What You Should Know: - Edward-Elmhurst Health (NS-EEH) has announced a significant, long-term partnership with Lumeris, a pioneer in value-based care (VBC). This partnership is a major development in the healthcare industry, representing the largest VBC provider deal since 2018. - With rising expenses outpacing reimbursement rates, health systems and physician organizations are increasingly turning to value-based care to avoid layoffs and service cuts. NS-EEH, the third largest healthcare
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Family Physicians with Value-Based Payment Models Relieve Burnout
What You Should Know: - Independent research reveals family physicians with 75% revenue derived from value-based payment models decrease burnout symptoms, according to a new study from Elation Health, and American Academy of Family Physicians (AAFP) Innovation Lab. - The goal of the study, conducted by surveying 10 primary care practices of varying sizes, was to identify specific barriers and innovations required for mainstream adoption of value-based payment (VBP) models and their
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Ventricle Health Secures $8M to Accelerate Value-Based Home Care Model for Heart Failure
What You Should Know: - Ventricle Health - a new national, virtual cardiology clinical reimagining cardiac care delivery - raises $8M in seed funding led by RA Capital and Waterline Ventures. - This company will used the seed funding to expand Ventricle Health’s heart failure management therapeutic model in collaboration with value-based care provider groups and payers, which can reduce the overall average annual cost of heart failure care by at least 30-50%. Virtual
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Will Value-Based Care Finally Fix EHRs Too?
In theory, electronic health records (EHRs) have the potential to transform the healthcare landscape. They were expected to provide a digital hub that would enable seamless communication and information sharing between providers, boost efficiency, improve the quality of care, and foster optimal patient and clinician experiences. The reality, unfortunately, has not matched the possibilities. While well-intentioned, the Federal Government’s 2011 Meaningful Use Mandate program—to
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Veradigm, On Belay Health Solutions Expand Value-Based Care Solutions to More Primary Care Practices
What You Should Know: - Veradigm Inc., a provider of healthcare data and technology solutions and On Belay Health Solutions announced a strategic collaboration to support primary care providers in improving patients’ health outcomes while strengthening their practices’ financial foundation. - The shift from a fee-for-service healthcare delivery model to a value-based care model has significantly changed the way healthcare is delivered and reimbursed in the United States. Veradigm’s
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The SDOH Reality Check: Coding, Claims and Value-Based Care
While the need to address social determinants of health (SDOH) is definitely not new, 2023 marks the first year SDOH is codified into national and statewide value-based payment program mandates. These mandates are designed to hold Managed Care Organizations (MCOs) and Accountable Care Organizations (ACOs) accountable. While the rollout of SDOH code sets across our healthcare ecosystem is one phase, alone it’s not enough. The next phases are even more critical: codes must be collected, used,
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Walgreens, Pearl Health Partner to Expand Value-Based Care Delivery
Walgreens, Pearl Health Partner to Expand Value-Based Care Delivery What You Should Know: - Walgreens and Pearl Health, a provider enablement company has announced a strategic partnership to accelerate the expansion of value-based care in collaboration with community-based primary care physicians. - Pearl Health offers technology and insight solutions that empower clinical teams to provide holistic, personalized treatment necessary for value-based, quality-focused care. -
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The Benefits of a Stand-Alone Care-Management Program
Poorly managed chronic conditions—most of which are related to lifestyle—cost employers $36.4 billion each year in the form of absenteeism and poor productivity. Add in coverage-related and other costs, and that number skyrockets to $575 billion. Coverage costs alone have increased by 47% over the previous ten years. Research shows that at-risk employees can benefit from care management programs that help them better maintain their chronic conditions, while employers benefit from lower
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Headspace & Intermountain’s Castell Form VBC Mental Healthcare Partnership
What You Should Know: - Headspace, a comprehensive digital mental healthcare provider, and Castell, Intermountain’s value-based care subsidiary, have signed a value-based care (VBC) mental health partnership designed to improve health outcomes through a personalized care experience for members. - The VBC mental health partnership will provide members with access to Headspace’s clinical offerings including their self-guided content, behavioral health coaching, and therapy in an
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CareFirst BlueCross BlueShield, Ryse Health Partner to Accelerate VBC for Diabetes Patients
What You Should Know: Today, CareFirst BlueCross BlueShield (CareFirst), the largest not- for-profit health plan in the mid-Atlantic region, and Ryse Health (Ryse), an operator of specialized cardiometabolic health clinics, announced a first of its kind quality improvement partnership serving individuals with uncontrolled type 2 diabetes in CareFirst’s commercial networks.The program will pair Ryse providers with CareFirst members in Washington, D.C., Maryland, and Northern
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