Tag Archives: value-based healthcare

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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IT strengthens payer–provider partnerships as Value-Based Reimbursement arrangements take hold

With new reimbursement models, changing regulatory dynamics and broad quality initiatives, providers and health plans are feeling the pressure to increase their focus on the value of health care services delivered for premium dollars. Risk is now being transferred from payers to providers, blurring the distinction between the two entities. Increasingly, both groups face the […]
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Using technology to drive business transformation

The challenges of today’s evolving health care climate will not be resolved with yesterday’s technology. For a payer organization to effectively compete and thrive in the current environment, it must replace outdated legacy platforms, aging ancillary systems and expensive, error-prone manual processes. Payers need next-generation, business-transforming technology that radically innovates and efficiently addresses business imperatives. […]
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Provider consumer engagement: A personalized approach

Value-based health care, health care consumerism and technological advances are redefining the health care value chain. As a result provider organizations need to place an emphasis on personalized engagement strategies to enhance patient satisfaction, change individuals’ behaviors and improve population health.