What challenges can an organization expect in managing a provider-sponsored health plan (PSP)? How can those challenges be addressed?
Sovaldi is a prescription drug that was approved by the FDA in December 2013 to treat Hepatitis C. The following year, the total cost of prescription drugs in the United […]
Value-based payment models are attracting attention for risk adjustment methodologies, especially HCC risk adjustment, which is used to calculate cost benchmarks for Medicare Advantage and other CMS payment models including […]
HCCs are not new, but many organizations are only starting to recognize their importance. 3M’s Donna Smith dives into how to manage HCCs in her new article.
Health care professionals were recently surveyed about their thoughts on value-based care. Here are the results:
A recent survey in Healthcare Informatics on physician readiness for implementing MACRA indicates a strong need for assistance and support. The overall results of readiness of physicians polled show that […]
I’ve spent much of the last few months traversing the State of New York speaking to our Medicaid MCOs about their strategies to reach the state’s value-based purchasing (VBP) goals. It’s […]
What are the top five things “payviders” need to pay attention to? This video rounds them up.
Value-based purchasing and population health management are supposed to change aspects of the relationship between insurers (health plans) and providers (accountable care organizations, health systems, etc). New contracts are supposed […]
When people take an active role in their own well-being and participate in their healthcare choices, the Triple Aim of improved outcomes, lower cost, and a positive patient experience becomes […]
The greatest change to the U.S. health insurance market in the past decade was undoubtedly the Affordable Care Act (ACA). The ACA brought changes including the establishment of health insurance […]
In New York State (NYS), as the final results for measurement Year 2 are solidifying, Value-based Payment (VBP) pilot programs are starting. The VBP pilots do not have an easy […]