Value Based Care

Contributor: The Convergence of Value-Based Care and Lab Testing Growth

May 17th 2022, 5:15pm


Today, health plans are shifting dollars to more value-based contracts along with investments in population health management. Digitizing lab results across all care settings and unlocking the potential of lab values can help health plans reach the Triple Aim of improving the patient experience, improving the health of populations, and reducing the per-member cost of health care.

Physician Prices and Low-Value Services: Evidence From General Internal Medicine

May 12th 2022, 4:00pm


This study found extensive variation in general internal medicine physician prices and that high-priced physicians provided fewer low-value services but had higher spending on these services.

Assessing Surveillance Utilization and Value in Commercially Insured Patients With Colorectal Cancer

May 10th 2022, 1:00pm


Trends in surveillance testing after treatment for colorectal cancer remained relatively stable recently, and patients who overutilized surveillance measures had quicker recurrence detection but higher costs.

Taking Action Against the Rising Mental Health Crisis: Efforts From Health Plans, Congress, and More

May 10th 2022, 12:40pm


Marking Mental Health Awareness month, stakeholders involved in the delivery of behavioral health care services discuss current efforts underway—spearheaded by the novel 988 emergency hotline—to address the growing mental health crisis.

Integrating Analytics With High-Touch Pharmacy Care for Vulnerable Beneficiaries

May 8th 2022, 12:05pm


UPMC Health Plan, RxAnte, and Mosaic Pharmacy Services outlined how they are operating a value-based pharmacy care management program within Community HealthChoices, Pennsylvania’s managed Medicaid long-term services and supports (LTSS) program, at a recent conference.

End-of-Life Values and Value-Based Care

May 2nd 2022, 1:00pm


An editorial in response to the editor in chief’s December 2021 letter discusses evidence supporting the cost-effectiveness of an innovative advance care planning initiative.

Contributor: Helping Women of Color Achieve a Healthier Future

April 27th 2022, 6:43pm


To achieve health equity, experts from CVS Health discuss why we must invest in programs that improve access to health care for historically marginalized communities, address social determinants, boost health education, increase representation in all levels of health care delivery, widen access to clinical trial research, and more.

Nathan H. Walcker on Expectations for Stakeholders Attending Tampa IVBM Meeting

April 27th 2022, 4:36pm


Nathan H. Walcker, MBA, chief executive officer, Florida Cancer Specialists & Research Institute (FCSRI), discusses what guests can expect at the in-person Tampa meeting of The American Journal of Managed Care®'s Institute for Value-Based Medicine® (IVBM), co-hosted by FCSRI.

Dr Michael Diaz Previews In-person Tampa IVBM Meeting

April 26th 2022, 10:01pm


Michael Diaz, MD, president and managing physician, Florida Cancer Specialists & Research Institute, previews the Tampa meeting of The American Journal of Managed Care®'s Institute for Value-Based Medicine® (IVBM), cohosted by Florida Cancer Specialists & Research Institute.

Changes in Use of Low-Value Services During the COVID-19 Pandemic

April 22nd 2022, 4:00pm


Use of low-value care services during COVID-19 exhibits substantial heterogeneity but, on average, shows declines similar to the use of high-value services; low-value care use lags behind high-value care use in the rebound phase.