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…
Download Slides Receiving recommended breast cancer screenings (BCS) helps detect cancer early, when it is most treatable. Barriers to BCS completions are most prevalent among people of color, with black women having a 41% higher mortality rate from breast cancer compared to white women. Institutionalized racism, lack of access, and misinformation are among the…
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…