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value-based reimbursement

Joint ventures are gaining steam as health plans and providers look for new ways to work together.
Humana’s value-based reimbursement model with physicians has helped to improve care quality and health outcomes for its Medicare Advantage (MA) program members.
A recent survey suggests suggest a lack of access to appropriate commercial payer arrangements is causing health systems to explore alternatives.
Study shows that an integrated pharmacy approach with community mental health centers produces higher adherence rates and lower overall healthcare costs.
CMS just released the first Comprehensive Care for Joint Replacement (CJR) data feed. Find out what the preliminary results show.
As health systems and physician groups marshal resources to launch their own plans, they must consider whether they have the necessary building blocks to successfully make the leap, how integrated a model they will pursue and whether they will build, buy or partner strategy.
The transition to value-based payment has accelerated rapidly over the past two years, and payers and providers predict even more dramatic changes.
Healthcare organizations are looking for new ways to engage consumers, streamline information sharing and transparency and collaborate with other industry stakeholders. As a result, healthcare stakeholders need to focus on three key strategies.
Doug Chaet, senior vice president, Provider Networks and Value-Based Solutions at Independence Blue Cross, shares five strategies that can help providers succeed in value-based reimbursement models.
Here are three questions payers must ask to determine providers’ readiness to engage in risk-based reimbursement.