To date, 48 states plus the District of Columbia have implemented value-based care initiatives in one form or another. Driven by both efficiency and outcome, value-based care (VBC) models rely heavily on healthcare data from payors, providers, and patients in order to optimize performance. As more healthcare systems accept VBC models as the way of…
As Congress starts drafting a massive $3.5 trillion infrastructure package, a collection of provider groups is making a case for value-based care legislation to be included. Twelve hospital and physician groups wrote a letter to key House and Senate committee leaders Tuesday asking for the Value in Health Care Act to be included in the package. The…
The transition from treating patients at a provider’s site to delivering care in the home and community requires two things: an ability to incorporate social determinants of health (SDOH) into the care coordination process and the inclusion of value-based care (VBC) and community-based organizations (CBOs) as compensated care delivery partners in VBC networks. For health…
Centers for Medicare & Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure noted higher participation in value-based payment models like Institutional Special Needs Plans (I-SNPs) during a recent discussion with HealthAffairs, but also hinted that consolidation of such programs may be needed. “Too many models in too many places that aren’t coordinated with each other,” is how Brooks-LaSure…
The Certified Community Behavioral Health Clinic (CCBHC) model has been shown to reduce hospitalizations, cut costs and improve employee recruitment and retention for participants. And on top of all that, it can also help set providers up for success in value-based care models. “CCBHC funds can really help organizations put those building blocks into place…
ACOs have zealously protected their favored status under Medicare Value-Based payment models, ensuring enough time for organizations to feel comfortable with financial risk and make investments in infrastructure. But if your own ACO is losing physicians to new equity-financed networks or to hospitals consolidating practices, more time does not help you. Primary care physicians are…
It was recently calculated the United States spends $3.8 trillion – or 18 percent of the national economy – on healthcare. The current healthcare landscape indicates this spending rate will not slow anytime soon due to the COVID-19 pandemic, an ongoing healthcare crisis. Value-based care models like Accountable Care Organizations (ACOs) and Clinically Integrated Networks (CINs) have…
It was recently calculated the United States spends $3.8 trillion — or 18 percent of the national economy — on healthcare. The current healthcare landscape indicates this spending rate will not slow anytime soon due to the COVID-19 pandemic, an ongoing healthcare crisis. Value-based care models like Accountable Care Organizations (ACOs) and Clinically Integrated Networks (CINs) have…
Starting the transition from fee-for-service to value-based care is a challenge. Many provider organizations are simultaneously juggling new reimbursement models with old ones and breaking institutional memory to meaningfully move toward changes. One hospital began its journey to value-based care with an organizational assessment. The value-based care assessment helps the hospital understand which value-based care…
In a highly competitive world, winning requires unconventional thinking. Consider professional sports – MLB scouts understand that finding the right players to add to their roster means looking beyond the surface. And healthcare professionals, especially those participating in value-based care models, have to do the same. Billy Beane, General Manager of the Oakland A’s, knew…