Big Tech and retail giants continue to expand into healthcare, investing more money in value-based care and putting more pressure on hospitals and health systems to bend the cost curve and prioritize digital health investments capable of providing value. With more competitors entering the sector —- and patients increasingly shopping for the best value for…
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…
Clinical factors are responsible for just 20 percent of individuals’ health outcomes; the remainder can be attributed to factors such as health-related social needs (HRSNs). Increasing recognition of the impact of these needs on consumers’ health and livelihoods is driving momentum across the healthcare ecosystem to integrate health and social care, creating opportunities for healthcare entities to…
Download Slides Value-based care entities often feel like they are behind the curve, always reactive, lacking insights and resources to be proactive. Value-based care experts, Erin Page and Dr. Kent Locklear will cover the 4 key pillars to a winning value-based care strategy and how they connect seamlessly to achieve the quadruple aim. The…
The U.S. spends huge amounts of money on health care that does little or nothing to help patients, and may even harm them. In Colorado, a new analysis shows that the number of tests and treatments conducted for which the risks and costs exceed the benefits has barely budged despite a decade-long attempt to tamp…
The U.S. healthcare system’s transition to value-based care might be slowed by current financial conditions, according to an October 2023 report published in NEJM Catalyst. In June, 915 members of an NEJM Catalyst Insights Council — composed of clinicians, clinical leaders and executives at organizations directly involved in care delivery — were surveyed about their…
As Value-Based Care expands, payers are emphasizing cost reduction all the more. Newer CMS payment models like ACO REACH reinforce cost control by capping reimbursement in total global payments to ACOs. In turn, global payments enable ACOs to directly negotiate rates with preferred provider specialists. In addition to focusing on controlling costs delivered through primary…
Healthcare quality reporting is evolving, and accountable care organizations (ACOs) are at the forefront of this change. In 2025, ACOs will be required to shift from traditional quality reporting via the CMS Web Interface to electronic clinical quality measures (eCQMs), marking a significant transition in their reporting process. This transformation aims to enhance patient care…
Unmet caregiver needs are a top issue to address in developing end-of-life care models encircling the Medicare landscape. Among top priorities in current and future payment models is to improve care for those with serious and terminal illnesses, which includes caregiver support, according to Purva Rawal, chief strategy officer for the Center for Medicare and…
Download Slides Referral management is vital to the success of a value-based care organization, however managing referrals across disparate EMRs is difficult. Many organizations still rely on manual and outdated processes to manage these workflows. Poor referral management affects cost, quality of care, and patient and staff experience. Join us for an expert panel…