Dive into the potential of Artificial Intelligence (AI) in the healthcare industry, exploring how AI enhances care through predictive analytics, personalized plans, and operational efficiency.
Delve into the world of value-based payments (VBP) in healthcare, examining its growth, the challenges faced, and the potential for future improvements. Explore how VBP is reshaping healthcare delivery and reimbursement.
An in-depth look at PACE (Program of All-Inclusive Care for the Elderly), its benefits, and its expanding footprint in the United States.
This blog delves into Alabama and Arkansas’ strategies towards Medicaid expansion. Understand the implications of adopting ‘private option’ models and their impacts on improving healthcare access.
Florida releases its Statewide Medicaid Managed Care Invitation to Negotiate, seeking to enhance the program’s effectiveness and efficiency. Read on for more details.
Health Affairs examined the characteristics of counties that experienced changes in insurers’ participation in the ACA Marketplaces from 2016 to 2021.
Humana released a report with details on three key areas of data—prevention, outcomes and utilization, and costs and payments—for Humana individual Medicare Advantage (MA) members seeking care from primary care physicians in value-based agreements.
Healthcare costs continue to be a barrier for seniors. In fact, over one in four seniors in America face high out-of-pocket costs and lack emergency funds to pay for healthcare services, according to a MedicareGuide.com survey
The 2019 Medicare Current Beneficiary Survey’s (MCBS) preliminary report was released with data on quality of care, access to care, and cost of care, among other topics.
Break Through Value Based Payments Part 10: Risk Capitation Pros and Cons THE VBP Blog Welcome back to THE VBP Blog Series. Continuing our drill-down into risk-sharing in Value Based Payments, in today’s blog we look at the capitation model. As the ever-challenging task of lowering healthcare costs continues to come to the forefront, organizations may look to capitation, which requires that providers take on the full financial risk for the care of their consumers. Do keep reading! It’s already shown success in California, where the state’s Regional Health Care Cost & Quality Atlas reveals the capitated-integrated model delivers on all the major VBP scores: 9% lower total cost of care, 14 points higher in quality, and $4,450 less in total cost of care… Read More »VBP Risk Capitation Pros and Cons