Tag Archives: value-based contracts

Who should make up the team that directs your move to accountable care?

As the U.S. health care system moves away from reimbursement models that reward volume and toward those that reward care coordination – traditional industry roles are blurring. • New #5in5 video: Fee for value requires revised relationships As this integration accelerates, organizations must build new governance structures that can provide strategic direction and accountability. That […]
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Lessons learned from payers aid in shift to value-based care.

As fee-for-value payment models replace fee-for-volume models, providers are more often managing medical costs and risk. These are roles once dominated by payers. As providers find themselves needing to analyze risk, they can learn from health plans, employers and other payers — and adopt some of the same tools they use. One tactic providers can […]
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Florida Medical Clinic scores new contracts after using analytics

In the move from fee-for-service to value-based health care a number of organizations are missing the target. I have seen several very good health care groups miss out on substantial value-based contracts because they could not take on the risks. The solution is to manage the risks through the utilization of analytics. Florida Medical Clinic, […]
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After promising results, Medicare will likely continue expanding risk-based contracting efforts

In our last blog post, we shared a few reasons why risk-based contracting in health care is here to stay. In this post, we’ll share some data points that point to current and future impacts on the industry, and a few suggestions to help you jump on the value-based train. The value-based train has left […]
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Health plans expanding risk-based contracting efforts

Are risk-based contracting arrangements between health insurers and providers here to stay? The answer can be summed up in three words: “Follow the money.” Health plans are investing in and paying for an increasing amount of care covered by risk-based contracts. And these contracts aren’t just with the obvious accountable care organizations (ACO) and patient-centered […]
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Data analytics optimize providers’ management of value-based contracts

Providers who manage value-based contracts are looking for ways to improve clinical outcomes and reduce costs. And they’re doing this by acquiring care management strategies and an ability to build better predictive risk models for high-risk populations. With a just small sliver of the U.S. population accounting for a bulk of health care costs, provider […]
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Risky business for providers: Developing a value-transformation roadmap

The ultimate goal for provider risk-bearing is to develop a system that focuses on local market needs and planning for patient engagement at all levels. To get there, organizations need a comprehensive, strategic value-transformation roadmap—our fifth and final risk-bearing action for provider organizations.