The U.S. federal deficit is the highest it has ever been. Healthcare makes up the largest portion of that deficit and the COVID-19 pandemic continues to amplify the issue. Over the past few years, the Centers for Medicare and Medicaid Services (CMS) has lead the charge towards value-based contracting, which “encourages providers to deliver the…
The Pharmacy Quality Alliance (PQA) continues to forge ahead with our work to develop a set of standard pharmacy performance measures that would be appropriate for use in value-based plan-pharmacy agreements. Over the past 3 years, we have convened and worked with a broad base of industry leaders to identify and vet pharmacy performance measures that meet…
Recently, the Center for Medicare and Medicaid Innovation (CMMI) introduced their strategic refresh “Putting All Patients at the Center of Care” to support broader, more equitable, and outcome-based healthcare delivery transformation while streamlining current and future payment models. Since its inception in 2010 as a part of the Affordable Care Act, CMS has launched over 50 innovation/pilot…
The Guidehouse Center for Health Insights has just released analysis of an executive survey in conjunction with HFMA, the 2021 Risk-Based Healthcare Market Trends, that found health systems appear to be going big into risk sharing in 2022, with these percentages of respondents planning to advance into upside/downside risk sharing, professional capitation or global capitation for:…
More than half of consumers are unfamiliar with value-based care, and for the ones who are aware of it, only a quarter can define the healthcare model correctly, a new study from nonprofit health plan EmblemHealth revealed. The payer surveyed 970 consumers online between August 12 and August 22, 2021, and found that there is a…
Download Slides Salient Healthcare will discuss the importance of Chronic Care Management (CCM) and Principal Care Management (PCM) initiatives. In this webinar you’ll learn: – How properly utilizing CCM and PCM services can benefit patients, providers, and value-based organizations – How to implement improvements in your CCM/PCM workflow – How to quickly analyze your…
Value-based care, the care delivery and reimbursement reform movement that emphasizes outcomes over volume of services rendered, could not be successful without strong and meaningful patient engagement. Defined by the Centers for Medicare & Medicaid Services as programs that “reward health care providers with incentive payments for the quality of care they give to people with…
Several medical groups say a new round of cuts to Medicare payments set to go into effect in 2022 will derail their move to value-based care and impact hiring of new staff. Medical groups spoke about the need for Congress to avert a series of cuts during a briefing on Tuesday sponsored by the American…
A leader from PACE program Summit Eldercare believes there should be at least half the number of nursing homes in the country, in order to adequately provide value-based care. Instead, prospective SNF residents would be better served in community housing options. This is coupled with a trend Summit Eldercare is seeing among the SNFs it…
EmblemHealth, one of the nation’s largest nonprofit health insurers, released its findings today in a national survey of what Value-Based Care means to patients and consumers. The national study found that only one in four consumers are aware of the term “Value-Based Care,” and of those, only a quarter can define it accurately. These results…