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Value-Based Care

Analysis: Early Years of VBP Models Show Limited Impact on Reducing Cost of Care

June 25, 2018  |  Heather Landi
news
The penetration of population-based value-based payment models is not yet having an impact on curbing growth in total cost of care, according to a new analysis by the Healthcare Financial Management Association (HFMA), Leavitt Partners and McManis Consulting.

Value-Based Care is Bending the Cost Curve, Report Finds

June 18, 2018  |  Rajiv Leventhal
news
Value-based care is bending the healthcare cost curve, reducing unnecessary medical costs by nearly 6 percent on average while also improving care quality and patient engagement, according to new research from Nashville-based Change Healthcare.

Taking a Deep Dive into the Healthcare Informatics 100—and the Health IT Market, Broadly

June 14, 2018  |  Michelle Mattson-Hamilton and Ben Rooks, ST Advisors
article
Executives from ST Advisors take a deep dive into the 2018 Healthcare Informatics 100 and weigh in on the biggest market deals of the past 18 months

Report: SDoH Tech Market is in Its Infancy, but Adoption Will Triple in Five Years

June 12, 2018  |  Heather Landi
news
Adoption of social innovation technology for healthcare is poised to triple over the next five years, according to a market research report by Patchwise Labs, as the shift to value-based care requires health systems to address the social determinants of health (...

The Strategic and Strategic-IT Challenges Around Risk: Premier Execs Share Their Thoughts

June 11, 2018  |  Mark Hagland
article
Joe Damore, Shawn Griffin, M.D., and Mark Hiller, senior executives at Premier Inc., share their perspectives on the strategic-organizational and strategic-IT challenges involved, as patient care organizations begin to move into risk-based contracting

Editor's Notes: When Will We Be Able to Nail the “Golden Spike” in the Foundation of the New Healthcare?

June 8, 2018  |  Mark Hagland
commentary
Some of the challenges of the present moment in U.S. healthcare, as our healthcare system struggles forward in its journey into value-based care delivery and payment, brought to my mind the construction of the First Transcontinental Railroad in the 19th Century.

The Push Towards Value-Based Care Is Forcing the HIT Vendor Market Forward

June 4, 2018  |  Heather Landi
article
For a Market Scan report in our Second Quarter issue, we look at how the policy and payment landscape is impacting the healthcare technology vendor market. Are technology companies meeting providers’ needs to be successful in a value-based care world?

Value-Based Care’s Landscape Tilt

May 31, 2018  |  Mark Hagland
article
As the healthcare landscape shifts, U.S. healthcare leaders are learning valuable lessons in how to prepare broadly to take on financial risk in contracts with the public and private purchasers and payers of healthcare, and how to engage and align physicians.

In the New Healthcare, Payers and Providers Look to Redefine Quality

May 30, 2018  |  Rajiv Leventhal
article
The pressure is mounting on providers to deliver better outcomes. But moving forward, federal leaders must strike a balance between being able to measure outcomes while not overburdening patient caregivers even more.

A Cloudy HIT Policy Picture is Beginning to Clear Up

May 29, 2018  |  Rajiv Leventhal
article
At this time last year, healthcare stakeholders were filled with uncertainty, as the future of healthcare policy remained very much in limbo. But in the past several months, an air of stability has presented itself.

At the Philadelphia HIT Summit, One Healthcare Leader Parses the Current State of Payer-Provider Convergence

May 24, 2018  |  Heather Landi
article
As the healthcare industry makes steady progress to value-based care models, one healthcare thought leader sees the commercial payer market playing a larger role, going forward, in pushing provider organizations into value-based care arrangements.

Survey: Two-Thirds of Physician Practices Seeking Out Value-Based Care Consulting Firms

May 21, 2018  |  Heather Landi
news
Most physician organizations are not prepared for the move to value-based care, and 95 percent CIOs of group practices and large clinics state they do not have the information technology or staff in-house needed to transform value-based care end-to-end, according...

In Michigan, Prime ACO is in the Risk Game, with Eyes on the Big Picture

May 17, 2018  |  Rajiv Leventhal
article
Still in a one-sided risk model, the Michigan-based ACO is working its way toward taking on downside risk

Digital Health Innovators are Setting their Sights on Medicaid—Can the Private Sector Improve Healthcare?

May 11, 2018  |  Heather Landi
commentary
Digital health innovators and entrepreneurs are setting their sights on the Medicaid market. Can private sector-led innovation significantly improve care for vulnerable and complex patients?

Advocacy Group Formed to Promote Independent Physicians’ Roles in Value-Based Care

May 10, 2018  |  David Raths
news
Several physician-focused healthcare organizations have united to form the Partnership to Empower Physician-Led Care (PEPC) to advocate for the role of independent physician practices in value-based care.

