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As health plans continue the transition towards value-based payment models, the payer-provider relationship only continues to...

*Contributions for this blog post were provided by Rahul Lakhanpal, Chief of Staff at SpectraMedix and a second-year student in...

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

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

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

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

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

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...