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Take the anxiety out of end-of-year, value-based care gap closure

October 11, 2023Garrett Schmitt

The end of each calendar year brings with it an atmosphere of heightened scrutiny for risk-bearing health care organizations. These organizations are in a race against time to close risk and quality gaps to maximize their performance and reimbursements in value-based care (VBC). The upcoming Healthcare Quality Week is a timely reminder for organizations to…

Main Street Health Rakes In $315M to Scale Value-Based Care in Rural America

October 10, 2023Garrett Schmitt

Over the past few years, there’s been a notable surge in investment dollars directed towards companies specializing in value-based care. Investment in companies that enable value-based care increased more than 400% between 2019 and 2021, according to a McKinsey analysis. This investment trend has only continued in 2022 and 2023. On Sunday, a value-based care…

‘An Economic Incentive to Care’: Improving Behavioral Health Equity Boosts Bottom Lines

October 10, 2023Garrett Schmitt

Payers and employers often have a blind spot when it comes to addressing inequities in behavioral health. Still, ignoring mental health care inequities can increase overall health care costs. An analysis from Deloitte suggested that inequities have led to $320 billion in annual health care spending – “signaling an unsustainable crisis for the industry.” That…

Venture Capital Firm Shares Ambitious Value-Based Care Strategy: Buy a Health System

October 9, 2023Garrett Schmitt

The opening day of the HLTH 2023 event offered a blockbuster announcement from General Catalyst CEO Hemant Taneja. Dr. Marc Harrison, the former CEO of Intermountain Healthcare who joined General Catalyst last year, will lead a new initiative called the Health Assurance Transformation Company (HATco), with the goal of acquiring and leading its own for-profit…

CommonSpirit Health sees big potential in new value-based care platform

October 9, 2023Garrett Schmitt

With 145 hospitals and more than 2,200 care sites in 24 states, CommonSpirit Health serves patients with a wide variety of needs, from big cities to remote rural communities. Now, CommonSpirit says a common platform is going to accelerate the move to value-based care. CommonSpirit recently announced the launch of its Population Health Services Organization,…

Aledade’s Farzad Mostashari: It’s Clear that the ACO Model Works

October 6, 2023Garrett Schmitt

The leaders of the Bethesda, Md.-based Aledade announced on Sept. 20 the results of its network of independent primary care practices in the 2022 year of their participation in the Medicare Shared Savings Program (MSSP), following the announcement on Aug. 24 of nationwide performance in the program by officials at the Centers for Medicare &…

Understanding the New CMMI GUIDE Model

October 5, 2023Garrett Schmitt

The CMS Center for Medicare and Medicaid Innovation (CMMI) is launching a new Alternative Payment Model (APM) focused on Dementia Care: The GUIDE model. It will launch in July 2024 and run for eight years. More details will be forthcoming in the request for applications (RFAs) to be published this fall, which will open the…

Making The Promise Of Value-Based Care Meaningful To Consumers

October 5, 2023Garrett Schmitt

Over the past decade, health care providers and insurance plans have increasingly pursued value-based care models that are designed to improve patient and clinician experiences while reducing costs and improving quality to produce better population health. With more community and consumer engagement, these models have huge potential for advancing key consumer priorities, including affordability, effective…

How to prepare for ACOs’ mandatory shift to eCQM reporting

October 5, 2023Garrett Schmitt

Carol Ann Hudson is assistant vice president, quality and clinical operations, population health, at Lifepoint Health, a national health system and accountable care organization based in Brentwood, Tennessee. Hudson’s career began as a programmer writing code to build hard drives for Digital Equipment Corporation. The hard drives were used in test rockets for DEC’s space…

RECORDED WEBINAR: Don’t Let Downside Risk Get You Down: A discussion on effectively right-sizing your risk exposure, Part 2

October 5, 2023Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides ( VIEW PART 1: CLICK HERE!! ) This webinar is the second of a two-part series which examines the different types of risk provider organizations may face and different ways to mitigate its impact. The first session in the series focused on building a base of understanding, effectively demystifying the world of…

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