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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant

Aledade Expands Michigan Footprint with Acquisition of CCA’s Value-Based Care Operations

by Jasmine Pennic 06/25/2025 Leave a Comment

Aledade Expands Michigan Footprint with Acquisition of CCA's Value-Based Care Operations

What You Should Know:  - Aledade, the largest network of independent primary care in the United States, has announced its acquisition of the Michigan-based value-based care operations of CCA Holding Company, Inc.  - The move deepens Aledade’s presence across the state and empowers more physicians to succeed in a healthcare system focused on patient outcomes and quality. Strengthening a Statewide Presence The acquisition includes an Accountable Care Organization (ACO) and a
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Fighting the Chronic Disease Crisis with AI and Value-Based Care

by Joseph Siemienczuk, MD, Medical Advisor for Clinical Solutions at Cedar Gate Technologies 06/10/2025 Leave a Comment

Fighting the Chronic Disease Crisis with AI and Value-Based Care

Poorly managed and uncontrolled chronic diseases are the leading cause of death and disability in the United States, and represent a growing national crisis. Five of the top 10 causes of death – heart disease, cancer, diabetes, obesity, and hypertension – are chronic conditions, or closely linked to preventable and treatable chronic conditions. The prevalence of these diseases has steadily increased over the past two decades. Today, 42% of Americans have two or more chronic conditions, and the
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Healthcare Providers Face Over $770B Revenue Loss Under House Bill, Potentially Exceeding $1 Trillion with ACA Credit Expiration, Report Warns

by Fred Pennic 05/30/2025 Leave a Comment

Healthcare Providers Face Over $770B Revenue Loss Under House Bill, Potentially Exceeding $1 Trillion with ACA Credit Expiration, Report Warns

What You Should Know:  - A new analysis from the Urban Institute, supported by the Robert Wood Johnson Foundation, projects that U.S. healthcare providers could lose more than $770B in revenue over the next decade if a budget reconciliation bill recently passed by the House of Representatives becomes law.  - The financial blow would stem from an estimated 11 million people losing health coverage through Medicaid and the Affordable Care Act (ACA) marketplaces. The report further
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Critical Role of Transitions of Care in Medicare Advantage Success

by Ashish V. Shah, Founder and CEO of Dina 05/28/2025 Leave a Comment

Critical Role of Transitions of Care in Medicare Advantage Success

The Medicare Advantage (MA) market is at a tipping point, with more than half of all seniors enrolled in an MA plan for their healthcare. Utilization of services is skyrocketing and the Centers for Medicare and Medicaid Services (CMS) has increased pressure to deliver supplemental benefits in a high-quality, low-cost and reportable manner.  As enrollment continues to grow, how health plans are paid — and how much —will be central to the debate over the efficiency and sustainability of
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Inaccurate Provider Data: The Biggest Obstacle to Value-Based Care

by Eric Demers, CEO of Madaket Health 05/02/2025 Leave a Comment

Just months into office, the new administration is doggedly focused on reducing costs and increasing efficiency and transparency across a swath of functions. However, like many journeys, an emphasis is being placed on the final destination and not on how to navigate the road ahead. Even so, expect value-based care (VBC) to move from the back to the front burner and the heat to get turned up.  VBC is a business model for healthcare in which providers are paid based on the quality of care
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5 Ways Trump Administration Tariffs Are Impacting U.S. Healthcare Now

by Fred Pennic 04/29/2025 Leave a Comment

5 Ways New Trump Administration Tariffs Are Impacting U.S. Healthcare Now

What You Should Know:  - Recent changes to U.S. trade policy under the Trump Administration, including a new baseline tariff on imports, are sending ripples through the healthcare industry, creating significant uncertainty and cost pressures.  - According to recent  analysis by Premier Inc., while a temporary pause on reciprocal tariffs (excluding China) is in effect until early July, the new landscape presents immediate challenges.  Trump Administration Tariffs
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Hidden Healthcare Crisis: Healthcare Dollars Buy Patient Harm

by Effie Carlson, CEO of Watershed Health 04/18/2025 Leave a Comment

Everyone in America has felt the effects of uncoordinated healthcare, from the hassle of medical records lost between providers to devastating stories of medical errors that caused patient harm or a loss of life, uncoordinated care in medicine leaves no one behind. Uncoordinated care in the US directly contributes to out-of-control healthcare costs by adding roughly $340 billion annually in wasted resources – surpassing heart
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AMGA and Wilmington Health Launch AMGA Value Care Network

by Jasmine Pennic 04/18/2025 Leave a Comment

AMGA and Wilmington Health Launch AMGA Value Care Network

What You Should Know:  - The American Medical Group Association (AMGA) and Wilmington Health have announced an exciting new partnership poised to significantly impact the landscape of value-based care in the United States.  - The two organizations are collaborating to establish the AMGA Value Care Network, a strategic initiative with the ambitious goal of empowering healthcare practices nationwide to successfully implement and thrive within Accountable Care Organization (ACO)
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5 Value-Based Care Strategies to Control Patient Care Costs

by Theresa Hush CEO, Co-Founder at Roji Health Intelligence 04/07/2025 Leave a Comment

Theresa Hush CEO, Co-Founder at Roji Health Intelligence

The staggering reality that health care could soon account for one fifth of all domestic spending has put a bull’s eye on health care cost control. Is your ACO, health system, or physician organization ready to manage the coming congressional budget cuts? The only effective way to tackle Total Costs of Patient Care (TCoC) without cutting services is through a curated value-based care approach. Here are the fundamentals you need to know and five strategic steps to
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Aledade Expands Humana Value-Based Care Agreement to Serve FQHCs

by Fred Pennic 03/20/2025 Leave a Comment

Aledade Expands Humana Value-Based Care Agreement to Serve FQHCs

What You Should Know:  - Aledade has announced an expanded collaboration with Humana, designed to bolster the ability of Federally Qualified Health Centers (FQHCs) and rural health clinics to succeed in value-based care.  - The enhanced partnership aims to improve health outcomes, enhance quality of life, and increase healthcare affordability and accessibility for patients. Empower FQHCs and Rural Clinics in Value-Based Care By providing upfront resources, comprehensive
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