Value-Based Care News

Large Employers to Average $3.6M on Wellness Programs in 2019

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Large employers across the country are expected to spend an average of $3.6 million on wellness programs in 2019 to support a healthier and more productive workforce, according to a survey from...

Short-Term Wellness Programs Not Impacting Healthcare Costs

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Short-term wellness programs prove useful in promoting positive health behaviors among employees, but these programs are failing to have a positive effect on healthcare costs, according to a study...

Humana Launches Value-Based Care Oncology Program for MA Members

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Humana is launching a new value-based care oncology program designed to deliver integrated cancer care for Humana Medicare Advantage and commercial members. The national Oncology Model of Care (OMOC)...

Medicaid Programs Seek to Address Social Determinants of Health

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From fee-for-service to managed care, Medicaid programs are seeking to address the social determinants of health (SDOH) for a broader population of enrollees in order to achieve better health outcomes,...

Majority of States Have Committed to Value-Based Care, Payment Reform

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There has been significant growth in the number of states and territories implementing value-based care models in the last five years, with a total of 48 committing to payment reform nationwide,...

UnitedHealthcare Expands Medicare Advantage Bundled Payment Program

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UnitedHealthcare is expanding its Medicare Advantage bundled payment program, offering providers in more than 30 states the opportunity to participate in these models for their patients enrolled in MA...

Cigna, Express Scripts Partner to Cut Out-of-Pocket Insulin Costs

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Cigna and Express Scripts have launched a program to reduce out-of-pocket insulin costs for patients with diabetes. The Patient Assurance Program will ensure eligible people with diabetes in...

Utilization Management Delays Cancer Care, Diminishes Outcomes

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Utilization management (UM) requirements are likely delaying cancer care and resulting in poorer outcomes for cancer patients, according to a survey conducted by Public Opinion Strategies and Hart...

ACOs Call for Transparency in CMS Alternative Payment Model Design

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The National Association of ACOs (NAACOS) has urged the CMS Innovation Center to improve transparency throughout the process of releasing and updating alternative payment models. “While we...

Employer Behavioral Health Programs Need Opioid, Suicide Focus

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Seventy percent of employers are either currently addressing or plan to address behavioral health over the next few years, according to a recent survey from Willis Towers Watson, but many of these...

UnitedHealthcare Invests Over $400M in Social Determinants of Health

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UnitedHealthcare recently announced that it has invested more than $400 million to address the social determinants of health and increase affordable housing access for people in underserved...

CMS Approves Medicaid 1115 Waiver in Maryland

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CMS has approved Maryland’s section 1115 waiver application for a demonstration to expand access to diabetes care, substance abuse services, and other healthcare services for Medicaid...

Humana Expands Value-Based Care Options for Medicare Advantage

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Humana has announced a series of initiatives to increase value-based care for orthopedic services among its Medicare Advantage members. The organization will partner with orthopedic and neurosurgery...

Amazon-Backed Health Venture Reveals Name: Haven Healthcare

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The partnership between Amazon, Berkshire Hathaway, and JPMorgan Chase now has a name in addition to a high-profile executive team.  The venture, which aims to reduce costs and develop innovative...

70% of Employers Offer Packaged Health, Dental, Pharmacy Benefits

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Seventy-one percent of employers with 100 or more employees are either actively integrating or considering integrating their medical, dental, vision, and pharmacy benefits under their health and...

HHS Launches Emergency Services Payment Model for FFS Medicare

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HHS and the CMS Innovation Center have announced a new payment model for emergency and ambulance services that will enable Medicare fee-for-service beneficiaries to receive quality care with lower...

Blue Cross, HCSC to Reduce Food Insecurity Among Plan Members

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Blue Cross Blue Shield (BCBS) Institute and Health Care Services Corporation (HCSC) have launched a health food delivery service that will help reduce food insecurity and health disparities for plan...

NCQA Seeks Comment on Proposed Updates to HEDIS Quality Measures

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The National Committee for Quality Assurance (NCQA) is seeking comments from health plans, purchasers, consumers, and other stakeholders on proposed updates to the Healthcare Effectiveness Data and...

Humana, Aledade Bring Value-Based Care to Medicare Advantage Members

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Humana and Aledade have announced a value-based care agreement that will increase access to value-based care for Medicare Advantage members. The partnership will enable physicians in Aledade’s...

Atrius Health, Blue Cross to Create Alternative Payment Model

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Atrius Health and Blue Cross Blue Shield of Massachusetts have partnered to launch an advanced alternative payment model that will deliver a higher quality, more affordable healthcare experience. In...