Value-based payment (VBP) contracts have been taking hold across the spectrum of payers. Unfortunately, COVID-19 will make it difficult for VBP contracts to be settled. At some interval (usually yearly), […]

The pressure to improve healthcare outcomes and reduce unnecessary use of healthcare resources weighs heavily on hospital and health system administrators working with tight margins. Success under value-based payment requires […]

New York is one of many states in the process of reforming the way it pays providers through a Delivery System Reform Incentive Payment (DSRIP) program. The goal is to […]

Value-based payment models are attracting attention for risk adjustment methodologies, especially HCC risk adjustment, which is used to calculate cost benchmarks for Medicare Advantage and other CMS payment models including […]

Political agreement across the aisle!  “What’s that?” you ask. Yes it is true that there is general agreement that healthcare payment in the U.S. has to transition from paying for […]

Following Medicare’s lead, New York State Medicaid has implemented requirements on health plans to rapidly increase the percentage of dollars being spent under value-based care arrangements. Not only will plans […]

Value-Based Payment (VBP) is top of mind for all who work with a Medicaid population in states across the U.S. Through its Delivery Service Reform Incentive Payment (DSRIP) Program and […]

Anyone who has renovated a home while living in it should relate to the challenges of shifting to value-based payment. It is takes time, money and grit to redesign a […]

Patients are becoming increasingly responsible for a greater proportion of their medical costs. The upfront share of premium payments, cost sharing at the point of care in the form of […]