Overcoming key data challenges to drive the future of value-based care
Value-based care (VBC) models are rapidly gaining prominence in the healthcare industry, revolutionizing the way healthcare is delivered. To ensure that provider organizations make the transition, the Centers for Medicare & Medicaid Services (CMS) has implemented several initiatives that offer incentives in favor of performance-based payments. These include alternative payment models such as Medicare Shared … Overcoming key data challenges to drive the future of value-based care
A year in review: The growing role of analytics in value-based care
This past year, the industry has witnessed significant advancements in value-based care (VBC) models. As the industry continues to move away from traditional fee-for-service models, there has been a growing emphasis on population health management, the integration of technology and analytics, and the implementation of collaborative care models. These developments have been instrumental in driving … A year in review: The growing role of analytics in value-based care
2024 Outlook: Five key analytic capabilities shaping VBC
The healthcare industry is undergoing a transformation, largely driven by value-based care (VBC), artificial intelligence (AI), and digital transformation. These trends, which gained significant momentum in 2023, will continue to shape the healthcare industry in 2024 and beyond. As organizations aim to improve efficiencies and the delivery of care, the increasing use of analytics emerges … 2024 Outlook: Five key analytic capabilities shaping VBC
Value-Based Care: How CFOs can mitigate financial risk with analytics
The imperative for value-based care (VBC) is undeniable. Having access to robust analytics is no longer just a benefit, but an absolute necessity. Escalating U.S. healthcare costs persist as a significant concern for organizations, placing a substantial burden on chief financial officers (CFOs) to address and manage this challenge effectively. To effectively navigate the path … Value-Based Care: How CFOs can mitigate financial risk with analytics
Navigating the challenges: Key priorities for ACOs in the journey to value-based care
In recent years, Accountable Care Organizations (ACOs) have emerged as a recognized force in the shift from fee-for-service models to value-based care. By fostering coordinated collaboration among groups of physicians, hospitals, and other providers, ACOs present substantial opportunities for achieving better outcomes and cost savings. It also brings forth challenges for ACOs in keeping pace … Navigating the challenges: Key priorities for ACOs in the journey to value-based care
Insights from AHIP 2024: Value-based care, AI, and more
AHIP 2024 in Las Vegas brought together key stakeholders in the health insurance industry, covering the spectrum of critical payer challenges and opportunities. We explored significant insights gained from our participation at AHIP, focusing on topics such as interoperability in healthcare delivery, value-based care, and the integration of artificial intelligence. Embracing modernization through technology One … Insights from AHIP 2024: Value-based care, AI, and more
The pivotal role of EHR integration in value-based care
The journey towards value-based care (VBC) is becoming more dependent on a key capability: the seamless integration of electronic health records (EHRs) with claims data. This clinical integration enables healthcare organizations to gain a more complete understanding of patient care and outcomes, providing the extensive insight needed to propel forward. Alone, neither clinical nor claims … The pivotal role of EHR integration in value-based care
2024 Insights: Key trends reshaping healthcare analytics
As we prepare for the new year, the healthcare industry has been propelled forward by remarkable advancements in Generative AI (Gen AI), value-based care (VBC), and the electronic health record (EHR) data integration. While the overall goal of improving patient care has remained on track over the years, the introduction of Gen AI is revolutionizing … 2024 Insights: Key trends reshaping healthcare analytics
The best of 2024: Exploring digital transformation, Gen AI and VBC
In the rapidly transforming landscape of healthcare analytics, it is difficult to predict what a new year will bring. However, looking back, it is clear that developments around digital transformation, generative AI (Gen AI) and value-based-care (VBC) have continued to stay top of mind for both payer and provider organizations. The past year has seen … The best of 2024: Exploring digital transformation, Gen AI and VBC
What is next for risk adjustment? Key moments from RISE National 2025
The RISE National 2025 conference made one thing clear: advanced technologies like artificial intelligence (AI) are not just refining risk adjustment strategies—they are dramatically accelerating insights and deliverables. The event emphasized the urgent need for interoperability and smooth data integration, in tandem with innovative measures aimed at minimizing provider abrasion within value-based care (VBC) frameworks. … What is next for risk adjustment? Key moments from RISE National 2025
Top 3 takeaways from NAACOS Spring 2025 Conference
The NAACOS Spring Conference 2025, held April 22-24 in Baltimore, brought together a dynamic mix of healthcare professionals, policymakers, and innovators, dedicated to shaping the future of Accountable Care Organizations (ACOs). This year’s event underscored the need for health systems to address evolving challenges and advance value-based care (VBC) to enhance care quality, improve patient … Top 3 takeaways from NAACOS Spring 2025 Conference
Navigating value-based care in 2025: How to implement it successfully in your practice
The healthcare industry is changing rapidly, influenced by new regulations, higher consumer expectations, and increasing cost pressures. In addition, the Centers for Medicare & Medicaid Services (CMS) has a big goal: by 2030, all Medicare beneficiaries should be in value-based care (VBC) arrangements. This means we’re seeing a fast shift away from the traditional fee-for-service … Navigating value-based care in 2025: How to implement it successfully in your practice
New eBook: Harnessing analytics and AI: A modern guide to risk adjustment
Reliable risk adjustment processes are a critical factor in the success of value-based care, but harnessing the array of data needed to align healthcare costs and provider compensation can be a challenging undertaking. With a growing number of patients enrolled in VBC programs, including the more than 33 million patients enrolled in Medicare Advantage (MA), … New eBook: Harnessing analytics and AI: A modern guide to risk adjustment
Introducing our new eBook: The intersection of clinical data integration and value-based care: Strategies for success
As healthcare pivots towards value-based care (VBC), providers face intricate challenges centered on enhancing patient outcomes while managing costs effectively. This shift demands not only a change in approach but also a sophisticated integration of healthcare data to drive meaningful improvements. At the heart of VBC lies the seamless integration of Electronic Health Record (EHR) … Introducing our new eBook: <em>The intersection of clinical data integration and value-based care: Strategies for success</em>