Value-Based Contracting

Medicaid Alternative Payment Model Reduces Imaging, Costs

by Jacqueline LaPointe

A Medicaid alternative payment model in Oregon reduced utilization of imaging and other traditional primary care services among community health centers by about 42 percent, according to an Oregon...

How Value-Based Payments Support Physicians During a Crisis

by Jacqueline LaPointe

More practices are going to want to get their revenue through value-based payments following the COVID-19 pandemic, according to heart failure cardiologist Sanjay Doddamani, MD. The pandemic has shown...

Third of Execs Don’t Think Value-Based Payment Will Usurp FFS

by Jacqueline LaPointe

Value-based payment adoption has steadily increased, but a third of healthcare executives in a new survey do not believe the alternative payment mechanism will usurp fee-for-service. Fee-for-service...

ACOs Back Hospitalization Alerts in Final Interoperability Rule

by Jacqueline LaPointe

Accountable care organizations (ACOs) are calling a new Medicare requirement on hospitalization alerts “a win for better population health management,” the National Association of ACOs...

Alternative Payment Models Save, But Drop-Out Rate Still a Concern

by Jacqueline LaPointe

Alternative payment models (APM) primarily run by Medicare have generally produced modest savings and quality improvements. However, popular APMs including accountable care organization (ACO) and...

The Role of the Accountable Care Organization in Value-Based Care

by Emily Sokol, MPH

Accountable care organizations (ACOs) were created to push the industry away from fee-for-service towards value-based care. Through care coordination and a shared savings payment model, ACOs strive to...

4 Key Strategies for Accountable Care Organization Success

by Emily Sokol, MPH

The passage of the Affordable Care Act sparked many innovative care delivery and payment reform models. One unique model that emerged from this trend was the accountable care organization (ACO). In this model, groups of doctors,...

AMGA: Advancing Value-Based Care Hinges on Claims Data Access

by Jacqueline LaPointe

AMGA (American Medical Group Association) recently sent a letter to Congress outlining what it views as 2020’s top priorities for medical groups and health systems. Chief among the group’s...

How Social Media Helped an Accountable Care Organization Save $50M

by Jacqueline LaPointe

Coordination is key to the online retail industry. From the moment you click “order” on Amazon or Walmart.com, the retailer instantly starts packaging and mailing your item, providing you...

Entering the Next Phase of Value-Based Care, Payment Reform

by Jacqueline LaPointe

“What healthcare providers really want is to do is the right thing for their patients. They just need sustainable financial support for doing that,” health economist Mark McClellan, MD, PhD, said at the start of an interview...