Value-Based Care | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Value-Based Care

Reinventing Utilization Management to Bring Value to the Point of Care

February 21, 2018  |  Nilo Mehrabian Vice President, Product Management, Decision Support, Change Healthcare
article
How an automated exception-based approach can make UM more efficient and effective.

For UNC Health Care, Managing Provider Data is a Stepping Stone to High-Quality Care

August 16, 2018  |  Rajiv Leventhal, Managing Editor
article
The state-run health system has been doing what it internally calls ““provider data integrity,” with the help of a technology platform that provides operational leaders with a single source of truth.

Making Care Connections Happen: How Intermountain Healthcare is Moving the Needle on Virtual Care

August 14, 2018  |  Rajiv Leventhal
article
In March, Intermountain Healthcare announced the launch of one of the nation’s largest virtual hospital services. One of the organization’s senior leaders discusses why the health system went in this direction.

Assessing CMS’s Risky Move on Risk: Has Seema Verma Pushed MSSP ACOs Into Uncharted Territory?

August 13, 2018  |  Mark Hagland
commentary
Will Seema Verma’s August 9 announcement of CMS’s new “Pathways to Success” proposal light a fire under the MSSP ACOs, or will it cause provider organizations to flee? CMS officials are taking a risky gamble—with no clear outcome

CMS’ MSSP Proposed Changes Slammed by Leading ACO Organization

August 10, 2018  |  Rajiv Leventhal
article
The National Association of ACOs called CMS’ proposals to redo the MSSP “misguided,” noting that the changes, if finalized, “will upend the ACO movement by creating havoc with a significant overhaul introducing many untested and troubling policies.”

BREAKING: CMS Proposes Sweeping Changes to MSSP ACO Program

August 9, 2018  |  Rajiv Leventhal and Heather Landi
article
The Centers for Medicare & Medicaid Services (CMS) is proposing a new direction for ACOs (accountable care organizations) in the Medicare Shared Savings Program (MSSP), with the goal to push these organizations into two-sided risk models.

A Pioneering M.D. Leader Shares Insights on Successfully Navigating the Massachusetts Healthcare Market

August 9, 2018  |  Rajiv Leventhal
article
At the Boston Health IT Summit, the veteran healthcare expert dropped in to give attendees an inside look at how her organization has achieved value-based care success

At the Health IT Summit in Boston, One ACO’s Data-Facilitated Journey Into Value

August 7, 2018  |  Mark Hagland
article
What does it mean for an organization to pursue a data-facilitated journey into value-based care? Bill Gillis, CIO of the Beth Israel Deaconess Care Organization, shared his learnings and perspectives on that subject, at the Health IT Summit in Boston

Dr. David Nash on Population Health: Physicians Don’t Grasp It

August 6, 2018  |  Rajiv Leventhal
article
David Nash, M.D., one of the best-known pioneers in the world of population health management and related areas, discusses the population health landscape with Healthcare Informatics

Will the Chief Digital Officer Role be Key to Healthcare’s Future?

August 5, 2018  |  Heather Landi
article
Leading hospitals and health systems are increasingly adding chief digital officers to their senior leadership teams. Hillary Ross, a senior partner with executive search firm Witt/Kieffer, shares her thoughts on the growing importance of the CDO in healthcare.

BREAKING: CMS Finalizes “Promoting Interoperability” Rule

August 2, 2018  |  Rajiv Leventhal
article
Just three months after issuing a proposal, the Centers for Medicare & Medicaid Services (CMS) has finalized a rule late this afternoon that will overhaul the meaningful use program with a core emphasis on advancing health data exchange among providers.

Can Blue Cross of North Carolina Help to Reshape Its State’s Healthcare Landscape?

July 31, 2018  |  Mark Hagland
commentary
Remarks made by Patrick Conway, M.D. this spring point to some of the opportunities—and profound challenges—facing the shift towards a value-based healthcare system in North Carolina—and the challenges facing health insurers attempting to stimulate that change

At BIDCO, a “Pharmacy First” Approach to Population Health is Driving Promising Results

July 31, 2018  |  Heather Landi
article
Leaders at Beth Israel Deaconess Care Organization deployed a unique “pharmacy first” approach specifically to its Rising Risk Management program with the aim of achieving improved health outcomes in months, not years.

Glancing at the Boston Healthcare Provider Market: Consolidation and Physicians

July 28, 2018  |  Mark Hagland
article
Barbara Spivak, M.D., CEO of MACIPA, an area IPA, shares her perspectives on the prospects and context of a proposed mega-merger of Boston-area hospitals—and the impact of ongoing consolidation on physicians

Pondering the Psychology of Incentives in Bundled-Payment Contracts

July 27, 2018  |  Mark Hagland
commentary
Healthcare policy researchers, in an op-ed piece in the Health Affairs Blog, ponder the differences between prospectively and retrospectively based bundled payment incentives to providers—at a moment of early experimentation

In Virginia, Centra Health Surges Ahead in its IT-Based Push to Value

July 25, 2018  |  Rajiv Leventhal
article
Two of the health system’s executive leaders recently spoke with Healthcare Informatics about Centra Health’s value-based care journey and how IT is playing a key role.

