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 ...
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 ...
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 ...
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 ...
Blue Cross Blue Shield of Michigan’s new value-based contract with Corewell Health that locks in payment terms through 2030 could serve as a template for the state’s largest insurer to craft similar ...
DaVita (NYSE:DVA) reports its Integrated Kidney Care segment has reached profitability for the first time. The milestone ...
BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, a Cotiviti business and pioneer in healthcare data interoperability, today announced the next generation of its Population Payment Management platform ...
Value-based care models in oncology must be adaptable to balance quality, cost, and patient outcomes amid evolving clinical practices and cost structures. Advanced therapies complicate payment model ...
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 ...