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…
Accountable care organizations have been around in Medicare for more than a decade, generating more than $22 billion in savings and giving back more than $8 billion to the Medicare Trust Fund. But a handful of ACOs has consistently been at the top of the list of top savers, including Millennium Physician Group and Palm…
It all starts with data. Hospitals and health systems have routinely named improving health equity as one of their leading goals. Lawrence Moss, CEO of Nemours Children’s Health, says it’s critical for hospitals to look at their own patient data to find if certain groups are having worse outcomes. In an interview with Chief Healthcare…
In the ever-evolving landscape of healthcare communications, staying compliant with regulatory changes is paramount. One such significant transformation occurred on July 20, 2023, when new requirements under the Telephone Consumer Protection Act (TCPA) came into effect. These changes directly impact how healthcare organizations engage with their patients and members, including significant implications for HIPAA-related calls….
To meaningfully advance health equity, companies should prioritize data, focus on internal diversity as well as external, seek community input and support coalitions of partners, according to a new roadmap brief from Bain & Company. While most executives (78%) say they have a health equity strategy, only 18% say it is well-defined and supported by…