New at CMS: Advancing Chronic Care with Effective, Scalable Solutions Model tests an outcome-aligned payment approach designed to give people with Original Medicare new options to improve their health and prevent and manage chronic disease with technology-supported care.
Read More
By Chris Lally – Over time, lawmakers, payers, and clinicians recognized that misaligned incentives produced waste, clinician fatigue, and uneven results. Value-based care (VBC) reshapes the equation by tying payment to quality, equity, and cost control. But how do you get there?
Our annual predictions for 2025 continue with VBC. Throughout the next few weeks we will be asking the industry experts what they think we will see in 2025. Check back as we cover interoperability, virtual care, and how AI will impact healthcare finance, security, RCM, and clinical issues.
By Eric Demers – With more than half of patients using a health plan’s provider directory to select a physician, incorrect physician information has quietly become one of the biggest barriers to treatment. Value-based care is supposed to optimize patient outcomes, but that’s tough to do when patients can’t find the appropriate healthcare services.
By Justin Barnes & Greg Fulton – Explaining new CMS policy allowing concurrent CCM and RPM billing for qualified patients, and examination of how chronic care dominates healthcare spending and the opportunity to embark on value-based care revenue streams through MIPS and ACO programs.
By Ram Krishnan – As part of a broader movement across healthcare to improve patient outcomes while reducing costs, behavioral health has seen a shift toward value-based care incentivizing providers to deliver high-quality and efficient care by linking payment to patient health outcomes.
By Matt Fisher – Value based care has become an evergreen topic in healthcare circles with the accompanying message that value based care will transform healthcare. Is that transformation happening? Is the value based care discussion stagnating or getting stuck on certain concepts?
By Misty Graham – Key stakeholders in the healthcare industry, including health plans, clinical data registries, and accountable care organizations, must collaborate to improve health outcomes, enhance patient experiences, manage chronic diseases, and provide better access to care while keeping costs low.
By Lynn Carroll & David Wolf – The fundamental goal of value-based care (VBC) is to improve patient health outcomes by prioritizing preventive care and wellness, thereby reducing overall healthcare spending through better management of costly chronic diseases.