Medicare Spend Increases on Opioids and Antibiotics While Low-Value Care Spending Decreases
A new study by the RAND Corporation found that low-value care spending dropped from 2014 to 2018 for Medicare recipients.
How to Address Mental Health of Seniors with Value-Based Care
Managed Healthcare Executive released a report on how to address the mental health needs of seniors using a value-based care approach.
Alleviating Administrative Burdens While Striving to Reach Value-Based Care Goals
Recently, physicians reported that they are suffering from a work-life balance and that has only been exasperated by the COVID-19 pandemic. Physicians are reeling from long hours, bureaucracy, and burn out and transitioning from FFS to VBP is only adding to the burden.
Value-Based Payments Growth Trends…. Are You Ready?
Value-Based Payments Growth Trends…Are You Ready? THE VBP Blog We are exploring value-based growth trends this week. Current data shows Medicaid managed care programs using value-based payments programs have experienced steady growth over the past few years, 67% of Medicaid’s 74 million consumers are enrolled in some type of health plan and 55% of Medicaid budgets are going to health plan payments. Of all Medicaid MCO respondents, 93% utilized a value-based purchasing (VBP) or alternative payment model (APM), according to a survey done in 2020 by Medicaid Innovation. That is an increase of 14% since 2017. The survey covered 2019 data taken from Medicaid managed care organizations (MCOs), and the trend continues Enrollment Growth Trends Enrollment also continues to climb,… Read More »Value-Based Payments Growth Trends…. Are You Ready?
Payers Can Improve Care Management to Improve ROI
McKinsey & Company (McKinsey) recently released a report looking at the untapped potential of payer care management. McKinsey listed four actions for payers to take in order to achieve a broader vision for care management and improve ROI.
Blue Cross NC Launches Patient-Centered Kidney Care Value-Based Care Model
Blue Cross Blue Shield of North Carolina announced a new value-based care program designed to improve health outcomes for members with kidney disease. They aim to do this through patient-centered care.
Medicaid Challenges and Potential Reforms
At the 2021 AcademyHealth National Health Policy Conference, a panel was led by Rebekah Gee, MD, MPH with a look at the challenges that Medicaid faces
Humana to Start Serving Medicaid Managed Care and Dual Eligible Residents in South Carolina
The South Carolina Department of Health and Human Services (SCDHHS) recently added Humana Inc. to its Healthy Connections Medicaid program and its Healthy Connections Prime program.
Connected Health Initiative Creates VBP Task Force
Connected Health Initiative (CHI) announced the creation of a value-based care task force. The aim of this new task force is to identify the regulatory and legislative initiatives that are required to move value-based care forward using digital health tools.
American Academy of Orthopedic Surgeons Provides Value-Based Care Continuum
The American Academy of Orthopedic Surgeons (AAOS) recently provided a value-based care continuum that is designed to help orthopedic surgeons better navigate alternative payment models.