The health care industry is again grappling with how aggressively to push providers into payment arrangements that hold them financially accountable for delivering better and more efficient care after the debate was largely put on hold during the pandemic. The big picture: A central question surrounding the long-running movement toward value-based care has been how…
INTRODUCTION The Cleveland Clinic was founded in 1921 as a multi-specialty group practice staffed and run by four physicians who had served in a military hospital in France during World War I. The four men—Drs. Crile, Lower, Bunts, and Philips—were inspired by a vision of a healthcare system in which physicians “acted as a unit,”…
In 2023, OptumHealth saw 900,000 more patients under value-based care, according to a Jan. 12 call with investors transcribed by Seeking Alpha. “Value-based care for us is a proven way of overcoming many of the widely recognized shortcomings of a fee-for-service-based health system such as fragmented consumer experiences and incentives, that can emphasize volume over…
Michael Palantoni says he is seeing growing support for shifting to value-based care, including discussions and cooperation that would have been unthinkable a few years ago. Palantoni is the vice president for platform and data services at athenahealth, the electronic health record company, which is working with payers and providers on addressing gaps in care…
Today’s payers are still adjusting to the significant operational and transparency changes as a result of the No Surprises Act and Consolidated Appropriations Act. These mandates put the provider network operation on the front line and at the eye of the storm of some pressing market conditions—from the regulations to escalating, costly labor challenges and…
Today as we appreciate the legacy of Martin Luther King, Jr., I post a photo of him in my hometown of Detroit in 1963, giving a preliminary version of the “I Have a Dream” speech he would deliver two months later in Washington, DC. Wisdom from the speech: “But now more than ever before, America is…
A study from researchers at Mass General Brigham examined the potential of large language models to extract social determinants of health from EHRs and improve real-world evidence. The study appeared in npj Digital Medicine. Despite their significance, social determinants often face underdocumentation in structured EHR data, hindering comprehensive research and clinical care. Commonly found in…
Dive Brief: Generative artificial intelligence can be used to pull social determinants of health data, like housing or employment status, from clinician notes to identify patients who need additional support, according to a new study. Large language models trained by researchers could identify 93.8% of patients with adverse social determinants of health, while official diagnostic…
Value-based care efforts have aimed for health equity, but one Health Affairs study found evidence that some value-based purchasing efforts may maintain care disparities for Black Medicare beneficiaries. Additionally, Amazon announced it will add a new capability to its repertoire of healthcare capabilities. On top of its existing virtual care, pharmaceutical, telehealth, in-home, and preventive…
Generative AI models can identify social determinants of health (SDOH) in doctors’ notes, a new study finds. SDOH like housing and income are major drivers of health outcomes. But these factors are notoriously underdocumented in existing EHR structured data, study authors wrote in npj Digital Medicine. And while a subset of billing codes exists to…