With downside risk on the horizon, TEAM offers a critical learning opportunity for hospitals and health systems. Learn how organizations can move beyond compliance to succeed under TEAM. CMS’ Transforming Episode Accountability Model (TEAM) went into effect in January 2026. TEAM is a bundled payment model that uses risk-adjusted benchmarks to evaluate total Medicare spending across 30-day…
CMS opens applications for new LEAD model In December, CMS announced a new Medicare accountable care organization (ACO) model called LEAD. The LEAD model replaces the ACO REACH model, which was originally introduced in 2022 and will end in December 2026. LEAD, which will begin Jan. 1, 2027, is a voluntary, 10‑year model designed to…
Optum* is launching a new artificial intelligence (AI)-powered tool for value-based care (VBC) called Value Connect, in today’s bite-sized hospital and health industry news from California, Minnesota, and Texas. Full Article
As interest in value-based care (VBC) grows, more health systems are turning to consultants to help them transition from a traditional fee-for-service model to VBC. More health systems invest in VBC Over the last few years, interest in VBC has accelerated and is expected to continue to grow. According to a 2022 report from McKinsey…
Identifying and tackling social determinants of health (SDOH) are crucial aspects of any health equity strategy. But establishing how best to capture patients’ SDOH needs and develop interventions in the clinical setting remains a significant challenge for many healthcare organizations. The United States Department of Health and Human Services (HHS) defines SDOH as “the conditions in the…
Published in Circulation: Heart Failure, a recent study conducted by Northwestern Medicine researchers found that adding social determinants of health (SDOH) data into machine learning models led to less bias when predicting outcomes for heart failure patients. Healthcare bias can lead to detrimental outcomes for patients. For example, in April, a study published in PLOS digital health found that digital health…
Many researchers working on health technology assessments (HTAs) are keen to address disparities in health care. But the COVID-19 pandemic and recent prominence of the Black Lives Matter movement have cast a bright spotlight on structural racism in the US and elsewhere, showing that addressing health disparities after they are established is both too late and…
Welcome to the “Lessons from the C-suite” series, featuring Advisory Board President Eric Larsen’s conversations with the most influential leaders in health care. In this edition, Dr. Steve Klasko, CEO of Jefferson Health, talks with Eric about revelations in a Barnes & Noble, navigating “principled” growth, and how he approaches health care through an “old…
A cancer care delivery model that specifically accounts for social determinants of health not only improved overall cancer survival rates, but closed racial health disparities in cancer care outcomes, researchers reported at the American Society for Radiation Oncology (ASTRO) annual meeting. Particularly, the healthcare delivery model—which included protocol to flag and address social determinants of health—improved cancer…
Decades in the making, the transition to value-based care may soon be complete. In June, Liz Fowler, the new deputy administrator of the Centers for Medicare & Medicaid Services (CMS) and director of its Center for Medicare & Medicaid Innovation (CMMI), suggested that CMS may soon require providers to be reimbursed based on patient outcomes. This…