In the ongoing shift from volume to value in US health care, primary care value-based alternative payment models (APMs), such as accountable care organizations, have dominated the landscape when compared to specialty care APMs. Interviews with hundreds of payers and clinicians across various specialties signal that there are ongoing challenges with investing in, designing, and…
Download Slides Years of ACO investments from providers and other stakeholders have managed to produce successful savings among many ACOs. But compelling economic success that substantially lowers aggregate Medicare costs – and generates revenue for providers – eludes ACOs. What does it take for your ACO to reach potential for top value, and become…
In value-based care, it takes a village of professionals to ensure patients are well cared for and practices meet benchmarks. Community health workers (CHWs) are emerging as key players in helping to achieve these goals. CHWs are nonclinical healthcare professionals who support patients’ physical, mental, and social needs by connecting them to community resources and…
Download Slides Providing post-acute services is a significant challenge for both payers and risk-bearing providers. In the 90 days following discharge from an acute care hospital, older patients are 6 times more likely to be hospitalized, 11 times more costly, and 9 times more likely to die. Given this, why is it that providers…
Physicians work hard to provide care that delivers the best possible outcomes to their patients. Unfortunately, their efforts haven’t always been appropriately recognized. I don’t mean that doctors are poorly compensated—although, like many workers, their salaries aren’t keeping up with inflation. The issue here is that they’re often incentivized to deliver more care rather than…
What if a health care organization decided that in every patient-staff encounter, the relationship with the patient was as important as high-quality medical care? What if the measure of a strong care team was not just knowledgeable medical staff, but also staff with lived expertise who excelled at connecting with patients? What if a health…
On March 30, District Judge Reed O’Connor ruled in the Braidwood Management v Becerra case that not only was Braidwood Management not required to cover pre-exposure prophylaxis (PrEP), a medicine that prevents HIV infection, due to its religious beliefs, but also that the US Preventive Services Task Force (USPSTF) had no federal jurisdiction in mandating…
Download Slides Join us for a generalized discussion on creating pathways for education and upskilling current workers and reskilling those who are already in the workforce. Learning Objectives and Topics: Alignment of value-based care strategic planning with an enterprise-level workforce development strategy. How scalable and affordable educational solutions can address both critical workforce shortages…
Many value-based care models have helped generate savings, reduce costs, and improve care quality, but models must incorporate health equity and clinical outcomes to achieve true value for all, according to the Association of American Medical Colleges (AAMC). Value-based care aims to tie healthcare payments to the quality of care rather than the quantity of…
Poor nutrition is a leading cause of illness, health care spending, and lost productivity in the US and globally, predominantly from cardiometabolic diseases, cancers, other chronic conditions, and undernutrition. These burdens disproportionally harm lower-income, less-educated, and minority racial and ethnic groups, contributing to health disparities. Nourishing foods throughout the life span, starting in utero, are…