We know from everyday purchasing of goods and services that you have to combine what you’re getting with what you’re paying for that good or service. But how does this basic consumer supplier concept play out in US healthcare?
Offering blended options, individual risk pools, and net neutral capitation payments providers can embark on their journey toward value-based care at a pace aligned with their tolerance and readiness.
Outsourcing your medical coding can help ensure a healthy revenue cycle. Discover the best medical coding outsourcing companies and find the right one for you.
Success requires both novel VBC models as well as moving care beyond the clinic walls to meet patients where they are.
Physicians often diagnose patients with chronic kidney disease (CKD) too late in the process, when dialysis is the only option left. This isn’t negligence on the part of physicians — it’s simply a consequence of a fee-for-service (FFS) healthcare model that works against patients’ financial well-being and deemphasizes preventative care.
Vera, a value-based primary care provider, will buy all the outstanding shares of Castlight, in a move that will merge the two companies.
Under the terms of the deal, select Humana Medicare Advantage HMO plan and dual-eligible members in Southern and Central California will have in-network access to Heritage Provider Network's facilities and physician practices.
FASENRA® (benralizumab) injection, for subcutaneous use, 30 mg is indicated for the treatment of adult patients with eosinophilic granulomatosis with polyangiitis (EGPA). FASENRA provides a treatment option for HCPs to consider when managing this challenging disease.
The system connects payer networks to providers and payment systems, breaking down data silos and helping to streamline authorization, claims submission and payments.
After five years of slow growth, health costs are expected to rise as much as 6.8 percent next year. This forecast is sure to energize Washington lawmakers who have long sought to slash health spending, particularly within Medicare. Efforts to cut Medicare have typically focused on the quantity and cost of treatment, with little regard […]
by Jay J. Cohen, MD, Senior Vice President, Optum and Glenn D. Steele, Jr. MD, President and CEO Geisinger Health System Lost in much of the debate over the federal health care law are the surprising powers that reside in states to reduce health care costs and improve quality. With 46 state legislatures set to […]