value-based care Archives - MedCity News https://medcitynews.com/tag/value-based-care/ Healthcare technology news, life science current events Tue, 26 Sep 2023 16:21:07 +0000 en-US hourly 1 https://wordpress.org/?v=6.3.1 https://medcitynews.com/uploads/2021/03/cropped-mblue-32x32.png value-based care Archives - MedCity News https://medcitynews.com/tag/value-based-care/ 32 32 40682243 Intermountain CEO: You Don’t Have To Be a Payvider to Reach Scale in VBC https://medcitynews.com/2023/09/intermountain-payvider-value-based-care/ https://medcitynews.com/2023/09/intermountain-payvider-value-based-care/#respond Tue, 26 Sep 2023 16:20:12 +0000 https://medcitynews.com/?p=649887 consumerism

The advancement of value-based care cannot and should not exist solely in a payvider model, Intermountain Health CEO Rob Allen argued in an interview last week. Having its own health plan made things “a little easier” when Intermountain began getting serious about at-risk contracts, but achieving success in value-based care “is more about your commitment to the approach” and forging strong relationships with payers of all types.

]]>
https://medcitynews.com/2023/09/intermountain-payvider-value-based-care/feed/ 0 649887
How MIPS Value Pathways will Prove the Value of Rehab Therapy https://medcitynews.com/2023/09/how-mips-value-pathways-will-prove-the-value-of-rehab-therapy/ https://medcitynews.com/2023/09/how-mips-value-pathways-will-prove-the-value-of-rehab-therapy/#respond Mon, 25 Sep 2023 05:29:10 +0000 https://medcitynews.com/?p=645648

As value-based care models take hold, the time is ripe for rehab therapists to position themselves as primary players in the movement toward delivering optimal quality and value in the broader healthcare ecosystem.

]]>
https://medcitynews.com/2023/09/how-mips-value-pathways-will-prove-the-value-of-rehab-therapy/feed/ 0 645648
HealthPartners Exec: The 5 Rules To Scale Value-Based Care in the Commercial Market https://medcitynews.com/2023/09/value-based-care-commercial-market/ https://medcitynews.com/2023/09/value-based-care-commercial-market/#respond Wed, 20 Sep 2023 21:02:10 +0000 https://medcitynews.com/?p=649362 consumerism

The commercial market has struggled to adopt value-based care, but HealthPartners has had some success, according to Mark Hansberry, senior vice president and chief marketing officer of the company. During a conference, he shared five rules for scaling value-based care, including creating trust and providing real-time data.

]]>
https://medcitynews.com/2023/09/value-based-care-commercial-market/feed/ 0 649362
Breaking Through Gridlock in the Mental Health Care System https://medcitynews.com/2023/09/breaking-through-gridlock-in-the-mental-health-care-system/ https://medcitynews.com/2023/09/breaking-through-gridlock-in-the-mental-health-care-system/#respond Tue, 19 Sep 2023 21:06:31 +0000 https://medcitynews.com/?p=645210

For the gridlock in mental healthcare to be resolved, 100% of mental healthcare providers must practice measurement-based care, utilizing validated rating scales to monitor and measure longitudinal outcomes for every patient. And payers then must offer reimbursement that appropriately rewards providers for delivering high-quality, effective care, and incentivize proactive mental health management.

]]>
https://medcitynews.com/2023/09/breaking-through-gridlock-in-the-mental-health-care-system/feed/ 0 645210
CardioOne Secures $8M, Expands Cardiology Enablement Platform into New Markets https://medcitynews.com/2023/09/cardiology-value-based-care-funding-expansion/ https://medcitynews.com/2023/09/cardiology-value-based-care-funding-expansion/#respond Mon, 18 Sep 2023 16:45:21 +0000 https://medcitynews.com/?p=648948 Charity, care, cost, expense

CardioOne, a startup built at Redesign Health, partners with independent cardiology practices to help them transition to value-based care. On Monday, the company announced it has raised $8 million in seed funding and has three new partners.

]]>
https://medcitynews.com/2023/09/cardiology-value-based-care-funding-expansion/feed/ 0 648948
Walgreens, Pearl Health Strike Strategic Partnership To Advance Value-based Care https://medcitynews.com/2023/09/walgreens-pearl-health-strike-strategic-partnership-to-advance-value-based-care/ https://medcitynews.com/2023/09/walgreens-pearl-health-strike-strategic-partnership-to-advance-value-based-care/#respond Tue, 12 Sep 2023 22:22:56 +0000 https://medcitynews.com/?p=648387

Through a new partnership with Walgreens, Pearl Health will work with primary care providers by offering its technology and data insights to help them better their care and transition to value-based payment models. Walgreens is then providing prescription fulfillment, medication adherence, immunization and diagnostic testing services.

