Controlling costs is a key Value-Based Care goal, a fact well-known to ACOs that share savings with CMS. Even as individual ACOs have generated tens of millions of dollars in savings, however, MSSP ACOs as a whole have only been able to reduce their Total Cost of Care (TCOC) by a fraction. That is a…
In the supermarket, we look for fish that’s sustainably raised. We’re swayed by sustainable practices from hotels and retailers. So why wouldn’t the same standard apply to the most important service industry in the world, healthcare? The fact is that the traditional fee-for-service model, charging patients and plans for every blood draw, X-ray, and surgery,…
Since the implementation of the Affordable Care Act, a major shift has been underway in how individuals in traditional Medicare receive their services. The Centers for Medicare and Medicaid Services (CMS) has been systematically developing programs that focus on providing value-based care (VBC) to these enrollees. These programs include the Medicare Shared Savings Program (MSSP);…
Download Slides If you want your VBC organization to thrive in 2024, you need to educate yourself and your providers on the CMS-HCC V28 changes. Join us for a webinar where Credo Founder and CEO Carm Huntress will help you do just that! Carm will share his top takeaways from the first month of…
Insurtech Alignment Healthcare has recorded $1.82 billion in revenue for full-year 2023 and beat market expectations for quarterly revenue by more than $20 million, the company announced Feb. 27 during its 2024 fourth-quarter earnings call. However, its earnings per share was a loss of 25 cents, falling short of Wall Street expectations of a loss of…
In order to be successful moving forward, home-based care providers will need to understand the value-based care landscape and be prepared to operate in this space. That’s one key takeaway from a new report released by Transcend Strategy Group, an at-home care-focused growth strategy firm. The report is an overview of value-based care’s history, as…
Optum Health CEO Amar Desai, M.D., took the stage at ViVE on Monday morning to discuss the company’s value-based care ambitions and strategy, but there was a clear elephant in the room: the cyberattack on Change Healthcare that’s still causing disruption nationwide. Desai said the Optum team has been in regular communication with its clients’…
Andrew Molosky, the president and CEO of Chapters Health System, is keenly aware of the struggles that coincide with turning a large health care provider organization into a value-based one. The first priority in that situation, in his mind, is making sure that the entire organization is on the same page in terms of what…
Federally qualified health centers (FQHCs) provide comprehensive primary care and preventive services to more than 31.5 million patients across the United States, regardless of their ability to pay. FQHCs have a unique financing structure that relies on federal grant funding and low Medicaid reimbursements. As a result, they operate on thin, often unpredictable financial margins,…
Chronic Wounds: A Look at the human and financial toll Over the past few years, in an effort to promote better outcomes for patients, healthcare providers, payers, researchers, and regulators have started paying more attention to a once-overlooked area of healthcare: chronic wounds. Chronic wounds encompass injuries such as burns and surgical site infections, as…