The goal in shifting from paying for volume to value-based care is simple: to align payers and healthcare providers around high-quality care that improves outcomes and lowers cost. Operationalizing ...

Revenue tied to value-based care contracts is growing. The latest data reveal that 14% of U.S. provider reimbursement is tied to capitated risk models, compared to only 7% three years ago. At the same ...

Payer relations executives to know in 2026 are shaping managed care strategies at major health systems and advancing ...

It's still early days for value-based care. The VBC landscape today is characterized by widespread but sometimes superficial adoption. While many health systems have initiated value-based care ...

Value-based care prioritizes patient outcomes and cost reduction, requiring alignment of reimbursement models and financial sustainability management. Private insurers are reforming payment models, ...

In a letter to CMS, the AHA and other nationwide hospital organizations recommended at least seven ways to restructure the agency’s value-based purchasing program to assess hospital performance and ...

Providers across the nation are continuing their work to make value-based care at scale a reality. One of the most recent examples of this comes from Emory Healthcare in Atlanta — on Monday, the ...

In a presentation at the National Association of Managed Care Physicians (NAMCP) Spring Managed Care Forum 2023, Robert L. Waterhouse Jr, MD, MBA, HSM, chief medical officer at Baylor Scott & White ...

"Value-based care is complex by design, and our job is to make it actionable," said Francesca Hammerstrom, General Manager of Value-Based Care at MedInsight. "With integrated AI and advanced analytics ...

As payers are increasingly holding providers financially accountable for outcomes under value-based payment arrangements, there is growing concern that organizations caring for populations with ...

29% have adopted strategic, outcome-driven budgeting, with nearly half evolving toward value-based models. Research shows most teams can reach the next stage of maturity through simple, proven ...