More than half of payers used an outcomes-based contract in 2022, with most preferring contracts with both claims-based and clinical outcomes, an Avalere survey found.
The online survey was conducted...
CMS has extended the Medicare Advantage value-based insurance design (VBID) model for an additional five years, with plans to implement changes that address beneficiaries’ social determinants of...
CVS has finalized its acquisition of the home healthcare company Signify Health, which aims to accelerate value-based care and improve health outcomes.
“This transaction advances our value-based...
Beneficiaries with end-stage renal disease (ESRD) are increasingly shifting from Medicare fee-for-service (FFS) to Medicare Advantage, leading more Medicare Advantage plans to form value-based...
California’s value-based insurance design (VBID) program was associated with a higher probability of primary care use, a lower probability of inpatient admissions, and no change in total costs...
CareFirst BlueCross BlueShield (CareFirst) has formed a strategic alliance with Aledade, Inc. (Aledade), offering independent primary care physicians tools and resources to improve healthcare...
Humana has partnered with an independent primary care network to enhance access to value-based care for Medicare Advantage members.
The 10-year collaboration with Aledade will allow Humana’s...
Blue Cross and Blue Shield of Minnesota (Blue Cross) has joined forces with value-based care provider Homeward to expand access to care for Medicare Advantage members living in rural Minnesota...
Physicians Health Plan of Northern Indiana (PHP) is looking to improve primary care access for members by partnering with healthcare provider Premise Health to open a primary care center for clients...
In a report and briefing, Blue Cross Blue Shield Association (BCBSA) recommended policy solutions that could help bring runaway healthcare spending under control, saving $767 billion across 10...
Blue Cross Blue Shield of Michigan (BCBSM) is helping advance the shift to value-based care by initiating full-risk reimbursement arrangements with six provider organizations.
The agreements are for...
Blue Cross and Blue Shield of Minnesota (Blue Cross) has announced that its value-based contract with Minnesota Oncology reduced the total cost of care for patients during the first two years of the...
Updated 11/14/2022: The title of this article has been updated to include the Banner|Aetna name. A previous version of the title referred to the plan as an Aetna health plan.
Banner|Aetna has...
Prioritizing the shift to value-based care has been at the forefront of the healthcare industry. But the road to transitioning from fee-for-service to value-based payment models is not always smooth.
Convincing payers of value-based...
Cigna has formed a value-based care partnership with an in-home primary care organization in order to improve quality of care and access to care for Medicare Advantage member, the partners...
Investing in maternal healthcare may seem like a natural decision on an individual level, given the influence that positive, healthy parenting can have on a person’s life and the many healthcare needs that parents face.
In reality,...
Among Medicare beneficiaries with complex care needs, those enrolled in Medicare Advantage had lower acute healthcare utilization than traditional Medicare beneficiaries, including lower rates of...
Home health value-based purchasing was associated with lower utilization and spending and slight improvements in quality of care, an analysis published in the JAMA Health Forum found.
The researchers...
Independence Blue Cross (Independence) announced that it will expand its value-based care relationship with Penn Medicine by selling a minority equity stake in one of Independence’s...
States across the country are working with the US Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) to obtain Section 1115 demonstration waivers to...
