value-based
publication date
Innovation
PCORI Awards More Than $200M for Innovative Projects
The awards target several pain points in healthcare, including chronic care management, senior care, and care for children with complex...
Technology
NLP Tech Can Help Providers Address Social Drivers of Health
Researchers have developed algorithms that can scrub EHR notes for references to specific social factors, giving providers the data they...
Technology
CMS Eyes Expedited Pathway to Medicare Coverage of Innovative Tech
The proposed Transitional Coverage for Emerging Technologies (TCET) pathway is designed to facilitate Medicare coverage for new treatments that usually...
Payer
4 Key Features from the Elevance Value-Based Care Playbook
How Elevance Health offers added support for leading providers who take on downside risk.
Payer
Are We Any Closer To VBID-X?
Yes and no, but keep an eye on CMS' growing Value-Based Insurance Design model.
Payer
Spotlight: Healthfirst's unique approach to Value-Based Insurance Design
The payer is one of only two Medicare Advantage plans focused solely on social drivers of health in its CMS...
Payer
Medicare Advantage in the Hot Seat: Challenges and Opportunities Part 1
The first look at a preview of HealthLeaders Payer Week, five days of in-depth coverage and exclusive interviews.
Finance
Retailers Are After Your Business: Time to Act
Providers are navigating the uncertain waters of retail disruption's continuing growth in the healthcare space, forcing hospitals to compete or...
Payer
The Exec: Bolstering Value-Based Primary Care with Blue Cross' Ashley Yeats
The vice president of medical operations speaks on the health plan's addition of three physician groups participating in its value-based...
Revenue Cycle
GI Docs Rail Against UHC's Looming Prior Authorization Mandate
GI docs say the payer is using AI to move large volumes of services through prior authorization.
Payer
BCBSMA Adds Tufts Medicine to its Pay-For-Equity Payment Model
The health plan said it is one of the first in the nation to introduce this type of value-based contract.
Innovation
KLAS Highlights Innovative Partnerships in Latest Points of Light Awards
The Utah-based research firm's annual awards recognize 25 programs launched by health systems and payers that address key issues such...