EXCLUSIVE Survey: Industry Execs Express Confidence in Interoperability Advancements

July 23, 2018  |  Rajiv Leventhal
article
A survey of 459 leading health IT executives reveals that many industry stakeholders see themselves as far along on their interoperability journeys, but less advanced in their value-based care and risk-based contracting progressions.

Adam Boehler Tapped by Azar to Serve as Senior Value-Based Care Advisor

July 19, 2018  |  Rajiv Leventhal
news
Adam Boehler, currently director of CMMI, has also been named the senior advisor for value-based transformation and innovation, HHS Secretary Alex Azar announced.

Has the Value-Based Care Train Stalled?

July 19, 2018  |  Rajiv Leventhal
commentary
When pondering the question of if the value-based care train has stalled, the answer will depend on which side of the healthcare stakeholder table you are asking—payers or providers.

Could Last Week’s Proposed-Rule Release Represent an Inflection Point for CMS and for Value-Based Federal Payment?

July 18, 2018  |  Mark Hagland
commentary
CMS’s release of a proposed rule that will impact a range of issues, from physician payment to quality measures, has unleashed a range of reactions from industry leaders—could this prove to be an inflection point?

In Holston Medical Group’s March to Value, an HIE Proves Mission Critical

July 18, 2018  |  Rajiv Leventhal
article
HIEs have been brought into the healthcare ecosystem to connect providers, improve workflow and coordinate care with others, in real-time. But HIEs are also serving as a critical component in the industry’s value-based care shift.

Healthcare Leaders React to CMS’ 2019 QPP Proposed Rule and E&M Coding Changes

July 18, 2018  |  Heather Landi
article
Some health IT industry groups have voiced concerns that the CMS proposals, specifically in its proposed rule for the third year of the Quality Payment Program, will undermine efforts to move Medicare provider payment to value.

Value-Based Care Shift Has Halted, Study Finds

July 17, 2018  |  Rajiv Leventhal
news
A new study of 451 physicians and health plan executives suggests that progress toward value-based care has stalled. In fact, it may have even taken a step backward over the past year, the research revealed.

Aligning Incentives in the Forward Evolution Around Value-Based Payment: Major Obstacles Cited

July 16, 2018  |  Mark Hagland
commentary
The implications of a recent HFMA-sponsored analysis of value-based healthcare are many—and challenging, for the pioneers of VBP in new payment models in U.S. healthcare

PODCAST: Policy Experts Dissect CMS’ “Modernizing Medicare” Proposed Rule

July 16, 2018  |  Rajiv Leventhal
article
Jeff Smith, vice president of public policy at AMIA, and Tom Lee, Ph.D., CEO and founder of Chicago based SA Ignite, a company that helps healthcare organizations with value-based reporting, weigh in on the different components of CMS' proposed rule

Health Catalyst Completes Acquisition of HIE Technology Company Medicity

July 16, 2018  |  Heather Landi
news
Salt Lake City-based Health Catalyst, a data analytics company, has completed its acquisition of Medicity, a developer of health information exchange (HIE) technology, and the deal adds data exchange capabilities to Health Catalyst’s data, analytics and decision...

BREAKING: CMS Proposes Dramatic Changes with Aim to “Modernize Medicare and Restore Doctor-Patient Relationships”

July 12, 2018  |  Rajiv Leventhal
article
CMS today proposed changes that the agency believes will “fundamentally improve the nation’s healthcare system and help restore the doctor-patient relationship by empowering clinicians to use their EHRs to document clinically meaningful information.”

Analysis: Many States Continue to Have Restrictive Telemedicine Policies

July 11, 2018  |  Heather Landi
news
State Medicaid programs are evolving to accelerate the adoption of telemedicine models, this evolution is occurring more quickly in some states than others, according to a recent analysis by Manatt Health.

The Rocky Path to Value for Medicaid Programs—and HIT’s Key Role in Making It All Work

July 11, 2018  |  Mark Hagland
commentary
Medical researchers share some insights on the broad range of challenges facing the pioneers attempting to move Medicaid towards value-based payment incentives, including around the key role that HIT and data analytics will play in success

New Research Reveals MIPS Confusion Among Physicians

July 10, 2018  |  Rajiv Leventhal
article
A survey of internal medicine physicians has revealed low levels of familiarity with the Merit-based Incentive Payment System (MIPS), with some respondents also believing that MIPS requirements could lead to unintended consequences.

Pages

Subscribe to Value-Based Care