Value-based care programs are flourishing across the U.S., with a seven-fold increase in the number of states implementing such initiatives in the past five years, according to a new Change Healthcare report. The report, Value-Based Care in America: State-by-State is the second national study of state healthcare payment programs that reveal 48 states have now implemented value-based care or payment programs, 50% of those programs are multi-payer in scope, and just four states have little or no
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GlobalHealth to Launch Medicare Advantage (MA) Marketplace with Evolent Health
GlobalHealth, an Oklahoma-based health maintenance organization, today announced it has entered into a definitive agreement to create a partnership in the Medicare Advantage (MA) plan marketplace with Evolent Health, a company providing an integrated value-based care platform to the nation's leading providers and payers. Together, both companies will launch and scale MA health plans under the True Health brand in targeted geographies. True Health Medicare Advantage (MA) Marketplace DetailsThe
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FHA and Caravan Health Partner to Sponsor Statewide Medicare ACO in Florida
Caravan Health and the Florida Hospital Association (FHA) have teamed up to sponsor a statewide accountable care organization (ACO) under which hospitals throughout the state will work together to provide coordinated, high-quality healthcare while delivering lower costs for patients.
Statewide ACO Model to Build Primary Care
Through the statewide ACO, hospitals in Florida can access Caravan Health's proven population health management model to build primary care capacity and
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How Our Texas ACO Saved Medicare $14M with Population Health Approach
Victoria Farias, Program Administrator at Rio Grande Valley Health Alliance
Only about a third of the accountable care organizations (ACOs) in the Medicare Shared Savings Program (MSSP) qualified for bonuses in 2017. Our ACO, the Rio Grande Valley Health Alliance (RGVHA), was one of them. In fact, we’ve generated enough MSSP savings to net bonuses for five years in a row.
In 2015, RGVHA saved Medicare $14.2 million, of which our providers received half. In 2016, our ACO’s first year in
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Stanford Health Taps Lumeris to Optimize Medicare Advantage Plan
Stanford Medicare Advantage plan seeks sustainable value-based care growth and continued innovations to serve seniors in collaboration with Lumeris.Lumeris, a provider of value-based care, and Stanford Health Care are partnering on a long-term collaboration for the further development of Stanford Health Care Advantage, a Medicare Advantage (MA) plan in Northern California. Once finalized, Lumeris will help optimize and grow the MA plan throughout the region and support Stanford Health Care's
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PatientPing Tool Tags BPCI Advanced Patients in Real-Time to Improve Outcomes
As CMS moves its bundled programs focus form Bundled Payments for Care Improvement (BPCI) “classic” to BPCI Advanced, hospitals and providers are agreeing to take on more risk in return for the potential financial rewards. In order to do this successfully, they need the new, innovative technology tools to succeed.That’s why PatientPing, a health technology company that connects providers to seamlessly coordinate patient care, announced a major care coordination enhancement to its product suite
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AMA-RAND Study: Physician Payment Models are Becoming More Complex
According to a new joint study by the RAND Corporation and the American Medical Association, physician payment models are becoming more complex and the pace of change is increasing, creating challenges for physician practices that might hamper their ability to improve the quality and efficiency of care despite their willingness to change.The study is a follow-up to a similar one conducted in 2014 to assess how physician practices were responding to alternative payment models. These models are
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Mingle Analytics, SilverVue Merge to Form Mingle Health to Focus on Value-based Care Delivery
Mingle Analytics Inc., a provider of Medicare quality reporting, and SilverVue, Inc., a supplier of care management software, today announce their merger. Mingle Health is a new company focused on transforming value-based care delivery by solving the pain points in quality reporting while improving patient outcomes and strengthening practice health.Together, Mingle Health will deliver an all-in-one platform that includes the consulting, analytics, and tools to streamline medical practices,
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Innovaccer’s Healthcare Data Platform Helps ACOs Save More Than $264M Annually
Innovaccer, a San Francisco-based healthcare data platform company, proudly announced the success of its partner accountable care organizations (ACOs) that achieved over $264 million in savings across 1 million managed lives. The data has been gathered from different commercial insurance providers and the Medicare Shared Savings Program performance data for 2017.According to CMS’ results, ACOs in P.Y. 2017 have achieved about $314 million in Medicare savings. More than 60% of the 472 ACOs
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Innovaccer Unveils Potential Savings Advisor for Accountable Care Organizations
Despite the numerous interventions by the government to reinforce value-based care, the transformation of the healthcare ecosystem has been slow. As of 2018, there are around 400 ACOs under Medicare Shared Savings Programs alone and only 31% of them could generate shared savings.Additionally, ACOs are under immense pressure with an increased shift towards assuming more financial accountability. The reality is that every year ACOs end up leaving money on the table due to lack of awareness about
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