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Payers and Providers

Aledade Continues Expansion, Partners with UnitedHealthcare for Accountable Care

June 19, 2017  |  Rajiv Leventhal
news
Aledade, a Bethesda, Md.-based company focused on physician-led accountable care organizations (ACOs), and UnitedHealthcare are working together in a new accountable care program with the aim to improve the quality of healthcare in Arkansas.

Healthcare Executives Forecast Significant Savings from Use of Predictive Analytics

June 8, 2017  |  Heather Landi
news
More than half of health payer and healthcare provider executives believe that predictive analytics will save their organizations 15 percent or more of their total budget over the next five years, according to survey findings from the Society of Actuaries.

Study: Lack of Tools, Poor Payer-Physician Alignment Slowing VBC Adoption

June 6, 2017  |  Heather Landi
news
While there continues to be progress towards increased adoption of value-based care and payment models, the pace has been slowed by poor alignment between health plans and providers, as well as providers lacking the right tools to close critical gaps in...

Most Interesting Vendors 2017: Optum

June 1, 2017  |  Rajiv Leventhal
article
In a healthcare environment that’s becoming more about demonstrating quality and embarking on accountable care, Optum is setting the pace for how to get better insights into data

Time to Pay Attention to CPC-Plus—And Its Enormous Potential to Reshape Primary Care

May 22, 2017  |  Mark Hagland
commentary
CMS’s announcement of the broadening of the geographic base of the Comprehensive Primary Care Plus program speaks to its potential to reshape primary care—and it will take health IT redesign to achieve success

A Recent Study Confirms It: High Volume Contributes to Better Care for High-Needs Patients

May 10, 2017  |  Mark Hagland
commentary
Medical researchers dig deeply into clinic-based care delivery, confirming what many might already have suspected—that volume of care of high-needs patients can strongly impact both the financial and clinical outcomes for patients

Achieving ROI from Population Health Investments: How Realistic is it?

April 5, 2017  |  Rajiv Leventhal
article
The Advisory Board’s Dennis Weaver, M.D., last year led the development of a population health maturity model. He discusses the biggest learnings from it.

Five Steps Toward Maximizing Your Clinical and Business Intelligence

April 4, 2017  |  Kam Reams, Freed Associates
article
Effectively addressing clinical and business intelligence (C&BI) can drive more accountable and higher quality patient care and improve an organization’s financial performance. Kam Reams of Freed Associates shares five steps for addressing C&BI to help...

Top Ten Tech Trends 2017: Clinical Transformation: The Time Is Absolutely Now

March 20, 2017  |  Mark Hagland
article
The leaders of pioneering patient care organizations are beginning to create templates for clinical transformation that their peers can follow, in the journey that lies ahead.

Survey: In Five Years, Genomic, Patient-Generated Data Will Be More Useful Than Claims Data

March 10, 2017  |  Heather Landi
news
In five years, genomic data and patient-generated data will join clinical and cost data as the most useful sources of health care data, according to a survey of healthcare executives and clinical leaders.

Survey: 50 Percent of Health Systems Receive Value-Based Payments

January 24, 2017  |  Heather Landi
news
A recent KPMG survey found that half of health systems report at least some of their revenue comes from value-based payments, yet nearly a quarter of survey respondents indicated they are not making the move to value-based payments.

Republican Senators Unveil Proposed Bill as a Partial Replacement of the ACA

January 23, 2017  |  Heather Landi
news
Two Republican Senators, Bill Cassidy of Louisiana and Susan Collins of Maine, on Monday unveiled a proposed bill, called The Patient Freedom Act of 2017, that, rather than dismantling the Affordable Care Act (ACA), offered a partial replacement that would allow...

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