State health care regulators at the Green Mountain Care Board have cut the annual operating budget for OneCare Vermont for the second year in a row, citing ongoing questions about the effectiveness of the accountable care organization and how executives are compensated, as well as about what the organization’s future role in the state will…
Accountable care models serve as the cornerstone of value-based approaches to expand access to well-coordinated, high-quality, and longitudinal care. Specialist engagement in these models is critical given the increasing role of specialists in managing care across the patient journey, the growing importance of specialized diagnostics and early disease interventions (such as biologics and cell and…
The debate is real, AI is real, but how will we use AI responsibly in healthcare innovation? Will the debate suck all the air out of the room and stifle innovation? There will be no stone left unturned with AI in healthcare in 2024. Here is what the thought leaders are saying about it. Full…
More than 80% of C-suite executives from healthcare and life sciences organizations see improved health equity as a top-10 goal for 2024, a recent report by Deloitte found. The report offered a 2024 outlook for health equity across the two industries and relied on data from a survey conducted by the Deloitte Center for Health…
Researchers warn generative AI could add $43 billion annually to America’s already stark racial wealth gap over the next two decades, with Black workers also facing a higher risk of job loss thanks to automation. Why it matters: The wealth gap between Black households and white households has widened since 1980 in the U.S., where…
Download Slides Join us to learn how ACOs and ACO REACH organizations are performing this year. At this webinar we will share for the first time in a public webinar: How the nation’s best ACOs perform on mortality, readmissions, and cost Who are the top ACO REACH performers What the top performers do to…
The U.S. Attorney’s Office has filed a complaint under the False Claims Act against Steward Health Care System and its subsidiaries, alleging violations of the physician self-referral law and submission of false claims to Medicare. The government announced the filing of its complaint against the Dallas-based Steward system, Steward Medical Group and Steward St. Elizabeth’s…
The business of healthcare has evolved significantly over the last two decades as stakeholders, from providers to policymakers, have looked for ways to manage costs while improving patient outcomes and achieving health equity. More and more independent practices have been purchased by health systems, offering economies of scale while promoting provider accountability for the delivery…
Key Points Question Was the Medicare Shared Savings Program (MSSP) associated with net savings to the Centers for Medicare & Medicaid Services (CMS)? Findings In this economic evaluation using estimates from 2 studies and data on MSSP incentive payments for MSSP performance years 2013 to 2021, the MSSP was associated with net losses to traditional…
Summit Re is a managing general underwriter and reinsurance advisor working with health insurers, managed care organizations, ACOs, and self-funded employers throughout the US. Summit Re promises a consistent, fair, and effective underwriting methodology that factors in the unique characteristics and experiences of their customers and their businesses in order to produce the best…