Despite holding the promise of delivering superior patient outcomes while lowering healthcare costs, many providers remain reluctant to embrace value-based care (VBC) reimbursement models. Progress toward VBC adoption hasn’t achieved its potential yet, hovering around 60% of all payment models from 2018 to 2021, with the remaining 40% comprised of traditional fee for service (FFS). Though some providers simply are hesitant to abandon the FFS model that has served them well, others are leery
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Clinically Integrated Networks
KLAS: State of Value-Based Care Reimbursement in 2022 Trends
What You Should Know: - Value-based care (VBC) has been established as a priority among healthcare organizations and payers as participants have gained more experience in managing their quality metrics and contracts, ultimately realizing returns on their investments. - For their latest report, Value-Based Care Reimbursement 2022, KLAS talked to 54 healthcare executives—including CEOs, CFOs, CIOs, CMIOs, COOs, VPs and directors of population health, and VPs of analytics—to gauge how
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The No Surprises Act: How Payers Can Stay Compliant
As the healthcare system continues to evolve to adopt a more patient-centric approach, surprise billing has become a topic discussed by consumers and policymakers. Surprise billing can occur when a patient unknowingly receives care from providers that are outside their network. This can result in balance billing, the practice of billing a patient the difference between what their health plan covers and what the provider charges. Unfortunately, these bills are often the result of care provided in
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How Can eConsults Help Clinically Integrated Networks Deliver Better Care and Demonstrate Value?
A Clinically Integrated Network (CIN) strategy that leverages eConsult technology can help physicians and health systems deliver better care at a lower cost. Physicians increasingly face pressure to deliver high-quality care efficiently while continuing to grow and sustain their practices. But lowering costs while sustaining growth often means giving up autonomy. The percentage of solo physicians in the U.S. fell to 17% in 2014, compared with 41% in 1983. Additionally, hospital ownership of
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UniNet Integrates Data With Innovaccer to Power Value-based Initiatives
UniNet Healthcare Network, a clinically integrated network (CIN) that brings together providers from across Nebraska and southwest Iowa, today announced their collaboration with Innovaccer Inc., a San Francisco-based healthcare data platform company, to integrate data from multiple sources for advanced analytics-based insights and care coordination across their network.With over 3,000 providers serving in 76 different locations, UniNet’s vision is to create a healthier population, one person at
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UC Health, United Healthcare Form New ACO & Clinically Integrated Networks
The University of California and UnitedHealth Group are teaming up to form a new accountable care organization (ACO) and clinically integrated network. As part of the 10-year strategic relationship, UC Health’s five academic medical centers will expand use of Optum’s clinically integrated network services and advanced data analytics services.UC Health Partners with Optum LabsIn addition, UC Health will become the first West Coast health care provider to partner with OptumLabs, an open,
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