3 Ways Private Exchanges Can Help Provider-Sponsored Plans Thrive

3 Ways Private Exchanges Can Help Provider-Sponsored Plans Thrive

Editor's Note: Jonathan Rickert is the CEO and Co-founder of Array Health, a provider of private insurance exchange technology that simplifies the process of buying health insurance with e-commerce platform. Provider-sponsored plans (PSPs) are a disruptive force in today’s evolving healthcare market. By combining healthcare financing and care delivery with strong, familiar brands in the local community, PSPs are able to break the traditional constraints of the fee-for-service model and deliver
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DPHO, UnitedHealthcare Launch Accountable Care Program

DPHO, UnitedHealthcare Launch Accountable Care Program

DeKalb Physician Hospital Organization (DPHO) and UnitedHealthcare have launched an accountable care program to improve people’s health and their satisfaction with their healthcare experience.Through this collaboration, UnitedHealthcare and DPHO will work together to better coordinate patients’ care, using shared technology, timely data and information about emergency room visits and hospital admissions. This partnership will also provide services to help patients manage their chronic health
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Study: Emergency Medicine Tops Most Complex Physician Schedules

Emergency Medicine Tops Healthcare’s Most Complex Physician Schedules

New research on physician shift scheduling trends shows that emergency medicine departments in the U.S. balance the most complex sets of staffing rules and monthly requests of any specialty in the medical sector. The report, 2016 Physician Scheduling Complexity by Specialty, analyzed rules and requests used in 5,547 department schedules across 57 medical specialties.Physician schedules in emergency medicine departments apply an average of 62 repeating scheduling rules (i.e., physicians can’t
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Humana, John Muir Partner to Offer Value-Based Care to Medicare Advantage Members

Humana, John Muir Partner to Offer Value-Based Care to Medicare Advantage Members

John Muir and Humana has teamed up to bring value-based care for Humana Medicare Advantage members in Contra Costa County. The partnership will offer a more proactive and wellness-focused health care experience for Humana’s Medicare Advantage members.Partnership DetailsAs part of the agreement, John Muir Health and Humana will develop strategies to improve the health of Humana’s Medicare Advantage members in Contra Costa County, lower costs, and manage the ongoing health needs of the
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Cigna, Integrated Independent Physicians Network Launch Collaborative Care Program

Cigna Partners with SocialWellth to Unveil Marketplace for Health Apps

Cigna and Integrated Independent Physicians Network, LLC have teamed up on a collaborative care program to improve access to health care, enhance care coordination and lower costs. Effective April 1, the program is part of Cigna Collaborative Care, a value-based model that will reach nearly 7,000 customers.Cigna Collaborative Care is helping to improve the health of Cigna customers while effectively managing medical costs. For example, the programs are helping to:- Close gaps in care, such as
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Wellcentive Unveils Volume to Value-based Care Calculator for Providers

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Wellcentive, an Atlanta-based provider of value-based care solutions has launched a free tool to calculate the real cost of delaying the shift from public and private payer volume to value-based care (VBC) and reimbursement. The tool called the Cost of Inaction calculator helps organizations estimate the impact, based on national benchmark data for health services and the organization-specific data users submit, of delaying effective implementation and management of VBC practices.Why Now Is The
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McKesson, Blue Cross Blue Shield of Arizona Launch Value-based Care Collaborative

McKesson, Blue Cross Blue Shield of Arizona Launch Value-based Care Collaborative

McKesson Business Performance Services and Blue Cross Blue Shield of Arizona (BCBSAZ) have launched a new company, ACO Partner, a Maximum Services Organization, an innovative collaborative that will leverage McKesson’s physician engagement, care management, and population health services and technology. ACO Partner plans to contract with payers and provider groups nationwide to increase the overall quality of care through strong partnerships in pursuit of the triple aim of lowering costs,
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CMS Launches Comprehensive Primary Care Plus Model

Meaningful Use Penalties_Meaningful Use_Partial Code Free_Senators Urge CMS to Establish Clear Metrics for ICD-10 Testing

On Monday, the Centers for Medicare & Medicaid Services (CMS) announced its largest-ever initiative to transform and improve how primary care is delivered and paid. The initiative called the Comprehensive Primary Care Plus (CPC+) model will be implemented in up to 20 regions and can accommodate up to 5,000 practices, which would encompass more than 20,000 doctors and clinicians and the 25 million people they serve. The initiative builds on the Comprehensive Primary Care initiative launched
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Aetna, St. John Health ACO Partner to Improve Patient Experience

Aetna

Aetna and St. John Health System, a part of Ascension, the nation's largest Catholic and nonprofit health system, today announced a collaboration to launch Aetna Whole Health St. John OKHI in Tulsa County. This new health care product enables doctors to deliver highly coordinated care, track outcomes through shared data, and measure clinical standards to improve quality and efficiency.As part of Aetna Whole Health St. John OKHI, Aetna members will receive coordinated care through Tulsa-area St.
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69% of Providers/Payers Are Uncomfortable with Risks of Value-Based Care

69 percent of healthcare providers and payers are uncomfortable with the risks of value-based care, and 77 percent agree that some providers are losing money by adopting the approach.

By 2018, the Centers for Medicare & Medicaid Services (CMS) will require 50 percent of payments to be value-based, meaning providers are compensated for healthy outcomes rather than each service provided. According to new research from Xerox, 69 percent of healthcare providers and payers are uncomfortable with the risks of value-based care, and 77 percent agree that some providers are losing money by adopting the approach. The Xerox survey reveals that healthcare payers and providers
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