]]>
https://medcitynews.com/2023/09/walgreens-pearl-health-strike-strategic-partnership-to-advance-value-based-care/feed/ 0 648387
Two Value-Based Care Initiatives That Could Shift the Alternative Payment Model Landscape [Sponsored] https://medcitynews.com/2023/09/two-value-based-care-initiatives-that-could-shift-the-alternative-payment-model-landscape/ https://medcitynews.com/2023/09/two-value-based-care-initiatives-that-could-shift-the-alternative-payment-model-landscape/#respond Wed, 06 Sep 2023 11:30:43 +0000 https://medcitynews.com/?p=646152 Dementia or brain damage and injury as a mental health and neurology medical symbol with a thinking human organ made of crumpled paper torn in pieces as a creative concept for alzheimer disease.

The Centers for Medicare and Medicaid Services has announced two value-based care alternative payment models set to launch in July 2024, one focused on dementia and one on primary care.

]]>
https://medcitynews.com/2023/09/two-value-based-care-initiatives-that-could-shift-the-alternative-payment-model-landscape/feed/ 0 646152
What Do Value-Based Care Startups Need to Do to Attract Investors? https://medcitynews.com/2023/09/value-based-care-startup-healthcare/ https://medcitynews.com/2023/09/value-based-care-startup-healthcare/#respond Fri, 01 Sep 2023 16:03:52 +0000 https://medcitynews.com/?p=647343

As the value-based care market gets more crowded, startups in this space will have to nail down the fundamentals in order to attract capital from investors, healthcare business expert Paul Campbell said during a virtual conference. He encouraged startups to be crystal clear about what their value proposition is for three main stakeholders — patients, providers and payers.

]]>
https://medcitynews.com/2023/09/value-based-care-startup-healthcare/feed/ 0 647343
Intermountain’s Value-based Subsidiary Selects Headspace for Mental Health Support https://medcitynews.com/2023/08/mental-health-value-based-care/ https://medcitynews.com/2023/08/mental-health-value-based-care/#respond Thu, 31 Aug 2023 20:19:03 +0000 https://medcitynews.com/?p=647280 consumerism

Through a new partnership, Castell will be able to refer members of its Utah health plan customers to Headspace for behavioral health coaching and therapy.

]]>
https://medcitynews.com/2023/08/mental-health-value-based-care/feed/ 0 647280
Report: Many Employers, Consumers Don’t Understand Value-based Care https://medcitynews.com/2023/08/employers-consumers-value-based-care/ https://medcitynews.com/2023/08/employers-consumers-value-based-care/#respond Mon, 28 Aug 2023 22:45:59 +0000 https://medcitynews.com/?p=646758 consumerism

Although many employers and consumers don’t understand the difference between value-based care and fee-for-service, most are in favor of value-based care after being given the definition, a new survey found.

]]>
https://medcitynews.com/2023/08/employers-consumers-value-based-care/feed/ 0 646758
CMS: Medicare Shared Savings Program Saved Medicare $1.8B in 2022 https://medcitynews.com/2023/08/cms-medicare-shared-savings-program/ https://medcitynews.com/2023/08/cms-medicare-shared-savings-program/#respond Thu, 24 Aug 2023 21:20:34 +0000 https://medcitynews.com/?p=646386

For the sixth year in a row, the Medicare Shared Savings Program created overall savings, CMS announced. When compared to clinician groups of a similar size not participating in the program, participating ACOs performed better on quality measures, including measures for diabetes, breast cancer and colorectal cancer screenings, tobacco screenings and depression screenings.

]]>
https://medcitynews.com/2023/08/cms-medicare-shared-savings-program/feed/ 0 646386
Why 2 CEOs Are Clamoring For New Primary Care Payment Models https://medcitynews.com/2023/08/vbc-primary-care-healthcare/ https://medcitynews.com/2023/08/vbc-primary-care-healthcare/#respond Thu, 17 Aug 2023 21:20:15 +0000 https://medcitynews.com/?p=645720 consumerism

Fee-for-services payment models in the primary care ecosystem are doing a poor job of keeping Americans healthy and reducing the nation’s massive amount of healthcare spending, two CEOs of primary care companies said during a recent webinar. They argued that stakeholders in the primary care space need to come together to support more value-based care arrangements to reduce costs, advance population health and improve the patient experience.

