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News and Insights Archive

Table of Experts: A conversation on health care  |  Memphis Business Journal
A discussion on value-based care between leaders in the local health care community.

Proposed direct-contracting model carries both risks and rewards  |  Modern HealthcareCancel
A new direct provider contracting model under consideration at CMS could potentially save providers billions, but could also threaten access to care for Medicare's frailest and low-income beneficiaries.

Insurers asked to standardize measures for ACOs  |  Managed Care
Catalyst for Payment Reform is proposing a standardized set of 50 ACO measures. Some of the country's largest purchasers are taking it to their health plans.

ACOs help docs stay independent  |  Modern Healthcare
To stay independent, physicians turn to ACOs.

ACOs shying away from downside risk  |  Modern Healthcare
Most Medicare ACOs are still risk-averse.  How successful Medicare ACOs are making the transition to risk.

Power Panel: Community connections key to addressing Population Health  |  Modern Healthcare
Population Health: Providers still struggling to build community connections.

Value-based health care needs clinical integration  |  Managed Care
Value-based care will flop without clinical integration.  Unified networks of providers are needed to pull off the much-talked about switch from volume to value.

ACOs will survive come what may  |  Managed Care
ACOs sit like Gibraltar in rough seas of change.  They are expected to survive and possibly even thrive no matter what form the health system takes under the Trump administration.

Aligning value-based payment metricsHealthcare Financial Management Association
Providers say reporting dozens - maybe even hundreds - of potentially conflicting metrics from government and commercial payers is a burden.  The idea of a one-size-fits-all, universal set of metrics may be unrealistic, so how can stakeholders find common ground?

An examination of the relationship between care management with coaching for activation and patient outcomes  |  The American Journal of Managed Care
This study investigates the benefits of a coaching for activation intervention and its associated outcomes.

Value-based contracting innovated Medicare Advantage healthcare delivery and improved survival  |  The American Journal of Managed Care
Elderly Medicare Advantage members with multiple chronic conditions attained a survival benefit from more cost-effective care when a private plan developed gainshare and monetary risk-bearing arrangements with its contracted providers.

Clinically Integrated Networks  |  Health Leaders
Improving value and care metrics through a clinically integrated network. Can a clinical standards-based infrastructure that pulls data from all participants finally get at the intersection of cost and quality?

Ready, Set, GO: Helping physicians move to value as MACRA begins [PDF]  |  The Journal of Healthcare Management
This columns addresses implications and challenges for hospitals and health systems, physicians and physician groups.

Population Health  |  Health Leaders
Healthcare leaders are committed to Population Health management, yet are cautiously moving forward to implement risk-based financial models.

CEO Power Panel: Are your physicians ready for reform?  |  Modern Healthcare
The shift to paying physicians under MACRA has system CEOs preparing for complications.