Nov 30, 2020
Groupers are key to developing alternative payment models, but not all groupers are alike
By Andrei Gonzales, M.D., assistant vice president, Value-Based Care Strategy, Change Healthcare
Dr. Gonzales is responsible for product management of HealthQx®, Change Healthcare’s value-based payments analytics...
Sep 27, 2019
Value-based care seeks to improve care quality while reducing cost, and does so, in large part, through the use of innovative alternative payment models. But for payers, transitioning from volume-based payment (i.e., fee-for-service) to value-based alternatives is easier said than done.
On today's show, Mark Berg of...
Jul 30, 2019
Aparna Higgins' career has been focused on value-based payment. More than ten years ago, while she was at Booz-Allen, she co-led the design of the Medicare Hospital Value-Based Purchasing report to Congress. It was one of the first programs recommended to the CMS that defined how hospitals could be assessed and rewarded...
Jul 17, 2019
The Centers for Medicare and Medicaid Services recently launched a new innovation model known as the Comprehensive Primary Cares Initiative (CPCI). The goal of this voluntary multi-payer model is to strengthen the use of and reliance on primary care for all patients, while pushing forward in the progression from...
Feb 5, 2019
It’s no secret that healthcare costs are out of control for consumers. But what can get lost in the shuffle is how these costs affect employers, who want their employees to be covered with better healthcare.
Some could argue that healthcare cost-containment is one of the most important pillars of the healthcare...