]]>
https://medcitynews.com/2023/08/vbc-primary-care-healthcare/feed/ 0 645720
Cancer Moonshot: Would It Even Be Possible in Today’s Fee-For-Service World? https://medcitynews.com/2023/08/cancer-moonshot-would-it-even-be-possible-in-todays-fee-for-service-world/ https://medcitynews.com/2023/08/cancer-moonshot-would-it-even-be-possible-in-todays-fee-for-service-world/#respond Fri, 11 Aug 2023 21:37:03 +0000 https://medcitynews.com/?p=641727

CMS’ Enhancing Oncology Model and Cancer Moonshot are the forcing functions to achieve value-based care in oncology. In the spirit of working together to improve lives, this is a MUST for physicians to consider–before they get left behind.

]]>
https://medcitynews.com/2023/08/cancer-moonshot-would-it-even-be-possible-in-todays-fee-for-service-world/feed/ 0 641727
Patient Engagement Is Key to the Success of Value-Based Care Programs https://medcitynews.com/2023/08/patient-engagement-is-key-to-the-success-of-value-based-care-programs/ https://medcitynews.com/2023/08/patient-engagement-is-key-to-the-success-of-value-based-care-programs/#respond Fri, 11 Aug 2023 16:59:57 +0000 https://medcitynews.com/?p=641709 patient engagement

While greater operational efficiency and cost control are essential to the success of VBC initiatives, so too is patient engagement. Care coordination and care management are far more difficult – and far less likely to achieve optimal outcomes – without patients who are fully engaged with their providers.

]]>
https://medcitynews.com/2023/08/patient-engagement-is-key-to-the-success-of-value-based-care-programs/feed/ 0 641709
Babylon Shuts Down US Operations After Rescue Merger Falls Apart https://medcitynews.com/2023/08/babylon-telehealth-layoffs/ https://medcitynews.com/2023/08/babylon-telehealth-layoffs/#respond Thu, 10 Aug 2023 19:21:19 +0000 https://medcitynews.com/?p=644925

This week, virtual care company Babylon Health permanently closed its U.S. operations and laid off 94 employees. The news came after the company’s rescue merger fell apart — Babylon had planned to go private through a deal with Swiss digital therapeutics firm MindMaze and Babylon creditor AlbaCore Capital.

]]>
https://medcitynews.com/2023/08/babylon-telehealth-layoffs/feed/ 0 644925
Healthcare M&A Activity Reaches 3-Year Low, But It Might Pick Up in the Back Half of ‘23 https://medcitynews.com/2023/08/healthcare-deals-investment/ https://medcitynews.com/2023/08/healthcare-deals-investment/#respond Wed, 09 Aug 2023 19:48:11 +0000 https://medcitynews.com/?p=644772

M&A activity in the healthcare sector continued to decline in the second quarter of 2023, with the number of deals reaching its lowest point in three years. However, a new report predicted that M&A activity could increase in the second half of this year due to healthcare companies’ continually shrinking valuations and their divestitures of non-core assets.

]]>
https://medcitynews.com/2023/08/healthcare-deals-investment/feed/ 0 644772
Prescribing Change for the Impact Pharmacists Can Make in Healthcare https://medcitynews.com/2023/08/prescribing-change-for-the-impact-pharmacists-can-make-in-healthcare/ https://medcitynews.com/2023/08/prescribing-change-for-the-impact-pharmacists-can-make-in-healthcare/#respond Tue, 01 Aug 2023 19:49:53 +0000 https://medcitynews.com/?p=640650

Even as value-based care finds its footing and expands further, team-based approaches to care delivery incorporating pharmacists as crucial connections are already bearing results—helping provider organizations achieve 5-star CMS ratings for medication adherence, driving down costs, and driving up the quality of life for patients.

]]>
https://medcitynews.com/2023/08/prescribing-change-for-the-impact-pharmacists-can-make-in-healthcare/feed/ 0 640650
A New Approach to Value-Based Care: Diagnostically Connecting Data and Diagnoses https://medcitynews.com/2023/06/a-new-approach-to-value-based-care-diagnostically-connecting-data-and-diagnoses/ https://medcitynews.com/2023/06/a-new-approach-to-value-based-care-diagnostically-connecting-data-and-diagnoses/#respond Wed, 28 Jun 2023 00:07:11 +0000 https://medcitynews.com/?p=637597 present

The traditional transactional approach to the coding of diagnoses to support billing in a fee-for-service environment is not adequate to meet the care requirements of VBC programs.

