Value-Based Contracting
Expert articles and analysis related to value-based contracting.
AI Summary — Last 30 Days
Over the past 30 days, the transition to value-based care (VBC) continues to evolve as stakeholders face both opportunities and challenges. The Trump administration is emphasizing price transparency and tackling fraud, particularly in Medicaid, which is vital for ensuring sustainable VBC frameworks amid rising operational pressures that have driven physician consolidation. Concurrently, companies like Arbital Health are positioning themselves to address the complexities of VBC by enhancing risk management infrastructures, while states like Iowa are moving to ban noncompete agreements to foster greater physician mobility and competition, potentially reshaping the healthcare landscape and improving care access.
Related Articles
Arbital Health Is Building the Actuarial Brain Value-Based Care Never Had
Back in August, I wrote about Arbital Health as the infrastructure layer VBC desperately needs. The knife slicing through the onion that is the complexity of taking on risk. The shared rails that payo...
Rural Care at a Crossroads: Turning CMS TEAM into an Opportunity for Cross-Continuum Performance
As the Centers for Medicare & Medicaid Services (CMS) launches performance year one of the Transforming Episode Accountability Model (TEAM), many hospital executives may view the initiative as a famil...
Republicans long supportive of Medicare Advantage call for reform | STAT
From newsletter: The LI Daily: Trump administration signals there’s widespread desire to curb Medicare Advantage Trump administration signals there’s widespread desire to curb Medicare Advantage Healt...
Opinion: STAT+: Optum CMO: Doctors must take responsibility for patient outcomes
“To critics of Medicare Advantage, these results scramble the debate,” writes Optum CMO Ken Cohen.
The threats ASCs don’t see coming — yet
Rising volumes and strong demand have masked some of the biggest vulnerabilities facing ASCs. Six ASC leaders joined Becker’s to discuss how the industry may be underestimating risks ranging from rei...
Chamber Secures $60M to Advance Value-Based Cardiology
Chamber’s Series A round was led by Frist Cressey Ventures, with participation from General Catalyst, AlleyCorp, American Family Ventures, Company Ventures, Optum Ventures, Healthworx Ventures and Bla...
Value-based payment gains policy consensus after 15 years of CMMI models
Saying it’s time to phase out the fee-for-service payment model would have been controversial a decade ago, but today such sentiment is accepted in policy circles, according to insights from a recent ...
Humana expands cardiac care partnerships for Medicare Advantage
Humana has expanded its cardiac care program through new partnerships with Karoo Health, US Heart and Vascular and Chamber Cardio. The partnership builds on its existing collaboration with CVAUSA’s No...
Driving Value-Based Cardiology Care at Scale
Heart disease is the largest driver of medical costs in the U.S. and remains one of the hardest areas to improve. The Task Force and Chamber, a cardiology value-based care enablement company, co-devel...
What 5 recent noncompete lawsuits mean for physicians
Noncompete agreements are becoming flashpoints in courtrooms across the country. From state attorney general investigations to multimillion-dollar payment disputes and 90-mile practice bans, recent la...