CVS Health’s Aetna has formed a new partnership with Cleveland Clinic which involves a new narrow network health plan and new provider programs, the payer and provider announced.
“As part...
A value-based care program from Blue Cross and Blue Shield North Carolina (Blue Cross NC) saw cost savings and quality improvement and increased provider participation in its first year, the payer...
Sentara Healthcare, an integrated, non-profit health system, has announced a value-based care merger with the nonprofit integrated healthcare network Cone Health.
“Sentara Healthcare and Cone...
Contrary to expectations, there may not be a correlation between deductible costs and member outcomes for commercial high deductible plans, according to a study published in JAMA Open Network.
The...
Employers are largely underwhelmed by payer efforts in a variety of areas including value-based care payment reform, resulting in low employer satisfaction rates, according to a survey from The...
At the beginning of the coronavirus outbreak, many healthcare organizations halted elective procedures. While this helped increase hospital capacity for patients with coronavirus, it also took a...
Blue Cross Blue Shield of Massachusetts (Blue Cross) announced a new value-based payment model that offers small practices financial support through a global payment, upside risk incentives, and an...
Blue Cross and Blue Shield of North Carolina (Blue Cross NC) will financially support local independent primary care practices as they transition to value-based care during the coronavirus pandemic,...
High deductible health plans pose a barrier to care by increasing costs for patients and causing scheduling and financial turbulence for providers, according to a survey of providers conducted by the...
In the face of coronavirus, payers have a unique opportunity to show their support for provider networks in a tangible way.
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CMS has released the final 2021 payment notice along with news that it will extend the qualified health plan timeline by one week to account for coronavirus uncertainties in premium rate...
Success in value-based care requires collaboration between payers and providers. They must work together to negotiate the terms of the contract, including outlining the quality metrics and incentives...
A bundled payment model born from a payer-provider partnership between Blue Cross Blue Shield Rhode Island (BCBSRI) and University Orthopedics has helped deliver a holistic, outpatient delivery of a...
The healthcare industry is moving away from fee-for-service reimbursement. Healthcare professionals recognize that this payment structure is fraught with misuse and overuse, incentivizing providers to...
The number of commercially insured Americans age 30 to 64 diagnosed with early-onset dementia or Alzheimer’s disease increased by 200 percent from 2013 to 2017, according to an assessment of...
In its comments on the CMS advance notice for Medicare Advantage (MA) and Part D changes, the Medical Group Management Association (MGMA) urged CMS to pursue greater transparency in Medicare Advantage...
Residents of western New York will have access to the region’s first behavioral healthcare provider group with a value-based reimbursement arrangement, BlueCross BlueShield of Western New York...
Blue Cross Blue Shield of Massachusetts (Blue Cross) is expanding its value-based care model into its dental plan through value-based contracting with the dental provider group 42 North.
In 2019,...
Priority Health, the second largest health plan in the state of Michigan, will financially offset the cost to providers who use the Centering Healthcare Institute’s (CHI) CenteringPregnancy...
Humana’s subsidiary Partners in Primary Care is entering a joint venture with Welsh, Carson, Anderson and Stowe (WCAS) to give Medicare Advantage members access to care through value-based...
