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...
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...
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...
VBC Contracting: The Foundation for VBP Success for Health Plans
The number of value-based contracts across the healthcare industry is rapidly increasing, yet many health plans still...
Principles of Provider Enablement
View an updated version of this blog here.
Building a strong relationship with your provider network is the cornerstone of a...
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...
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...
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...
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...
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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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,...
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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...
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...
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...
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...
How a National Patient ID Could Impact Value-Based Care
National patient identification has been a hot topic since HIPAA was enacted in 1996, calling for the development of a...
How Health Plans Can Use SDoH Data to Succeed in Value-Based Care
COVID-19 has reignited the conversation regarding social determinants of health (SDoH) as certain minority groups are at a...
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The Value of Transparency in VBC Contracts
Physicians’ attitudes toward value-based care (VBC) have changed within the last four years. In 2016, the majority of...