The Health Care Transformation Task Force Releases Facilitation Guide For Successful Value-Based Payment Arrangements

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Today, the Health Care Transformation Task Force released a new resource to assist health care payer and provider efforts to form successful Alternative Payment Model (APM) arrangements. The resource, titled BUILDING BETTER PARTNERSHIPS: A FACILITATION GUIDE FOR SUCCESSFUL VALUE BASED PAYMENT ARRANGEMENTS, combines fresh insights from Task Force members with existing tools and best practice summaries…

The State of Payer, CBO Social Determinants of Health Contracting

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Social determinants of health contracting with community-based organizations remains a complex and challenging task for payers as the demand for answers grows more pressing. As the industry’s awareness of social determinants of health expands, so does the need for evidence-based solutions. Often, these solutions require health insurers and health systems to contract with community-based organizations…

Small Providers Unlikely to Abandon Fee-for-Service Reimbursement

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Fee-for-service reimbursement is still an integral part of the healthcare system as providers are scattered along a spectrum of payment models, Emily Sokol, director of research at Xtelligent Healthcare Media, explained on Healthcare Strategies. An Xtelligent Healthcare Media Insights report shed light on how pervasive fee-for-service reimbursement models are in today’s healthcare system. Over 200 providers responded to…

Efficiency One Key to Success in Value-Based Care Engagement

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Speaking during a Sept. 15 eHealth Initiative panel discussion, Devdutta Sangvai, M.D., M.B.A., executive director of Duke Connected Care, said clinicians are under such stress during the pandemic that value-based care initiatives need to focus on enhancing efficiency to ease their burden. “If you can create efficiency in your value-based model, I think you’re likely…

Developing value-based virtual partnerships: What health plans should know

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If there’s a silver lining to the Covid-19 pandemic, it’s the spotlight it has put on the role of value-based, virtual health care models to address issues such as access to specialists, healthcare speed and efficiency, and healthcare inequities. Indeed, approximately 75 percent of employers in a recent survey said they plan to ramp up their implementation…

Supporting Value-Based Health Care — Aligning Financial and Legal Accountability

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U.S. health care payment and delivery-system reforms have focused on improving care by making organizations accountable for outcomes, quality, and costs. Payers have supported the implementation of accountable care organizations (ACOs), bundled-payment models, and other value-based payment reforms because they believe that holding health care systems accountable for population-level costs and quality will be more…

How Redesigning Healthcare Supply Chains Will Drive Value-Based Care

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The COVID-19 pandemic compressed a decade of healthcare transformation into mere months. Healthcare leaders have been challenged with rethinking every aspect of the business, from how care is delivered to planning for the workforce needs of the future. At the same time, consumers continue to be a driving force in shaping healthcare’s mission. Today’s healthcare…

The Fear of Value-Based Reimbursement

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“All in.” “Bet on the future.” “Go big or go home.” “No guts, no glory.” “Nothing ventured, nothing gained.” None of those forward-looking, motivational words of encouragement describe how most healthcare providers feel about value-based reimbursement. A better word would be “fear.” That’s my read of the latest population health survey by Numerof & Associates…

Paying it Forward: How Payers Can Accelerate the Transition to Value-based Care

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Value-based care has gained significant traction in the U.S. over the past few years, and for good reason. With healthcare costs outpacing income growth and health insurance deductibles increasing by 212% over the past decade, many patients are left feeling that their health insurance doesn’t provide as much value as it did 10 years ago….

Value-Based Medicare Advantage Payment Plans ‘Only Going to Increase’

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There’s a strong possibility that Medicare will move to mandate value-based payment models (VBP) for the nursing home industry in the years to come, according to industry executives. Dr. René Lerer and Brian Cloch, CEOs for Longevity Health Plan and Transitional Care Management, respectively, spoke at a panel on the future of VBP models during…