Value-based Care

How to introduce quality measures that are useful for providers

April 19, 2024 - In the push toward value-based care and incentivized quality measures, providers have been left with a long, complicated to-do list. But the industry can do better, according to Brad Ryan, MD, chief growth officer at NCQA. In 2017, CMS introduced an entire initiative to reduce the burden of quality measurement on providers. The Meaningful...

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VBC May Poorly Affect Health Equity, Amazon Adds Health Offering

by Editorial Staff

Value-based care efforts have aimed for health equity, but one Health Affairs study found evidence that some value-based purchasing efforts may maintain care disparities for Black Medicare...

Top Healthcare Industry Predictions for 2024: Tech, Workforce, Costs

by Editorial Staff

The start of a new year brings a slew of healthcare industry predictions. What trends will take hold in 2024? What strategies will be widely adopted? What will remain the same and what will radically change? Our editorial senior...

The Role of Tech Vendors in Value-Based Care Enablement

by Editorial Staff

Moving through the value-based care world presents many challenges for providers. Technology vendors can be essential to their journey. Technology is a key factor in value-based care. Automation, in...

How Advocate Health Keeps the Value-Based Care Momentum Going

by Jacqueline LaPointe

Value-based care adoption has hit a tipping point. More than half of all healthcare payments are tied to some level of quality or value measurement as of 2021, according to the latest data from the Health Care Payment Learning & Action...

How One ACO Used Predictive Analytics to Fuel Its VBC Efforts

by Kelsey Waddill

On this episode of Healthcare Strategies, Assistant Editor Shania Kennedy hears from Sheila Magoon, MD, executive director of Buena Vida y Salud ACO and the South Texas Physician Alliance, and David Clain, chief product officer at the...

Healthcare Compliance, Patient Access to Information Prove Costly

by Kyle Murphy, PhD

Today’s roundup includes HIPAA violations, telehealth trends, and efforts to ensure equitable access to care. UnitedHealthcare Settles HIPAA Right of Access Case for $80K UnitedHealthcare...

The Importance of Care Coordination for Chronic Disease Management

by Kelsey Waddill

Care coordination is essential for patients with chronic diseases whose treatment plans require provider input from multiple specialties. Treatment for diabetes—one of the most expensive chronic...

Providence’s Top Value-Based Contracting Lesson Is Collaboration

by Jacqueline LaPointe

You can’t do value-based contracting alone. That is one of the biggest lessons learned from Scott Anders, MD, MBA, FAAGP, CPE, chief medical officer of value-based care and ambulatory quality at...

How to Establish an Industry Collaboration Team to Pursue Industrywide Goals

by Kelsey Waddill

Partnership in the healthcare industry can be fraught due to competing interests and competition within segments of the industry, but when a healthcare organization creates internal industry...

Challenges, Benefits of Global Capitation Models from a Provider Perspective

by Kelsey Waddill

There are four major challenges that organizations face when they try to implement global capitation model, Michael Weiss, MD, vice president of population health for Children’s Hospital of...

Physician Engagement, Data Transparency Earn ACOs Shared Savings

by Jacqueline LaPointe

Privia Quality Network is one of the top earners of the Medicare Shared Savings Program, the federal government’s largest running accountable care organization (ACO) program. Across its four...

Key Lessons on Value-Based Care Collaboration in Advanced Primary Care Efforts

by Kelsey Waddill

In 2019, a group of payers, providers, and other healthcare stakeholders converged to reimagine advanced primary care in the state of California through value-based care collaboration. The California...

How to Pursue Behavioral-Physical Healthcare Integration in a VBC Framework

by Kelsey Waddill

When MetNetOne Health Solutions established roaming physician teams that would go from practice to practice to help address chronic disease management needs around two decades ago, it became apparent...

Exploring the Intersection of AI, Bias, and Value-Based Care

by Shania Kennedy

Many healthcare experts consider value-based care as a key step toward improved health outcomes and lower costs, but adoption has been slow. Research from Insights by Xtelligent Healthcare Media...

How to Measure, Improve Strategic Primary Care Investments

by Kelsey Waddill

Strategic primary care investments—such as investing in sustainable EHR models and moving toward value-based care—can have an impact far beyond primary care services, according to Vivek...

Exploring Rideshare as an SDOH, Value-Based Care Solution

by Sara Heath

As the national healthcare industry works to address social determinants of health, rideshare companies like Lyft and its medical offshoot Lyft Healthcare assert how they can fill not just...

How Providers Take A Value-Based Care Approach to Chronic Disease

by Kelsey Waddill

The value-based care approach to chronic disease management relies on a committed clinical workforce, healthcare organizations have indicated. Hayden Schmidt, assistant editorial researcher at...

Many Telehealth Providers Facing Impractical Patient Expectations

by Kyle Murphy, PhD

Telehealth was instrumental to the healthcare industry's response to the coronavirus pandemic, but telehealth providers are coming face to face with unrealistic patient expectations, leading to...

Value-Based Care is Improving Chronic Disease Management

by Hayden Schmidt

Nearly two-thirds of providers see value-based care as a way to improve relationships with patients and enhance care management strategies, according to reporting from Insights by Xtelligent Healthcare Media. Currently, chronic diseases...

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