Value-based Care

AHIP, AMA, NAACOS Share Best Practices for Value-Based Care

by Victoria Bailey

Healthcare organizations must focus on improving data-sharing practices to advance the adoption of value-based care arrangements, according to AHIP, the American Medical Association (AMA), and the...

Study: Hospital Spends $5M Per Year on Quality Reporting

by Jacqueline LaPointe

Quality reporting is now a core function in healthcare, enabling value-based payment, transparency and accountability, and provider comparisons, to name a few benefits. However, quality data...

CMS Primary Care Model Provides Value-Based Path for Practices

by Victoria Bailey

CMS will test a new primary care model in eight states with the hopes of improving patient care and increasing value-based opportunities for primary care organizations. The Making Care Primary (MCP)...

Most Practices Not Joining Enhancing Oncology Model, Survey Finds

by Victoria Bailey

Most oncology practices are not planning to participate in the Enhancing Oncology Model (EOM), citing concerns about the risk arrangements and inadequate incentive payments, a survey from the Community...

Home Health Value-Based Purchasing Model Lowered Medicare Spending

by Victoria Bailey

The Home Health Value-Based Purchasing (HHVBP) Model reduced Medicare spending by $1.38 billion and improved care quality during its first six years, according to a report from CMS. The CMS Innovation...

Community Service Navigation Helped Reduced Emergency Department Use

by Victoria Bailey

The CMS Accountable Health Communities (AHC) Model reduced emergency department (ED) use for Medicare and Medicaid beneficiaries but did not help resolve health-related social needs (HRSNs) issues as...

AMGA: Pharmacy Claims Data Key to Value-Based Care Progress

by Jacqueline LaPointe

Lawmakers have their eyes on pharmacy benefit manager (PBM) reform, but one bill is looking to take it a step further by requiring commercial payers to share pharmacy claims data with providers to...

What Kaiser’s Acquisition of Geisinger Means for Value-Based Care

by Victoria Bailey

Kaiser Permanente’s plans to acquire Geisinger Health have opened the door to new value-based opportunities. Specifically, the proposed acquisition has the potential to create an accelerated path to value-based care and lead to...

How Primary Care Acquisitions Can Advance Value-Based Care

by Victoria Bailey

As value-based care becomes the end goal for many healthcare organizations, health systems across the country are acquiring primary care practices to achieve this mission. Critical aspects of these acquisitions include ensuring that...

Community-Level Social Risk Adjustment Did Not Address Payment Disparities

by Victoria Bailey

Despite the notion that social risk adjustment may improve health equity in value-based payment models, incorporating community-level social risk factors into Medicare risk adjustment did little to...

How CMMI Value-Based Care Models Have Impacted Costs, Quality

by Victoria Bailey

Many value-based care models have helped generate savings, reduce costs, and improve care quality, but models must incorporate health equity and clinical outcomes to achieve true value for all,...

NAACOS, AMA Push for Long-Term Value-Based Care Efforts

by Victoria Bailey

Twelve healthcare organizations, including the National Association of ACOs (NAACOS) and the American Medical Association (AMA), have urged congressional leaders to engage with stakeholders and...

AMGA Calls on Congress to Advance Value-Based Care, Support Providers

by Victoria Bailey

Congress should focus on advancing value-based care by investing in proper infrastructure, incentivizing patient engagement, and supporting continuous telehealth coverage, according to the American...

Digging into CVS’ Latest Proposed Purchase: Oak Street Health

by Victoria Bailey

The latest debate in the healthcare merger and acquisition space surrounds healthcare giant CVS Health’s plans to acquire Oak Street Health for $10.6 billion. CVS, known for its pharmacy operations and health insurance plans, is...

Value-Based Platform Will Join CMS Incentive Program to Support Rural ACOs

by Victoria Bailey

Value-based care platform Signify Health announced plans to participate in the CMS Advance Investment Payments (AIP) incentive program to support providers in rural and underserved communities. Rural...

Long-Term Care ACOs Present an Opportunity for the Most Complex Populations

by Victoria Bailey

Long-term care residents are historically overlooked and require high-cost, complex healthcare services. Accountable care organizations (ACOs) present an opportunity for providers to earn shared savings while improving care quality for...

VillageMD Completes $8.9B Acquisition of Summit Health-CityMD

by Victoria Bailey

Editor's note: a previous version of this story incorrectly stated that the transaction's value was $8.9 million instead of $8.9 billion. VillageMD has finalized its $8.9 billion acquisition...

Bipartisan Bill Calls for Extended Value-Based Payment Incentives

by Victoria Bailey

US Senators John Barrasso (R-WY) and Sheldon Whitehouse (D-RI) have introduced a bipartisan bill that would extend value-based payment incentives for healthcare providers participating in...

The Most Successful Alternative Payment Models from CMMI, To Date

by Jacqueline LaPointe

The Center for Medicare & Medicaid Innovation (CMMI) has launched more than 50 alternative payment and care delivery model tests, with 33 models now or still operational, according to CMMI’s sixth report to Congress on its...

CJR Model Policy Changes Boosted Penalties for Safety-Net Hospitals

by Victoria Bailey

Safety-net hospitals and hospitals with high Black and Hispanic populations received disproportionate penalties under the Comprehensive Care for Joint Replacement (CJR) bundled payment model between...