In the ongoing transition to value-based care (VBC), provider contracting poses challenges for health plans and providers. In my past role as the VP of Quality at a large health plan, I was part of the team that reviewed provider contracts that included risk around quality. Adding my role to the review process reduced the frustration of the Network and Quality teams because I could identify the reporting requirements that the health plan couldn't meet and create alignment with measure
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Medical Home Network Expands Value-Based Care Reach with 64 FQHCs in New ACOs
What You Should Know:
- Medical Home Network (MHN), a leader in transforming care in the safety net, announced today its partnership with 64 federally qualified health centers (FQHCs) across seven states. These FQHCs will participate in two key CMS value-based care programs: ACO REACH and MSSP (Medicare Shared Savings Program).
- This expansion comes on the heels of an impressive achievement by existing MHN partners: $10.1M in gross savings and a perfect quality score in the 2022
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Elevating Healthcare Through Risk Stratification: Lessons from North Carolina’s Value-Based Initiatives
As the healthcare landscape continues to evolve, there's a clear trend towards value-based care (VBC). This significant shift, which places a premium on patient health outcomes, diverges from the traditional fee-for-service approach. The aftermath of the COVID-19 pandemic has mainly catalyzed the adoption of VBC models, highlighting the importance of care quality and effectiveness rather than the sheer volume of services. This change reshapes healthcare, aligning it more closely with patient
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ApolloMed & BASS Medical Partner to Transform Value-Based Care in Northern California
What You Should Know:
- Apollo Medical Holdings (NASDAQ: AMEH), a provider-centric healthcare company, and BASS Medical Group, one of the largest multi-specialty medical groups in the Greater San Francisco Bay Area, announced today a strategic partnership aimed at revolutionizing value-based care in Northern California.
- The strategic alliance between ApolloMed and BASS Medical Group promises to significantly impact the healthcare landscape in California.
Bolstering Value-Based Care
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iPN and Lumeris Join Forces to Boost Value-Based Care
What You Should Know:
- In a move to improve healthcare delivery and patient outcomes in the Denver metro area, Integrated Physician Network (iPN) and Lumeris announced a strategic partnership today.
- The iPN and Lumeris partnership marks a significant step forward for value-based care in Denver. By combining their resources and expertise, these two organizations are poised to deliver high-quality, patient-centered healthcare to the communities they serve. This collaboration is a
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M&A: General Catalyst’s HATCo to Acquire Summa Health
What You Should Know:
- Akron-based Summa Health and General Catalyst's Health Assurance Transformation Corporation (HATCo) have announced a planned acquisition that promises to reshape healthcare delivery in the region.
- This strategic acquisition marks the beginning of a long-term journey to create a more proactive, affordable, and equitable healthcare system for the Greater Akron community.
A Vision for a Healthier Future
Summa Health, a large, integrated healthcare system, and
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Hospitals Show Signs of Recovery, But Growth Strategies Crucial for 2024 Success
What You Should Know:
- A glimmer of hope shines through for hospitals, according to November data from Kaufman Hall's National Hospital Flash Report points to ongoing stabilization and even growth.
- While the scars of the pandemic and economic challenges remain, key indicators suggest gradual recovery, with operating margins edging up and revenue streams climbing.
Margins on the Rise, Though Gap Between Performers Persists
The median calendar year-to-date operating margin index for
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The Potential of Generative AI for Value-Based Care
The value-based care market is projected to grow to $174 billion by 2032, according to a MarketResearch.biz report released recently. As the march to VBC accelerates, there are operational, financial, data complexity/accessibility, and technology-related challenges that need to be overcome to implement value-based programs and to scale them for mass adoption.
Existing medical data is not fully exploited for analytics and risk score computation because of three main reasons:
Unstructured
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Advanced Analytics Can Change the Game for Consumer Healthcare Services
Data has become the lifeblood of healthcare, making it possible to gain granular insights that enable more effective and precise patient-centric care. Yet, we have just scratched the surface of data analytics’ potential impact on optimizing segments of healthcare that need it most, such as the surging arena of consumer health.
Of the four key types of data analytics – descriptive, diagnostic, predictive, and prescriptive – only the first two are effectively used in managing healthcare
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Arbital Health Acquires Actuarial Firm & Secures $10M for Value-Based Care Adjudication
What You Should Know:
- Arbital Health, a rising star in the value-based care space, announced a significant double play today, acquiring leading actuarial firm Santa Barbara Actuaries and securing $10 million in Series A funding led by Transformation Capital.
- This strategic move positions Arbital Health as a major player in accelerating the healthcare industry's transition to a more outcome-driven model.
Building the Infrastructure for Value-Based Care
Founded in November 2023 by
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