Payer, Provider Value-Based Care Contract Targets Equity, Population Health

December 20, 2022Garrett SchmittBehavioral Health, palliative care, payer-provider collaboration, racial disparities, racial equity, Telehealth

Independence Blue Cross (Independence) has announced that it will renew its long-term value-based care contract with Jefferson Health. The provider will participate in Independence’s Total Value of Care value-based care program starting on January 1, 2023. Independence, a payer in southeastern Pennsylvania, has already been in a value-based care partnership with the non-profit health system and teaching…

Value-Based Contracting 101: Preparing, Negotiating, and Succeeding

June 1, 2021Garrett SchmittNo Commentscontracting, Fee for service, MSSP, negotiating, negotiations, Next Generation ACOs, payer-provider collaboration, Payers, Physician Engagement, Value based contracts, value-based care

The Triple Aim. The Quadruple Aim. Right care at the right place at the right time. Whether one works in a hospital or small independent practice, healthcare providers are leaning on these concepts to deliver valuable care to their patients, and that is in its simplest form: care that results in the best patient outcomes…

It’s a New Dance in Healthcare: And Time for Providers to Move to a New Beat

April 27, 2021Garrett SchmittNo CommentsACOs, payer-provider collaboration

One of the enduring conflicts in healthcare, really going back to the early 1970s when the first HMOs were formally recognized under the Health Maintenance Organization Act off 1973, has been the longstanding set of tensions between providers and private health insurers. Of course, there has been tension between providers and the Medicare and Medicaid…

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