Commons Clinic — a value-based physician group providing musculoskeletal care to patients in the Los Angeles area — announced the launch of its Center for Spine Economics, Outcomes & Research. The center will research and test new models that move spinal care out of the hospital and into community-based accountable care networks. The startup plans to invest $100 million in the center over the next decade.
Brian Gragnolati, CEO of Atlantic Health System, said that "there's a war going on between providers and payers right now." In his view, payers “are doing everything they can” not to pay providers for the care they deliver. He said insurers have greatly increased their rate of denials and are extremely reluctant to take on risk in value-based contracts.
Hear executives from Quantum Health, Surescripts, EY, Clinical Architecture and Personify Health share their views on digital transformation in healthcare.
Yuvo Health — a startup focused on enabling value-based care at FQHCs — recently raised $20.2 million in Series A funding. The company is using the money to expand its reach from New York to Ohio.
As margins at health systems continue to contract, and insurance company profits continue to surge, contract negotiations are becoming increasingly contentious. With billions of dollars potentially at stake, you need to be prepared and aligned well in advance.
According to a recent survey, 59% of hospital finance leaders are looking to advance into Medicare Advantage models next year. They still face obstacles in switching to risk-based models, including striking partnerships with payers and having the needed technical capabilities.
The study asked 170 hospital and health system finance executives their thoughts and ambitions around risk assumption and found that 72 percent of executives both believe their organizations have the capabilities to support increased risk and plan to take on additional risk in the next one to three years.
Closing cancer health equity gaps require medical breakthroughs made possible by new funding approaches.