During last week’s Primary Care Transformation Summit, Amy Nguyen-Howell, M.D., M.B.A., chief of the Office for Provider Advancement at Optum Health, and Nwando Olayiwola, M.D., M.P.H., chief health equity officer and senior vice president at Humana, detailed the data infrastructure they are building in their respective organizations to support health equity initiatives. As Humana’s first…
Download Slides In this webinar, we’ll discuss the critical role providers play in the success of improved health outcomes, Star ratings, HEDIS measures and risk adjustment. We’ll dive into: – What provider organizations should know about the latest trends in Star ratings, HEDIS measures and risk adjustment – Risk adjustment claw-back exposure for health…
Download Slides In this webinar, we’ll discuss the critical role providers play in the success of improved health outcomes, Star ratings, HEDIS measures and risk adjustment. We’ll dive into: – What provider organizations should know about the latest trends in Star ratings, HEDIS measures and risk adjustment – Risk adjustment claw-back exposure for health…
Over the past year, we have had in-depth health-equity conversations with many health care and life sciences executives, and we have participated in quite a few conference panels on the subject. Based on our conversations, it’s clear that health equity continues to be seen as a business strategy. We have also heard that being a…
Aetna is a “little bit behind” its peers in value-based care, but it can get ahead by leveraging the rest of the CVS Health business, Aetna President Brian Kane said. At CVS Health’s 2023 investor conference on Dec. 5, Mr. Kane said the company is “under-penetrated” in value-based relationships in Medicare Advantage but plans to…
Download Slides As the healthcare ecosystem continues to undergo rapid transformation, it has become increasingly crucial for healthcare leaders to proactively anticipate shifts in the digital health landscape. In this insightful webinar, we will delve into the critical trends that are reshaping the industry and examine how stakeholders can leverage emerging opportunities. Key topics…
Download Slides Provider engagement is a key tenet in success in value-based care contracts. Providers serve as the key to ensuring patients receive the right care at the right time. However, with limited bandwidth and having data scattered in multiple systems, providers often are not able to have a full picture of the patients’…
As healthcare sprints toward value and away from volume, many physicians participating in value-based care (VBC) models are in the middle of a precarious balancing act right now. Value-based contracts demand different business and clinical practices from fee-for-service arrangements based largely on volume of service. And because many physicians still rely primarily on fee-for-service arrangements…
Clover Health is leaving the ACO REACH program at the end of the 2023 performance year, the company recently announced. While the insurer said that Clover will continue to fulfill all its ACO Reach obligations for the rest of this year, including sending a written notification to participating physicians as required by Centers for Medicare…
While traditional fee-for-service reimbursement models still reign supreme, more healthcare organizations are adopting value-based care (VBC) models. Between 2019 and 2021, investment in VBC and alternative payment models grew by 400%. During the same time period, investment in legacy care delivery models remained mostly flat. The appeal of VBC is evident, as healthcare leaders aim…