CMS Outlines Medicaid Social Determinants of Health Flexibilities
CMS has released a new roadmap outlining how states can improve social determinants of health and reinforce their value-based care approach using Medicaid flexibilities. “The new guidance...Payers, Patients Save With Value-Based Chronic Disease Management
Highmark’s value-based care agreement with drug manufacturer Boehringer Ingelheim reduced the overall cost of care for adults with type 2 diabetes, providing more affordable chronic disease...3 Ways That Payers Leveraged Artificial Intelligence in 2020
Payers used artificial intelligence to drive towards key objectives in 2020. Artificial intelligence is not a new technology, with the first artificial intelligence programs emerging in the early...SDOH Awareness, Care Coordination Key to Payer Leader Development
Payers that are looking to develop strong healthcare leaders should focus on strengthening learners' care coordination and social determinants of health awareness. Payers and healthcare...Ambulatory Surgery Centers Could Save Private Payers $3B
Payers may consider promoting ambulatory surgery centers as the ideal site of care for joint replacement surgeries, UnitedHealth Group’s recent research findings suggested. “Findings from...Payers Will Improve Virtual Care, Forecasting, Growth in 2021
Payers and stakeholder collaborators have the opportunity to rebuild the healthcare system into a more effective and consumer-centric system in 2021 by honing virtual care and other strategies,...How Payers Can Drive A Quicker Transition to Value-Based Care
Value-based care is a perennial goal for the payer industry, but transitioning into risk-based, outcomes-based contracts has proven to be a slow process. However, Blue Cross and Blue Shield of North...Experts Share 5 Pivotal Payer Industry Trends To Watch in 2021
Despite the many unknowns, a diverse group of experts and leaders in the industry have identified five payer industry trends for 2021 that range from strengthening value-based care partnerships to...Humana Announces Value-Based Primary Care Services MA Model
Humana has announced a new value-based primary care services model for Medicare Advantage members using the CMS Primary Care First model. “The creation of this model comes at a critical time....Sponsored Article
