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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...


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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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Tags: Health Plans

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...


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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...


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Tags: Value Based, Health Plans

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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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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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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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...


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Tags: Value Based Payments, Health Plans

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 unique...


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Tags: Value Based Payments, Health Plans

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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Tags: Value Based Payments, Health Plans

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...


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Tags: Value Based Payments, Health Plans

How Health Plans Can Take Value-Based Care 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...


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Tags: Value Based Payments, Health Plans

4 Steps to Transition to Prospective Payment Agreements

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


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Tags: Health Plans

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

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


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Tags: Value Based Payments, Health Plans, COVID 19