The rapid expansion of the accountable care organization (ACO) program implemented by CMS in 2012 has resulted in different types of health care organizations participating in this value-based payment model.1,2 The ACO model encourages providers to coordinate patient care across the continuum and financially rewards participants through shared savings for containing costs while improving the quality…
Many health systems struggle to achieve cost savings in value-based care due to care management gaps and fragmented care delivery, particularly for patients with complex needs. To address these silos, health systems must adopt proactive, continuous care management with standardized communications and leadership support across all organizational levels. This can be accomplished by mapping care…
There is a lot happening in federal policy that may affect healthcare payment transformation and care delivery. But we’ve said it before: healthcare leaders can’t afford to focus on fighting near-term fires at the expense of driving long-term success and sustainability. Amidst the uncertainty, it’s more important than ever to push forward conversations about how…
Over the last 10 years, we’ve seen a rise in value-based care (VBC) programs. Although some have shown promise in enhancing quality or reducing costs, none have achieved comprehensive scale across payers, providers, and patients, nor have they been integrated across different care pathways. There’s a compelling opportunity to expand the benefits of these programs…
Black Book Research, a leading independent healthcare research firm, has released its highly anticipated 2025 rankings of top-rated vendors in population health and value-based care solutions. Based on direct client feedback from 2,230 healthcare professionals across hospitals, physician organizations, health plans, and accountable care organizations (ACOs), the report identifies the most trusted and effective technology…
One question is whether these results apply to other health plans beyond Medicare Advantage contracts and whether certain types of contracts may be more affected by disasters than others. For example, larger health systems may be able to triage patients to other sites of care and shift patients to facilities that are unaffected by disasters…
In response to rising healthcare costs, providers have been pushed to take on responsibility for the health of their patients and be rewarded for outcomes rather than volume through the creation of accountable care organizations (ACOs). As Medicare forces ACOs to speed up this transition, researchers writing in the October issue of The American Journal of…