What does it take to be a healthcare organization that actively orients itself around health equity and seeks to advance health equity solutions for its members and patients?
Listen to the full...
Organizations are urging Congress to reinstate pre-deductible coverage for telehealth services in an effort to help patients. Also in the nation’s capital, the VA will implement a Google...
Payers can structure their health plans and their health plan networks in a variety of ways, but the provider-sponsored plan model has played a unique role in pursuing value-based care...
In a white paper released last week, CMS Administrator Chiquita Brooks-LaSure reiterated the agency’s plan to support health equity and expand value-based care for Medicare and Medicaid...
Improving predictive analytics capabilities may be key to advancing providers’ population health strategies and their ability to engage in value-based contracting, according to Emily Sokol,...
In 2019, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) made a big change.
That year, the company launched its value-based care program Blue Premier in an effort to ensure that every...
Healthcare is increasingly reliant on data analytics strategies. Population health measures are no exception, as they depend heavily on analytics to monitor metrics for large groups of patients, fill...
Accountable care organizations (ACOs) participating in the Medicare Shared Savings Program had a record performance year in 2020. The ACOs saved Medicare $4.1 billion while achieving an average quality...
The normal course of preventive care procedures was broken during the height of the COVID-19 pandemic resulting in thousands of missed cancer diagnoses in 2020. Using private insurance claims data, Insights by Xtelligent Healthcare Media...
Fee-for-service reimbursement is still an integral part of the healthcare system as providers are scattered along a spectrum of payment models, Emily Sokol, director of research at Xtelligent...
The transition to value-based care is inevitable. But choosing the best alternative payment model for each unique patient population means providers must have the right staff, technology, and financial...
Figuring out where to begin value-based conversations can be challenging for many providers in private practice, and nurse practitioners are no exception.
The first meaningful step is education,...
Value-based care efforts center around reducing the costs of care while improving value. To accomplish this, one organization in Central Florida is thinking outside the box by working with community...
CMS proposed a value-based payment model for the treatment of end-stage renal disease and released a final ruling to combat surprise billing. Meanwhile, Congress introduced a bill to expand broadband...
Pediatrics is often left out of value-based care conversations, particularly specialty pediatrics. In the most recent episode of Healthcare Strategies, an Xtelligent Healthcare Media podcast, Larry...
Good news: A Phase 3 study of Regeneron’s COVID-19 antibody cocktail shows that the therapy is effective in reducing the risk of death for patients suffering from the virus. The bad news:...
Happy Friday after a long short week of work. Many of us in the Northeast will be scrambling to the coast to get some sun following a bleak and dreary Memorial Day Weekend.
Press Ganey Gets OK from...
The meaning of value-based care has not always been cohesive, but the healthcare industry may be moving toward a clearer understanding of what value is and how to develop care coordination across...
Brett Hart, chief behavioral health officer at Centene, and Indira Paharia, chief operating officer for behavioral health at Centene, are very familiar with the need for behavioral and physical...
Providers Missing Out on RCM Automation
According to a new survey, about one-third of hospitals and health systems do not use revenue cycle automation. The survey commissioned by AKASA was conducted...
