Minnetonka, Minn.-based UnitedHealthcare uses two types of value-based contracts, but Lee Newcomer, MD, senior vice president of oncology and genetics at the insurer, told AJMC one outperforms the ...
Here’s how many hospitals and providers have inked value-based payment agreements with the five largest commercial U.S. insurers: 1. UnitedHealth Group had 1,100 hospitals and 110,000 physicians in ...
Self-insured employers face legal challenges in adopting value-based models, including ERISA fiduciary duties, HIPAA restrictions, and antitrust concerns. Standardized data definitions and performance ...
The ranks of healthcare execs and providers who see value-based payment contracts as detrimental to profits are swelling, a recent study from KPMG showed. The audit, tax and advisory firm surveyed 292 ...
Just over three-quarters of health system and hospital C-suites say they plan to increase value-based care model participation within the next two years, up from the 57% who indicated similarly back ...
To succeed in value-based relationships, physicians need timely access to comprehensive information about attributed patients, ideally augmented by predictive and prescriptive analytics to identify ...
The goal in shifting from paying for volume to value-based care is simple: to align payers and healthcare providers around high-quality care that improves outcomes and lowers cost. Operationalizing ...
Shared savings programs are useful for nudging providers’ behavior toward value, but they aren’t a true payment model that can sustain a health system, according to one executive. “Shared savings ...
A new study released by FTI Consulting has found a disparity between payers and physicians when it comes to value-based payment models. Here are six statistics from the study. • 41 percent of primary ...
Value-based care has reached a turning point. Many providers and payers have the strategy but not the infrastructure to manage it. This playbook lays out a clear, practical path for scaling risk-based ...
The Oncology Institute specializes in outpatient oncology care, pharmacy dispensing, and clinical services, aiming to deliver more affordable and coordinated cancer care under value-based contracts.
While working at a Massachusetts hospital system a decade ago, Lisa Trumble encountered a patient who had visited the emergency room 400 times in just six months. Homeless and addicted to drugs, the ...
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