Will the U.S. healthcare system achieve a technological breakthrough, or will another promising tool die on the vine due to medicine’s illogical financial model? That was the question I set out to answer this morning from the main stage of the 10th annual Accountable Care Symposium in Orlando, Florida—an event hosted by Wellvana, one of…

Even as most value-based payment (VBP) models fail to generate savings, public officials and industry leaders tout the ostensible success of Medicare’s accountable care organizations (ACOs). In a recent Health Affairs Forefront article, Biden Administration officials celebrated the $2.1 billion in savings in 2023 in the signature Medicare Shared Savings Program (MSSP), marking five years…

Before competing in Olympic swimming, it’s important to start with basic lessons; similarly, behavioral health providers may consider taking strategic intermediate steps before becoming fully at-risk providers. The move from a fee-for-service model toward risk-based value-based care can be gradual for behavioral health providers. There are a number of alternative payment models that providers can…

Only one-third of the models analyzed produced substantial savings for the federal government, according to Avalere Health. Dive Insight: The CMMI was created by the Affordable Care Act to test new payment and care delivery models in a bid to lower costs and improve quality in government healthcare programs. Most models have focused on Medicare, the…

Over the past several years, providers and technology-focused physician enablement organizations across the country have been working together to initiate the transition from traditional fee-for-service models to value-based care (VBC) arrangements. They have been adopting analytics tools and service solutions to help improve health outcomes, provide more cost-effective care and close gaps in care, all…

The staggering reality that health care could soon account for one fifth of all domestic spending has put a bull’s eye on health care cost control. Is your ACO, health system, or physician organization ready to manage the coming congressional budget cuts? The only effective way to tackle Total Costs of Patient Care (TCoC) without cutting services is through a…