News & Studies
- National Expansion of Home Health Value-Based Purchasing Model estimated to create $6.3 Billion in savings over the next 10 years.
- In 2020, growth in Medicaid expenditures is projected to increase by 4.5%, which is mostly attributable to faster expected growth in both the net cost of insurance and Medicaid payment rates to providers compared to 2019, according to the CMS Office of the Actuary.
- From 2021 to 2023, Medicaid spending is projected to grow more rapidly, at 5.7%, on average.
- CMS projects that aggregate Medicare program payments to SNFs will increase by $750 million, or 2.2 percent, for FY 2021 compared to FY 2020.
Subscribe now to get trending topics, tips, and expert Value-Based Payment insights sent directly to your inbox
January 14, 2021
January 12, 2021
In somewhat of a surprise move, U.S. health care policymakers unveiled plans last week to expand the Home Health Value-Based Purchasing Model, a nine-state Medicare demonstration designed to better align reimbursement to quality of care.
January 11, 2021
According to a recent survey from BDO, the majority of health care financial leaders view home care as a key area of investment. The survey includes the responses of 100 CFOs at U.S. health care organizations.
January 10, 2021
January 8, 2021
The U.S. Department of Health and Human Services announced Friday that it is expanding the Home Health Value-Based Purchasing Model. First implemented in 2016, the model is currently active in just nine states
January 6, 2021
Some value-based care veterans believe the emerging direct-contracting models are inherently flawed, particularly the most recently unveiled “geographic” option.
January 3, 2021
December 31, 2020
Artificial intelligence supported payers’ strategies around industry goals such as value-based care, member engagement, and medication adherence.
December 31, 2020
In the finalized rule, CMS addressed two concerns that payers and other stakeholders had about the definition of value-based purchasing and implications for “best price” policies.
December 16, 2020
A Blue Cross and Blue Shield of North Carolina executive shares how the payer quickly shifted its membership toward value-based care agreements from 2019 through 2020.
December 10, 2020
“It’s important to us to provide support and resources for primary care groups that seek greater financial stability and wish to transition from fee-for-service to value-based care.”
December 9, 2020
Throughout the health care community, there is increasing recognition of the significant impact of social determinants of health (SDoH) on individual health and quality of life. Here are some of the most significant factors:
December 3, 2020
In the new Medicare value-based contracting model, participating organizations take on the full risk and receive payments based on outcomes.
December 3, 2020
The new regional model adds to a growing portfolio of direct contracting models, which test the “next evolution of risk-sharing arrangements,” according to CMS.
December 3, 2020
The contracts are complicated and full of risks for drug companies. But there’s also a risk to steering clear of the arrangements — reduced or restricted access to a company’s medication.
December 1, 2020
Home-based care company Prospero Health announced Tuesday it is expanding into
16 additional states to serve 8,000 new patients in 2021.
November 30, 2020
Georgia-based PatientBlox focuses on the value-based care space. Its blockchain technology platform is used to assist with the administrative side of healthcare, including data sharing and value-based payment models.
November 10, 2020
An analysis of the systems in Massachusetts, the Netherlands, Norway, and England reveals structural differences and variation in emphasis on programs used to effect value in care delivery.
November 25, 2020
The changes do not overhaul Medicaid managed care, but the alterations to network adequacy, beneficiary protection, quality measures, and payment deserve payers’ attention.
November 25, 2020
Health care organizations with VBP models have had greater flexibility to effectively pivot their care delivery. We outline three strategies for payers and providers to embrace health equity in VBP design and implementation.
November 24, 2020
With more families staying apart, home-based care providers are gearing up to make seniors feel as comfortable and connected as possible. And most of them bring years of companionship experience to the table.
November 19, 2020
Pharmaceutical companies developing therapies and vaccines for COVID-19 face a unique challenge—not only creating and testing products amidst a public health crisis, but balancing shareholder expectations with public distaste for reaping large profits in the middle of a pandemic.
November 19, 2020
The Managed Care Cast looks at the adjustments made to delivering care to patients in order to keep patients, families, and clinicians safe.
November 17, 2020
According to the latest Home Health Chartbook individual and clinical characteristics of home health patients continue to shift, reflective of both America’s aging population and providers’ ability to handle more acute cases.
November 13, 2020
Apixio’s artificial intelligence platform furthers Centene Corporations goal to bring innovation to healthcare and provide value-based care.
November 12, 2020
Overall, home health agencies created more than 2.22 million jobs in 2019, employing more than 1.51 million workers in the process. That workforce took home more than $49.52 billion in estimated total wages.
November 12, 2020
Industry experts share 5 challenges providers may encounter when switching from fee-for-service to capitation payments.
November 11, 2020
The COVID-19 public health emergency has driven transformation in the provision of primary care services across the country. Whether it’s the use of telehealth technology to facilitate “virtual visits” or the development of new treatment protocols.
November 10, 2020
First joint-venture between health system and health plan in the country set to enhance value-based care, streamline healthcare system experience.
November 9, 2020
In the midst of the in-home care M&A resurgence, Charter Healthcare Group has made a few moves of its own including its recent acquisitions of Heartwood Home Health & Hospice and Vitality Home Healthcare.