Welcome to Our Blog, It's Good to See You

Subscribe to our blog and stay up to date with the latest Health Care articles and news.

VBC Contracting: Challenges and Keys to Success for Health Plans

The number of value-based contracts across the healthcare industry is rapidly increasing, yet many health plans still struggle...


( read )

Tags: Health Plans

Value-Based Contracting: The Role of People, Process and Technology – For Payers

Value-based care (VBC) contracts are here, but how do you, the payer, foster success for both you and your provider network as...


( read )
The Five Principles of Provider Enablement

Building a strong relationship with your provider network is the cornerstone of a successful value-based care (VBC) program,...


( read )
The Value and Challenges of EMPI

Matching data from multiple disparate information sources to the same unique individual has been and continues to be a...


( read )

Tags: Health Plans, Value-Based Care, EMPI,

Addressing Network Leakage in the Value-Based World

Healthcare Executives know that network leakage, also known as patient or patient referral leakage, is a huge and ongoing...


( read )

Tags: Value Based, Health Plans

Value-Based Care Contracting for Risk-Bearing Entities

Risk-bearing entities such as hospital systems, IDNs, and IPAs are central actors in the stage play that is the value-based...


( read )

Tags: Value Based Payments

Incorporating SDoH into VBC Contracting

A risk bearing entity, whether it is a health plan, an ACO, or an IPA, should consider including SDoH contracting into their...


( read )

Tags: SDOH, Value-Based Care

How Health Plans Can Ensure Capitated Arrangements Succeed

With more and more health plans, like Humana, announcing the development of value-based capitated payment programs, capitated...


( read )
Solving VBP Contract Modeling Riddles

VBP changes the way payers and providers (ACOs, IPAs, etc.) contract with each other. The complexity of the healthcare system...


( read )

Tags: Value Based Payments, Health Plans

Social Determinants of Health and Their Impact on Value-Based Payments

For the past ten years social determinants of Health (SDoH) have gained greater importance from health care organizations and...


( read )

Tags: Value Based Payments, Health Plans, SDOH

What to Expect from a Biden Presidency: VBP Contracting for Health Plans

With a new president in office, the entire country is wondering how one of Biden’s major platforms—healthcare reform—will...


( read )

Tags: Value Based Payments, Health Plans

How Health Plans Can Use Cohort Management for Maximum Impact

Successful value-based payment (VBP) programs use cohort management to impact care beyond a clinical-level and address many of...


( read )

Tags: Value Based Payments, Health Plans

Real Time Incentives for Providers to Achieve VBP Goals During COVID-19

Since February 2020, COVID-19 has continued its course throughout the United States. As the year comes to a close,...


( read )

Tags: Value Based Payments

CMS CHART Model is Transforming Rural Health

What Does Rural Mean?

The large majority of American land is rural, so it can often feel like a daunting task to define which...


( read )

Tags: Value Based Payments

How a National Patient ID Could Impact Value-Based Payment

National patient identification has been a hot topic since HIPAA was enacted in 1996, calling for the development of a unique...


( read )

Tags: Value Based Payments, Health Plans

How Health Plans Can Use SDoH Data to Succeed in Value-Based Payment

COVID-19 has reignited the conversation regarding social determinants of health (SDoH) as certain minority groups are at a...


( read )

Tags: Value Based Payments, Health Plans

The Value of Transparency in VBP Contracts

Physicians’ attitudes toward value-based payment (VBP) have changed within the last four years. In 2016, the majority of...


( read )

Tags: Value Based Payments, Health Plans

How Health Plans Can Take Value-Based Payment from Contract to Practice in 5 Steps

We’ve all had great ideas on paper. But for our endeavors to come to fruition, they need to be successfully implemented. The...


( read )

Tags: Value Based Payments, Health Plans

4 Steps to Transition to Prospective Payment Agreements

As value-based payment adoption continues to grow, prospective payment continues to emerge as a preferred and proven cost...


( read )

Tags: Health Plans

How Coronavirus Will Impact Telehealth & the Future of Value Based Payment

As COVID-19 has spread across the globe, the U.S. has become the country with the highest number of confirmed cases. As...


( read )

Tags: Value Based Payments, Health Plans, COVID 19

90’s Blunders: What You Can Learn for VBP Contracting Now

It’s been thirty years since the Clinton Administration attempted a sweeping healthcare system overhaul. To this day change in...


( read )

Tags: MIPS, Value Based Payments, Health Plans