Managing the Financials of Population Health: Challenges and Solutions

June 7, 2021Garrett SchmittNo CommentsPopulation Health, value-based care, value-based payment, vbc

Providing timely, high quality, patient care is no easy feat. In fact, as the healthcare industry continues the shift toward value based care, this job becomes more complex, with growing requirements to monitor the outcomes of both individual patients and the greater patient population into which they fall. The movement away from fee-for-service, however, doesn’t have to…

CMMI director: Expect more mandatory value-based care payment models

June 3, 2021Garrett SchmittNo CommentsCMMI, mandatory models, payment models, risk selection, value-based care, voluntary models

The Biden administration is exploring making more payment models mandatory in the future as it implements a more patient-centric vision for value-based care. Center for Medicare and Medicaid Innovation (CMMI) Director Liz Fowler detailed parts of this vision on Thursday during an interview with Health Affairs Editor-in-Chief Alan Weil. Fowler said voluntary models come with major…

As CMS Delays CHART, Rural Providers Need to Take Value-Based Care into Their Own Hands

June 2, 2021Garrett SchmittNo CommentsCHART, CMS, MSSP, rural providers, value-based care, vbc

The answer to solving a healthcare crisis that exacerbates barriers to care among some of the most vulnerable patient populations in the country is staring us in the face. For rural hospitals straining under the weight of erratic patient volumes, sicker populations and lack of funding, the path forward is in value-based care. But providers…

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…

Healthcare Payment Reform is Critical to Improving Primary Care

May 18, 2021Garrett SchmittNo CommentsPayers, payment reform, PCPs, Primary Care, value-based care, value-based payment, value-based reimbursement, vbc

High-quality primary care implementation requires significant healthcare payment reform, expanded telehealth capabilities, and team-based care, according to a recent report from the National Academies of Sciences, Engineering, and Medicine.   According to the report, 85 deaths per day are associated with the declining workforce in primary care. Compensation in primary care is typically lower than that of specialty…

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