June 29, 2022
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June 07, 2022
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June 02, 2022
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April 29, 2022
1 min read
The COVID-19 pandemic exposed and exacerbated system health equity issues that have long plagued underserved communities.
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April 27, 2022
2 min read
Growing Need for Complex Hierarchy Support
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April 21, 2022
1 min read
Clinically integrated networks (CINs) are gaining traction as the collaboration model of choice to enable higher quality health care at lower costs. These partnerships of like-minded independent providers and hospitals with shared performance improvement, quality, value, and efficiency goals can have a profound impact on patient outcomes while decreasing overutilization.
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April 18, 2022
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Value-based care (VBC) reimbursement models are designed to reward better patient outcomes while reducing the costs of healthcare. The American Medical Association (AMA) identifies several components necessary to make a VBC ecosystem successful. These include a clear, shared, patient-centric vision, the leadership and professionalism of healthcare workers, and broad access to care for anyone who needs it.
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April 13, 2022
1 min read
The U.S. healthcare system’s transition away from fee-for-service toward value-based care represents the most significant change in how healthcare is delivered and paid for in generations. According to a recent study by McKinsey, the percentage of the insured population in value-based contracts is expected to grow by 10% per year from 2022 to 2025.
Read More March 08, 2022
1 min read
SDoH include environmental and social factors such as employment status, income level, education level, housing security, physical activity, neighborhood safety, and access to healthy foods. Research shows SDoH have as much as an 80% impact on the health of an individual or population. Additionally, studies have confirmed a link between SDoH-related risk factors and chronic diseases (such as hypertension and diabetes), which together account for 90% of healthcare spending in the U.S.
Read More February 11, 2022
1 min read
Value-based administration empowers payers, providers and CBOs to share patient information, coordinate care and deliver needed services, all while holding network participants accountable for the cost-and-quality metrics they committed to in risk-sharing arrangements. Few legacy systems are up to that task.
Read More January 07, 2022
1 min read
Healthcare organizations have been on a long, winding road to value-based care, but the promise of improved patient outcomes and reduced costs is nearing as value-based care gains traction.
Read More December 10, 2021
1 min read
Existing claims and clinical workflow-based legacy technology investments, both on the payer and provider sides, simply are not equipped to efficiently administer value-based arrangements at scale.
Read More November 25, 2021
1 min read
As more payers and providers implement value-based care (VBC), treatment increasingly is shifting to a patient’s home or community setting. For payers, integrating community-based organizations (CBOs) into traditional care networks offers both an opportunity and challenge.
Read More November 16, 2021
1 min read
The growing popularity of value-based care (VBC) reimbursement models is driven by the desire to improve patient outcomes while lowering health care costs for providers and payers. Among the latter group are employers that either provide health insurance to employees through a health plan or self-funding. Read More September 28, 2021
1 min read
Even the highest-quality medical care cannot overcome all of the factors patients encounter that lead to poorer health outcomes. One highly cited study attributes 81% of outcomes to socioeconomic factors and health behaviors and just 16% to clinical care.
Read More August 27, 2021
1 min read
The transition from treating patients at a provider’s site to delivering care in the home and community requires two things: an ability to incorporate social determinants of health into the care coordination process and the inclusion of value-based care and community-based organizations as compensated care delivery partners in value-based care networks.
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