FLASH INTERVIEW — CareSignal — March 2022
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What the Pandemic Taught Us About Value-based Care
You’ll recall that we ran a long piece (pt 1, pt 2) about Medicare Advantage from former Kaiser Permanente CEO George Halvorson earlier this year. Here’s a somewhat related piece from the current head of The Permanente Medical Group about what actually happened there and elsewhere during the pandemic–Matthew Holt The COVID-19 pandemic has provided…
What’s Ahead in 2022
As 2022 unfolds, it is becoming increasingly clear that health care is at a crossroads. Do we keep reacting to crisis after crisis, potentially undermining our ability to provide consistent patient care over time? Or do we start rethinking traditional care delivery models, so they become nimbler and more attuned to our patients’ needs—the clinical…
Seven Key Strategies For Health Systems And ACOs To Attract And Engage Consumers
Despite incredible work by health care workers during the pandemic, consumer and patient trust and belief in the health care system is dangerously low. Why is this a big problem now? Because as pressure to implement Value-Based Care initiatives is intensifying and creating more financial pressure on your already-slim margins, your health system or ACO…
Implementing value-based care to drive success for life sciences companies
In an attempt to curb rising costs, the U.S. medical system is moving away from traditional fee-for-service healthcare. Traditional fee-for-service and volume-based healthcare models pay providers for the amount of healthcare services they provide, not the quality of that care. Value-based care is the new model: a system in which providers are paid for performance and patient…
Most health systems still base doctors’ pay on volume, despite push toward value-based care: study
Despite the growth in value-based payment arrangements from payers, health systems continue to pay physicians based on the volume of services they provide. A new study published in the journal JAMA Health Forum finds that volume-based compensation was the most common type of base pay for more than 80% of primary care physicians and for more…
Examining the value-based care approach: How improved data models and analysis can remedy inequities
Over the past decade healthcare providers have increasingly adopted value-based care (VBC) approaches, a move fueled greatly by the 2010 passage of the Affordable Care Act (ACA), as well as the recognition of the exorbitant costs of medical care, and the racial and socioeconomic inequities in healthcare access. VBC is tied to various alternative payment…
The Case For ACOs: Why Payment Reform Remains Necessary
Medicare population-based payment models, broadly known as accountable care organization (ACO) models, of which the Global and Professional Direct Contracting Model (GPDC) is an example, were launched out of recognition of two largely inherent weaknesses of fee-for-service: FFS does not promote efficiency, nor does it promote equity. The Centers for Medicare and Medicaid Services (CMS)…
Will Consumers Derail Your Value-Based Care Success?
Your health care organization may be on the tightrope of still coping with COVID-related illness and delivering essential patient care, amidst staffing and supply shortages. But in 2022, life is not poised to give health care a breather. Likewise, there is no slow-down to the expansion of Value-Based Care and payment models or development of…
CMS Officials’ Bold Statement of Intent Around Health Equity and Value-Based Care
As we reported on Wednesday, Jan. 12, “The top officials at the federal Centers for Medicare and Medicaid Services (CMS) on Tuesday, Jan. 11, made a major public statement regarding the goal of moving the healthcare system towards health equity, and a major component of that statement focused on leveraging Medicare’s value-based programs, particularly those…