]]>
https://medcitynews.com/2023/06/a-new-approach-to-value-based-care-diagnostically-connecting-data-and-diagnoses/feed/ 0 637597
Aledade Rakes in $260M for Primary Care Network https://medcitynews.com/2023/06/primary-value-care-funding-financing/ https://medcitynews.com/2023/06/primary-value-care-funding-financing/#respond Sun, 25 Jun 2023 13:34:56 +0000 https://medcitynews.com/?p=639360

Aledade’s $260 million financing round was led by Lightspeed Venture Partners, a new investor of the company. It also included participation from Venrock, Avidity Partners, OMERS Growth Equity and Fidelity Management and Research Company.

]]>
https://medcitynews.com/2023/06/primary-value-care-funding-financing/feed/ 0 639360
CMS Tests New Primary Care Model in 8 States https://medcitynews.com/2023/06/cms-tests-new-primary-care-model-in-8-states/ https://medcitynews.com/2023/06/cms-tests-new-primary-care-model-in-8-states/#respond Sun, 11 Jun 2023 13:38:39 +0000 https://medcitynews.com/?p=637756

The Making Care Primary Model will be tested by the Center for Medicare and Medicaid Innovation from July 1, 2024, to December 31, 2034, in Colorado, Massachusetts, Minnesota, New Jersey, New Mexico, New York, North Carolina and Washington.

]]>
https://medcitynews.com/2023/06/cms-tests-new-primary-care-model-in-8-states/feed/ 0 637756
Syntax Health Launches Solution To Streamline Value-based Care Contracts https://medcitynews.com/2023/06/value-based-care-contracting-payers-providers/ https://medcitynews.com/2023/06/value-based-care-contracting-payers-providers/#respond Fri, 09 Jun 2023 17:30:09 +0000 https://medcitynews.com/?p=637684 consumerism

Syntax Health’s new two-sided software-as-a-service solution allows payers and providers (as well as actuaries, network managers and analysts) to collaborate in creating a value-based contract.

]]>
https://medcitynews.com/2023/06/value-based-care-contracting-payers-providers/feed/ 0 637684
Upperline Health Snags $58M for Its Network of Value-Based Specialty Care Clinics https://medcitynews.com/2023/06/value-based-care-venture-capital-physician-specialty/ https://medcitynews.com/2023/06/value-based-care-venture-capital-physician-specialty/#respond Wed, 07 Jun 2023 21:11:28 +0000 https://medcitynews.com/?p=637453

Upperline Health, a provider network focused on value-based specialty care, recently raised $58 million. The startup identifies patients who are seeing specialists four or more times a year and provides them with an interdisciplinary care team that treats them at a clinic, in their home or via phone.

]]>
https://medcitynews.com/2023/06/value-based-care-venture-capital-physician-specialty/feed/ 0 637453
Yuvo Health Rakes In $20.2M to Help FQHCs Thrive in Value-Based Care Models https://medcitynews.com/2023/06/vbc-fqhc-healthcare-investment/ https://medcitynews.com/2023/06/vbc-fqhc-healthcare-investment/#respond Wed, 07 Jun 2023 12:00:00 +0000 https://medcitynews.com/?p=637273

Yuvo Health — a startup focused on enabling value-based care at FQHCs — recently raised $20.2 million in Series A funding. The company is using the money to expand its reach from New York to Ohio.

]]>
https://medcitynews.com/2023/06/vbc-fqhc-healthcare-investment/feed/ 0 637273
Why One Analyst Is Encouraged by Healthcare IT’s Fundraising Rebound https://medcitynews.com/2023/06/healthcare-fundraising-software-venture-capital/ https://medcitynews.com/2023/06/healthcare-fundraising-software-venture-capital/#respond Thu, 01 Jun 2023 20:59:53 +0000 https://medcitynews.com/?p=636673

Healthcare IT companies experienced a bounceback in venture capital deal activity during Q1 of 2023. Rebecca Springer, PitchBook ’s lead healthcare analyst, said she is optimistic that healthcare IT startups will be able to keep this momentum going, especially those focused on staffing and value-based care enablement.

