Value Based Care

Contributor: Improving Utilization Management Can Better Outcomes, Cut Costs in Cardiovascular Care

September 18th 2022, 12:00pm

Article

Russell Rotondo, MD, FACC, medical director of clinical strategy and innovation for cardiology at Cohere Health, discusses the myriad positive ways utilization management programs can have an impact on patient outcomes in cardiovascular care.

Value-Based Payment, the Safety Net, and Rethinking Risk

August 2nd 2022, 1:00pm

Article

Safety-net providers can benefit from demonstrations of condition-specific and defined-scope-of-practice alternative payment models that account for the nonfinancial as well as financial risks that providers face.

Horizon Model Makes Behavioral Health the "Quarterback" in Chronic Care Management

July 20th 2022, 12:05pm

Article

Stakeholders from Horizon Blue Cross Blue Shield of New Jersey discuss new ways to address management gaps for chronic behavioral health conditions, including a new integrated care model that puts community behavioral health providers in charge of overall care.

Integrated Primary Care Effective for Patients With Severe COPD With No Increase in Costs

July 19th 2022, 10:20pm

Article

An integrated primary care service may improve the health status of patients with severe chronic obstructive pulmonary disease (COPD) without increasing health care costs, according to a recent study.

Evaluating Value-Based Contracting in Behavioral Health: A Q&A With Vanessa Bobb, MD, PhD, FAPA

July 5th 2022, 12:40pm

Article

At AHIP 2022, Vanessa Bobb, MD, PhD, FAPA, vice president of Behavioral Health & Medical Integration at CDPHP, moderated a session on real-world study findings showcasing cost and quality benefits of value-based contracting in behavioral health. Bobb discusses findings of the study and how value-based programs can be better leveraged in mental health and substance abuse care.

Panel Calls for Integrated Care, Physician Training to Combat Rising Mental Health and Addiction Epidemic

July 4th 2022, 12:20pm

Article

Integrating primary care with behavioral health services, improving provider training on mental health, and policy changes were all noted as strategies to combat the rising mental health and substance abuse epidemic during a keynote session at AHIP 2022.

FCS’ Walcker Outlines His Hopes for Successor Model to OCM

July 1st 2022, 1:20pm

Video

In the second of 2 parts, Nathan H. Walcker, MBA, CEO of Florida Cancer Specialists & Research Institute (FCS), discusses what he’d like value-based care to look like going forward. CMS ended the Oncology Care Model (OCM) yesterday after 6 years and has invited practices to apply for a successor model, the Enhancing Oncology Model.

FCS’ Walcker Explains Value-Based Cancer Care

June 30th 2022, 6:39pm

Video

In the first of 2 parts, Nathan H. Walcker, MBA, CEO of Florida Cancer Specialists & Research Institute (FCS), discusses the future of value-based care for the practice as the Oncology Care Model comes to an end today. This week, CMS announced it will launch a successor model.

Value-Based Frameworks Can Help Transform Kidney Care Delivery

June 29th 2022, 1:20pm

Article

The utility of value-based frameworks for payers, providers, and those involved in kidney care delivery was addressed during a session at AHIP 2022.

Dr Ravi Parikh Offers Solutions to Barriers During Shift From Fee-for-Service to APMs

June 10th 2022, 6:46pm

Video

Designing rational spending targets and having small sample sizes are 2 main challenges payers and partners face in the shift toward alternative payment models (APMs), said Ravi B. Parikh, MD, MPP, assistant professor of medical ethics and health policy, assistant professor of medicine, University of Pennsylvania.