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Trust via Technology: How Health Plans Can Tackle SDoH

Value-based payment (VBP) arrangements enable health plans to address the bigger picture when it comes to their members by...


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On November 3, 2022
Five Steps for Payers to Enhance Provider Enablement

When we discuss value-based care, the “value” component is intrinsically tied to the success, or lack thereof, of your provider...


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On October 6, 2022
The Advantages of Value-Based Contract Standardization for Payers

Modeling a value-based contract is often a time-consuming process. There are so many variables to contend with—incorporating...


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On September 8, 2022
Four Ways Health Systems Can Take Advantage of Value Levers to Accelerate Value-Based Care

In the value-based world of healthcare, health systems are being asked to take on more risk for greater rewards. Value-based...


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On July 21, 2022
Four Ways to Better Enable Providers to Adopt Value-Based Contracts

Value-based contracts are the future in healthcare. This is true for all lines of business—including commercial, Medicare,...


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On June 2, 2022
Considering the Move from MSSP to Medicare Advantage

Over the past several years, the Medicare Advantage program and the Medicare Shared Savings Program (MSSP) have both grown...


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On May 10, 2022
Addressing Data Integrity in Value-Based Care Arrangements—For Payers

This is the final part of a three-part blog series exploring from both a provider and payer perspective the topic of data...


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On April 25, 2022
Embracing Value-Based Contracts - Five Keys to Success for Health Plans

Value-based contracting is a complicated process. Payers need tools that enable their contracting teams to standardize every...


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On April 21, 2022
Value-Based Contract Modeling Automation for Providers

The process of modeling value-based contracts can be painstaking. Acquiring the insights needed to arrange contracts that...


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On March 15, 2022
Addressing Data Integrity in Value-Based Care Arrangements—For Providers

This is part two of a three-part blog series exploring from both a provider and payer perspective a topic that impacts the entire...


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On March 1, 2022
Four Best Practices for Payers to Consider When Contracting for Value-Based Care

Successful value-based care (VBC) contracts are driven by actionable data that informs both the payer and the provider. Payers...


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On February 1, 2022
Challenges in Data Integrity in Value-Based Care Arrangements

This is part one of a three-part blog series exploring from both a provider and payer perspective a topic that impacts the entire...


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On January 27, 2022
Value-Based Care Predictions for 2022

As we leave a tough 2021 in the rear-view mirror, 2022 brings with it some optimism as recent data suggests that vaccinated and...


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On January 5, 2022
Value-Based Contract Financial Reconciliation - Five Key Steps for Health Systems

Timely and accurate financial reconciliation is a critical part of the value-based contracting process and can be the difference...


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On December 2, 2021
The Importance of Specialist Referral Efficiency in Value-Based Care

As risk-bearing entities (Health Plans, ACOs, IPAs, etc.) continue to advance in value-based care (VBC), one area they can’t...


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On November 17, 2021

Tags: Value-Based Care, specialist referral, referral efficiency,

Understanding Big Data in Healthcare: The Three V's

With the rise of risk-bearing arrangements and value-based care, “big data” is becoming more prominent in the sphere of...


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On November 2, 2021

Tags: Value Based Payments

Navigating the Key Components of Value-Based Contracting

During the value-based contracting process, health plan executives should be prepared to do all of the following: evaluate risk...


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On October 1, 2021

Tags: payers, Health Plans, Value-Based Care

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...


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On September 21, 2021

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...


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On August 25, 2021
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, but...


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On August 6, 2021
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 challenge...


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On July 30, 2021

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 issue....


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On July 8, 2021

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 care...


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On May 20, 2021

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...


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On April 9, 2021

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...


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On February 2, 2021
Solving Value-Based Contract Modeling Riddles

Value-based care (VBC) changes the way payers and providers (ACOs, IPAs, etc.) contract with each other. The complexity of the...


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On January 27, 2021

Tags: Value Based Payments, Health Plans

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

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


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On December 8, 2020

Tags: Value Based Payments, Health Plans, SDOH

What to Expect from a Biden Presidency: VBC 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...


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On November 17, 2020

Tags: Value Based Payments, Health Plans

How Health Plans Can Use Cohort Management for Maximum Impact

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


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On November 6, 2020

Tags: Value Based Payments, Health Plans

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

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


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On October 29, 2020

Tags: Value Based Payments