]]>
https://medcitynews.com/2023/06/healthcare-fundraising-software-venture-capital/feed/ 0 636673
Strive Health Rakes In $166M for Value-based Kidney Care https://medcitynews.com/2023/05/funding-financing-kidney-disease/ https://medcitynews.com/2023/05/funding-financing-kidney-disease/#respond Wed, 31 May 2023 19:06:39 +0000 https://medcitynews.com/?p=636478

Strive Health’s $166 million funding round was led by NEA and included participation from CVS Health Ventures, CapitalG, Echo Health Ventures, Town Hall Ventures, Ascension Ventures and Redpoint. In total, the company has raised more than $400 million.

]]>
https://medcitynews.com/2023/05/funding-financing-kidney-disease/feed/ 0 636478
Providers Need to Commit to VBC Sooner Rather Than Later, Experts Agree https://medcitynews.com/2023/05/healthcare-value-based-care-fee-for-service-hospital/ https://medcitynews.com/2023/05/healthcare-value-based-care-fee-for-service-hospital/#respond Tue, 23 May 2023 04:32:15 +0000 https://medcitynews.com/?p=635599

Experts argued that value-based care is here to stay and will play a major role in the future of healthcare during MedCity’s Invest conference in Chicago. A panel of four agreed that the success of value-based care depends on organizational commitment — it’s a quixotic mistake to think these alternative payment models can gain traction overnight.

]]>
https://medcitynews.com/2023/05/healthcare-value-based-care-fee-for-service-hospital/feed/ 0 635599
As Workforce Shortages Intensify, CMS’ Value-based Care Ambitions Hang in the Balance https://medcitynews.com/2023/05/as-workforce-shortages-intensify-cms-value-based-care-ambitions-hang-in-the-balance/ https://medcitynews.com/2023/05/as-workforce-shortages-intensify-cms-value-based-care-ambitions-hang-in-the-balance/#respond Fri, 05 May 2023 17:17:29 +0000 https://medcitynews.com/?p=630867 consumerism

Absent the ability to bolster their ranks with more clinicians, what rural health centers need first and foremost to shift to value are technologies that amplify their clinical capacity without further burdening and burning out their core staff.

]]>
https://medcitynews.com/2023/05/as-workforce-shortages-intensify-cms-value-based-care-ambitions-hang-in-the-balance/feed/ 0 630867
Kaiser Permanente to Acquire Geisinger, Along with 5-6 More Health Systems in the Near Future https://medcitynews.com/2023/04/kaiser-permanente-acquire-geisinger-hospital-merger/ https://medcitynews.com/2023/04/kaiser-permanente-acquire-geisinger-hospital-merger/#respond Wed, 26 Apr 2023 21:56:23 +0000 https://medcitynews.com/?p=632598

Kaiser Permanente announced that it expects to acquire Pennsylvania-based Geisinger Health. Kaiser’s move is part of a larger plan — Geisinger will be the first health system to join Risant Health, a new company Kaiser launched to operate nonprofit health systems under value-based care models. Kaiser said it expects to invest $5 billion in Risant and fold five or six health systems into the company over the next five years.

]]>
https://medcitynews.com/2023/04/kaiser-permanente-acquire-geisinger-hospital-merger/feed/ 0 632598
Leverage Analytics and Technologies to Improve Quality of Care [Sponsored] https://medcitynews.com/2023/04/leverage-analytics-and-technologies-to-improve-quality-of-care/ https://medcitynews.com/2023/04/leverage-analytics-and-technologies-to-improve-quality-of-care/#respond Wed, 26 Apr 2023 20:32:28 +0000 https://medcitynews.com/?p=632442

MedCity News connected with Global Health Leader at EY, Aloha McBride, to share details on the company’s upcoming survey on what consumers are looking for in value-based care.

]]>
https://medcitynews.com/2023/04/leverage-analytics-and-technologies-to-improve-quality-of-care/feed/ 0 632442
VBC Won’t Save Safety Net Hospitals, Experts Say https://medcitynews.com/2023/04/vbc-safety-net-hospitals-value-based-care/ https://medcitynews.com/2023/04/vbc-safety-net-hospitals-value-based-care/#respond Mon, 24 Apr 2023 21:50:33 +0000 https://medcitynews.com/?p=632292

A shift from fee-for-service payment models to value-based models is not an effective way to address the severe financial pressures that safety net hospitals are facing, experts argued at the HIMSS conference in Chicago. One called for a paradigmatic shift “away from cost savings and toward understanding where investments are needed.”

]]>
https://medcitynews.com/2023/04/vbc-safety-net-hospitals-value-based-care/feed/ 0 632292