factors such as health-related social needs (HRSNs). Increasing recognition of the impact of these needs on consumers’ health and livelihoods is driving momentum across the healthcare ecosystem to integrate health and social care, creating opportunities for healthcare entities to…
Download Slides Value-based care entities often feel like they are behind the curve, always reactive, lacking insights and resources to be proactive. Value-based care experts, Erin Page and Dr. Kent Locklear will cover the 4 key pillars to a winning value-based care strategy and how they connect seamlessly to achieve the quadruple aim. The…
The U.S. spends huge amounts of money on health care that does little or nothing to help patients, and may even harm them. In Colorado, a new analysis shows that the number of tests and treatments conducted for which the risks and costs exceed the benefits has barely budged despite a decade-long attempt to tamp…