Self-insured employers face legal challenges in adopting value-based models, including ERISA fiduciary duties, HIPAA restrictions, and antitrust concerns. Standardized data definitions and performance ...

Humana released its annual value-based care report detailing how tying payment to performance outcomes affected Medicare Advantage patients and their providers. The physician-written report, titled ...

Drugmakers, payers entered 100+ value-based contracts in 4 years More than 100 value-based contracts were reached between payers and drug manufacturers between 2014 and 2017, suggesting that these ...

Value-based care arrangements have been around for more than 20 years, but risk-based contracts haven't scaled as rapidly as the industry expected. Providers and payers are finding there is no "easy ...

Value-based care was designed to deliver better outcomes, shared savings, and stronger payer-provider alignment. Yet in practice, contracts often stall under the weight of administrative complexity – ...

In managed care environments where entities share financial and clinical accountability, the ability to maintain network integrity becomes essential to execute strategic goals. Managed care success ...

To succeed in value-based relationships, physicians need timely access to comprehensive information about attributed patients, ideally augmented by predictive and prescriptive analytics to identify ...

Arbital Health, a health tech company focused on value-based care, has secured $31 million in Series B funding, the company announced last week. The San Francisco-based startup provides infrastructure ...

Sixty-four percent of healthcare organizations say they expect higher revenue this year from value-based care arrangements as compared to last year, finds a new report from Innovacer and the National ...

VA says the contract will increase oversight and competition in the private sector care it pays for, which now makes up more than 40% of all veterans' care.

In value-based care, nothing happens without access to robust data. It powers everything from advanced analytics to predictive AI models. It provides a holistic picture of population health and ...

We hear the terms all the time: value-based care, population health management, precision medicine. But how far along are U.S. hospitals in actually achieving these new imperatives? Are they making ...