Self-insured employers face legal challenges in adopting value-based models, including ERISA fiduciary duties, HIPAA restrictions, and antitrust concerns. Standardized data definitions and performance ...

On May 1, Valence Health will host a webinar on how healthcare providers can leverage their physician-hospital organization for value-based contracting. The webinar will be led by Aurora Branum ...

The ranks of healthcare execs and providers who see value-based payment contracts as detrimental to profits are swelling, a recent study from KPMG showed. The audit, tax and advisory firm surveyed 292 ...

Here’s how many hospitals and providers have inked value-based payment agreements with the five largest commercial U.S. insurers: 1. UnitedHealth Group had 1,100 hospitals and 110,000 physicians in ...

To succeed in value-based relationships, physicians need timely access to comprehensive information about attributed patients, ideally augmented by predictive and prescriptive analytics to identify ...

Value-based care was designed to deliver better outcomes, shared savings, and stronger payer-provider alignment. Yet in practice, contracts often stall under the weight of administrative complexity – ...

The goal in shifting from paying for volume to value-based care is simple: to align payers and healthcare providers around high-quality care that improves outcomes and lowers cost. Operationalizing ...

A new study released by FTI Consulting has found a disparity between payers and physicians when it comes to value-based payment models. Here are six statistics from the study. • 41 percent of primary ...

Shared savings programs are useful for nudging providers’ behavior toward value, but they aren’t a true payment model that can sustain a health system, according to one executive. “Shared savings ...

Value-based care has reached a turning point. Many providers and payers have the strategy but not the infrastructure to manage it. This playbook lays out a clear, practical path for scaling risk-based ...

BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, a Cotiviti business and pioneer in healthcare data interoperability, today announced the next generation of its Population Payment Management platform ...