Slavitt to Lead New Venture Firm with Eye on Transforming Care for Vulnerable Populations

May 8, 2018  |  Rajiv Leventhal
news
A new venture capital firm, led by Andy Slavitt, a former CMS Administrator, “will seek to invest in healthcare technology and service companies transforming care delivery to America’s most vulnerable populations.

Health2047 Gets $27M More in Funding from AMA

May 3, 2018  |  Rajiv Leventhal
news
Health2047 Inc., a Silicon Valley-based integrated innovation company, has announced a $27.2 million follow-on investment from its founding partner, the American Medical Association (AMA).

At the World Health Care Congress, HHS Secretary Alex Azar Maps Out His Agency’s Top Priorities for Industry Leaders

May 2, 2018  |  Mark Hagland
article
On Wednesday at the World Health Care Congress, HHS Secretary Alex Azar mapped out for attendees his strategic vision of where the U.S. healthcare system needs to go, and the role he sees for his agency in its transformation

An HIT Expert Dives into the Details of CMS’ Proposed Hospital Payment Rule

April 30, 2018  |  Heather Landi
article
With ongoing discussion about the implications of CMS' proposed hospital payment rule, Jeff Smith, vice president of public policy at AMIA, dives into the details of the rule, including how CMS might be raising the interoperability stakes.

The CEO of The Leapfrog Group Speaks about Value, as the World Health Care Congress Gets Underway

April 29, 2018  |  Mark Hagland
article
As the 15th Annual World Health Care Congress got underway in Washington, D.C. on Sunday evening, the Leapfrog Group’s CEO Leah Binder discussed the current status of the concept of value in healthcare—after receiving a Health Value Award

AMGA Survey: Value-Based Care Driving C-Suite Compensation Incentives

April 24, 2018  |  Heather Landi
news
A recent survey by the American Medical Group Association (AMGA) of executive and leadership compensation reveals several trends, including that incentive compensation plays an important role in increases and value-based care is driving executive compensation...

Why “Skin in the Game” Turns Out To Be Not Enough to Motivate Consumers to Check Healthcare Prices

April 22, 2018  |  Mark Hagland
commentary
An experiment in pricing transparency in Massachusetts reveals some hard truths about what happens when health insurers offer their plan members data on provider prices, and why “skin in the game” is not enough

A New Massachusetts Study Finds Consumers Slow to Make Use of Cost Estimate Tools

April 21, 2018  |  Mark Hagland
news
A new report has found that, even as health insurers in Massachusetts, under pressure to provide cost-estimating tools for their members, are giving them more information, plan members are still largely not taking advantage of new tools

ACP Study: Only 37 Percent of MIPS Measures Are Valid

April 19, 2018  |  David Raths
news
A new study from the American College of Physicians Performance Measurement Committee rated as valid only 37 percent of the 86 Quality Payment Program measures for 2017 deemed relevant to ambulatory general internal medicine.

Survey: Measuring Care Quality a Top HIT Business Objective in 2018

April 16, 2018  |  Heather Landi
news
In a recent survey, health IT leaders identified measuring improvement in patient care quality as one of their top business objectives in 2018, followed by identifying areas of cost reduction.

Connecting Healthcare with Food and Health: First Attempts Are Showing Real Promise

April 14, 2018  |  Mark Hagland
commentary
With health plans like Kaiser Permanente Colorado, and patient care organizations like Geisinger Health System, beginning to work on the issue of food insecurity, as it relates to diabetes, the possibilities of real convergence are many

With the Walmart-Humana Revelation, a Cresting Wave of Disruptive Developments in U.S. Healthcare?

April 1, 2018  |  Mark Hagland
commentary
The media reports about a potential Walmart purchase of Humana, coming on top of the CVS-Aetna merger announcement and the Amazon/Berkshire Hathaway/JP Morgan Chase announcement, should put provider leaders on alert

Report: Walmart, Humana in Acquisition Talks

March 30, 2018  |  Rajiv Leventhal
news
Only two months after CVS Health announced it was acquiring Aetna for $69 billion, another huge retail-health insurer deal could be in the works, according to a March 29 Wall Street Journal report.

At NYU Langone Health, “Value-Based Medicine” Takes Center Stage

March 28, 2018  |  Rajiv Leventhal
article
For the project, the organization’s finance department collaborated with VBM physician champions to identify variations in care both internally and compared externally to benchmarked external institutions.

Advocate- Aurora Merger Clears Last Regulatory Review

March 27, 2018  |  Rajiv Leventhal
news
The Chicago-based Advocate Health Care and Milwaukee-based Aurora Health Care announced last week that their proposed merger has cleared the regulatory review process, paving the way for the creation of Advocate Aurora Health.

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