Advanced Alternative Payment Models News and Resources for Healthcare

Top Payer Strategies Around Payment Models for Advanced Therapies

July 27, 2022 - In early 2020, fifteen healthcare leaders—spanning a wide range of backgrounds from government to industry to academia—converged for a little over a day to discuss a single, pressing issue that affected each of their fields: how to establish payment models for advanced therapies. Blue Cross Blue Shield Association (BCBSA) and the Aspen Institute convened this diverse...

Top Employer Strategies for Implementing Episodes of Care Models

January 19, 2022 by Kelsey Waddill

In order to best leverage episodes of care models, employers have to take more ownership of their own data and partnerships. When Kevin Lembo, former comptroller of the state of Connecticut, took on the role in 2010, the State of...

How Benefit Design Can Steer Employees Toward High-Value Care

September 30, 2021 by Kelsey Waddill

When pursuing value-based care, employers have the capacity—in collaboration with their payer or third-party administrator partners—to steer their employees toward high-value care,...

Top 4 Policy Strategies To Diminish State Healthcare Spending

August 19, 2021 by Kelsey Waddill

State policymakers have a few tools at their disposal as they try to lower state healthcare spending, according to a Commonwealth Fund report. First, states can support greater competition between...

How Payers Can Support Population-Based Payment Model Uptake

July 14, 2021 by Kelsey Waddill

As the healthcare industry gravitates toward value-based care, population-based payment models have become the golden fleece for payers, the ultimate state of value-based care payment. Unfortunately...

Verily Launches Tech-Focused Payer for Self-Funded Employers

August 27, 2020 by Kelsey Waddill

Verily, Alphabet’s life sciences and healthcare subsidiary, and Swiss Re Corporate Solutions have announced that it will launch a payer for self-funded employers called Coefficient Insurance...

CMS OKs Subscription Model in LA to Lower Hepatitis C Drug Costs

July 09, 2019 by Kelsey Waddill

CMS recently approved Louisiana’s subscription model for hepatitis C therapies in Medicaid, which would allow the state to negotiate supplemental rebate agreements from prescription drug...