Specialty care makes up a significant portion of healthcare spending, yet accountable care organizations (ACOs) often lack a specialty care strategy to lower costs and optimize specialty care. This disconnect arises due to distinct payment models that pay specialists separately, alongside care management systems that don’t attempt to integrate ACO primary care physicians and specialists….
Let’s face it—healthcare is changing, and fast. The old fee-for-service model, where providers were rewarded for cranking out more tests and treatments, is fading into the background. Enter value-based care, a model that prioritizes patient outcomes over the number of services performed. And at the heart of this transformation? One thing: quality. But quality isn’t…
On July 1, 2024, the CMS Innovation Center launched the Guiding an Improved Dementia Experience (GUIDE) Model, with 390 participating organizations building dementia care programs that will serve hundreds of thousands of people with Medicare nationwide. One of the GUIDE participants is a Seattle-based startup called Rippl, which recently raised $23 million in Series A…
While progress toward the adoption of value-based care has been a slow lumber, the healthcare industry is still pushing toward that transition, with UnitedHealth Group weighing in on how best to accelerate that transformation. In its latest “A Path Forward” report, UHG said that as of 2023, about 60% of UnitedHealthcare members are served by…
With pressure building on Congress to solidify telehealth payment flexibilities set to expire at the end of the year, we must ensure legislators weigh the ability of virtual health care services to promote health equity. Telehealth services can help advance the goal of ensuring all people have equal opportunity to reach their full health potential,…
Download Slides In this webinar, we will explore the role that high-quality, validated provider data plays in driving value-based care (VBC) success and effective strategies to overcome data challenges. We will discuss how payers can enhance operational efficiency, reduce administrative burdens, and collaborate with Accountable Care Organizations (ACOs) and independent providers to achieve shared…
Download Slides Join Salient Health as we dive deep into healthcare data analytics to understand the value-based care opportunities waiting to be exposed by further examination of the data your healthcare organization already has access to. In this session, we’ll explore the following: What data sources do you currently have within your organization that…
Value-based care is still a big driver in how senior living operators are meeting future challenges. That’s according to a recent survey by the American Seniors Housing Association (ASHA) and tech firm August Health. The survey includes responses from 68 senior living clinical leaders between July 15 and August 15 of this year. Nearly a…
Interoperability has been a hot topic in the healthcare industry for over a decade and is a constantly recurring theme for organizations as they evaluate potential future technologies and how adopting those technologies will help them meet compliance requirements. The most urgent compliance concerns relate to the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F),…
Wider adoption of value-based care (VBC) would be a boon to our healthcare system by lowering costs and improving outcomes for all three P’s: patients, providers and payers. The Centers for Medicare and Medicaid Services (CMS) has led the charge on driving VBC adoption with a series of specialty VBC programs, including July’s launch of…