Healthcare Data Analytics Blog

When screening becomes waste: Ovarian cancer testing in asymptomatic women

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MedInsight Healthcare Data Analytics Blog

Key Highlights The “Silent Killer” and the Urge to Screen› The Current State of Ovarian Cancer Screening› Key Findings From the Analysis› Conclusion: Turning Insight Into Action› Key Takeaways for Healthcare Leaders› Download the article The “Silent Killer” and the Urge to Screen Ovarian cancer is the deadliest gynecologic cancer and the 10th leading cause … When screening becomes waste: Ovarian cancer testing in asymptomatic women

Under CJR-X, the focus is on both quality and cost: Two former CMS officials on what the earlier bundles reveal

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Doctors in surgery looking at a tablet

Key Highlights Introduction › Interview › What this means for your hospital › With the CJR-X final rule now released in July 2026, the first mandatory, nationwide episode-based payment model for lower extremity joint replacement is set to begin on January 1, 2028. For most acute care hospitals, participation is now settled and required, and … Under CJR-X, the focus is on both quality and cost: Two former CMS officials on what the earlier bundles reveal

Mitigating the impact of high-cost claimants: A payer analytics approach to total cost of care

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2 workers reviewing

It has long been understood that a relatively small portion of any covered population accounts for a disproportionately large share of healthcare spending. A 2025 study by the Employee Benefit Research Institute (EBRI), which examined 13.1 million individuals with employer-sponsored health coverage in 2022, found that the highest-cost 20% of members were responsible for 84% … Mitigating the impact of high-cost claimants: A payer analytics approach to total cost of care

Why VBC still fails for mature organizations: What actually separates high performers

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Healthcare professionals

Value-based care (VBC) has moved well beyond experimentation. For many healthcare organizations, value-based contracts now represent a significant share of revenue, risk exposure, and strategic focus. The industry has largely resolved the question of whether to participate in these models. What remains unresolved is how to manage them most effectively. Increasingly, a common source of … Why VBC still fails for mature organizations: What actually separates high performers

CJR-X starts January 2028. The hospitals that win are starting now

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Patient consulation

CMS has finalized the first nationwide expansion of an episode-based payment model, and by its own account the largest such model in Medicare’s history: a mandatory program covering lower extremity joint replacements (LEJR). It is called CJR-X, short for Comprehensive Care for Joint Replacement Expanded, and it begins January 1, 2028, as an ongoing program … CJR-X starts January 2028. The hospitals that win are starting now

The decade of full risk starts now: Four workflows separate ACOs ready for it

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Patient consultation

The conditions for value-based care (VBC) have just shifted, as stronger financial results, improved data usability, and new long-term CMS incentives reshape what it takes for Accountable Care Organizations (ACOs) to compete and succeed. ACOs have had access to Centers for Medicare & Medicaid Services (CMS) claims data for years. What has made the difference … The decade of full risk starts now: Four workflows separate ACOs ready for it