What You Should Know: - Humana Inc. (NYSE: HUM) and kidney care provider Strive Health announced today a new multi-state, value-based care agreement for kidney care to more Medicare Advantage members. - This expanded value-based kidney care partnership extends access to Strive's innovative kidney care model to Humana Medicare Advantage HMO and PPO plan members living with chronic kidney disease (CKD) and end-stage kidney disease (ESKD) across five states. Transforming Kidney Care
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Only 37% of Medical Practices Receive Value-Based Care Payments, Black Book Survey Reveals
What You Should Know: - While the shift towards value-based care (VBC) is underway, a recent Black Book survey reveals that only 37% of medical practices are currently receiving payments from upside-risk arrangements and shared savings, while 12% receive payments from full risk. - This leaves a significant portion, over 50%, still relying on traditional Fee-For-Service models. Healthcare Providers Seek Guidance in VBC Transition The survey also highlights the increasing demand for
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Strive Health, Medical Mutual Partner to Bring Value-Based Kidney Care to Ohioans
What You Should Know: - Strive Health, the national leader in value-based kidney care, and Medical Mutual, one of the largest Ohio-based health insurance companies, announced a new value-based kidney care partnership. - The strategic collaboration aims to deliver value-based kidney care to eligible members with chronic kidney disease (CKD) and end-stage kidney disease (ESKD) across all lines of business, including Medicare Advantage, individual, and commercial group health
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Demystifying VBC Contracting: Key Considerations for Quality & Data Success
In the ongoing transition to value-based care (VBC), provider contracting poses challenges for health plans and providers. In my past role as the VP of Quality at a large health plan, I was part of the team that reviewed provider contracts that included risk around quality. Adding my role to the review process reduced the frustration of the Network and Quality teams because I could identify the reporting requirements that the health plan couldn't meet and create alignment with measure
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Medical Home Network Expands Value-Based Care Reach with 64 FQHCs in New ACOs
What You Should Know: - Medical Home Network (MHN), a leader in transforming care in the safety net, announced today its partnership with 64 federally qualified health centers (FQHCs) across seven states. These FQHCs will participate in two key CMS value-based care programs: ACO REACH and MSSP (Medicare Shared Savings Program). - This expansion comes on the heels of an impressive achievement by existing MHN partners: $10.1M in gross savings and a perfect quality score in the 2022
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Elevating Healthcare Through Risk Stratification: Lessons from North Carolina’s Value-Based Initiatives
As the healthcare landscape continues to evolve, there's a clear trend towards value-based care (VBC). This significant shift, which places a premium on patient health outcomes, diverges from the traditional fee-for-service approach. The aftermath of the COVID-19 pandemic has mainly catalyzed the adoption of VBC models, highlighting the importance of care quality and effectiveness rather than the sheer volume of services. This change reshapes healthcare, aligning it more closely with patient
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ApolloMed & BASS Medical Partner to Transform Value-Based Care in Northern California
What You Should Know: - Apollo Medical Holdings (NASDAQ: AMEH), a provider-centric healthcare company, and BASS Medical Group, one of the largest multi-specialty medical groups in the Greater San Francisco Bay Area, announced today a strategic partnership aimed at revolutionizing value-based care in Northern California. - The strategic alliance between ApolloMed and BASS Medical Group promises to significantly impact the healthcare landscape in California. Bolstering Value-Based Care
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iPN and Lumeris Join Forces to Boost Value-Based Care
What You Should Know: - In a move to improve healthcare delivery and patient outcomes in the Denver metro area, Integrated Physician Network (iPN) and Lumeris announced a strategic partnership today. - The iPN and Lumeris partnership marks a significant step forward for value-based care in Denver. By combining their resources and expertise, these two organizations are poised to deliver high-quality, patient-centered healthcare to the communities they serve. This collaboration is a
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M&A: General Catalyst’s HATCo to Acquire Summa Health
What You Should Know: - Akron-based Summa Health and General Catalyst's Health Assurance Transformation Corporation (HATCo) have announced a planned acquisition that promises to reshape healthcare delivery in the region. - This strategic acquisition marks the beginning of a long-term journey to create a more proactive, affordable, and equitable healthcare system for the Greater Akron community. A Vision for a Healthier Future Summa Health, a large, integrated healthcare system, and
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Hospitals Show Signs of Recovery, But Growth Strategies Crucial for 2024 Success
What You Should Know: - A glimmer of hope shines through for hospitals, according to November data from Kaufman Hall's National Hospital Flash Report points to ongoing stabilization and even growth. - While the scars of the pandemic and economic challenges remain, key indicators suggest gradual recovery, with operating margins edging up and revenue streams climbing. Margins on the Rise, Though Gap Between Performers Persists The median calendar year-to-date operating margin index for
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