Jack Lynch describes a moment when a light bulb went on in his head. Lynch, the president and CEO of Main Line Health, recalls a conversation he had with a Black healthcare colleague working at another health system about five years ago. He asked if his colleague’s CEO thought there were racial disparities in the…
Assisted living is a “very important” part of the care continuum and isn’t going away, but one area of focus for the future, even among private-pay operators, should be population health management, National Center for Assisted Living Executive Director LaShuan Bethea said Sunday. “Value-based care is another way to look at population health management, and…
In August 2022 the Department of Health and Human Services (HHS) issued a notice of proposed rulemaking prohibiting covered entities, which include health care providers and health plans, from discriminating against individuals when using clinical algorithms in decision making. However, HHS did not provide specific guidelines on how covered entities should prevent discrimination. We conducted…
With all the recent buzz around generative artificial intelligence (AI) related to ChatGPT, it’s reasonable to have mixed reactions to emerging technologies. However, many AI technologies — including optical character recognition, natural language processing and machine learning — are widely established and have proved highly reliable in driving health care innovation for payers, providers and…
CMMI was created by the Affordable Care Act in 2010, with the goal of promoting value-based care and building pilot programs that would test new approaches in Medicare, Medicaid and the Children’s Health Insurance Program. Between 2011 and 2020, the center launched nearly 50 models, though only six generated statistically significant savings and four were…
State Medicaid programs are increasingly overhauling payment structures in favor of value-based payment systems. A new report suggests that value-based payment reform may decrease mental health emergency room visits. Value-based payment strategies reward providers and health plans with incentive payments for the quality, rather than quantity, of care provided to patients. A new study published…
In theory, electronic health records (EHRs) have the potential to transform the healthcare landscape. They were expected to provide a digital hub that would enable seamless communication and information sharing between providers, boost efficiency, improve the quality of care, and foster optimal patient and clinician experiences. The reality, unfortunately, has not matched the possibilities. While…
Given Artificial Intelligence’s potential to improve patient care and reduce costs, it’s no surprise that AI applications are gaining momentum in health care. As your organization explores the benefits of AI in your journey towards Value-Based Care, however, you need to carefully assess the implications, for better and worse. Evaluating AI implications can be tricky….
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…
Most providers, payers and payviders believe their value-based care (VBC) programs to date have been somewhat, not very, successful, a recent survey has found. Alongside industrywide trends, the Terry Health survey sought to identify areas in which the VBC experience of providers, payers and hybrids aligned or were at odds. It reached more than 400…