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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

What Does Rural Mean?

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

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

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

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

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