How physicians can untangle the web of relationships essential for value-based care success

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Primary care physicians (PCPs) and other physicians continue to migrate away from the traditional fee-for-service (FFS) reimbursement model toward value-based and risk-bearing care models that reward better outcomes and reduced healthcare costs. Value-based care (VBC) contracts are projected by McKinsey to cover nearly 65 million Americans, or 22% of insured lives, by 2025, up from…

To combat readmissions and network leakage, ACOs need real-time data that supports network visibility

Garrett SchmittNo Comments, , , , , , , ,

Nationwide, accountable care organizations report that it’s becoming more challenging to do business and the stakes are higher than ever. They are taking on more financial risk as CMS shifts Medicare Shared Savings Program ACOs into downside or two-sided risk tracks. Meanwhile, patients are aging, chronic conditions are on the rise and more specialists are…