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 ...

More than 100 value-based contracts were reached between payers and drug manufacturers between 2014 and 2017, suggesting that these contracts may be more prevalent than expected, according to a recent ...

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 ...

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 – ...

SAN FRANCISCO and TROY, Mich., Feb. 25, 2025 /PRNewswire/ -- Arbital Health, a healthcare technology and actuarial leader that centralizes, measures, and adjudicates value-based care contracts at ...

Neha Kashalikar, PharmD, director of strategic pharmacy consulting, MassHealth, shares key components that makes a value-based contract successful. What are the core components that define successful ...

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 ...

Value-based care has reached a turning point. Many providers and payers have the strategy but not the infrastructure to manage it. This playbook lays out a clear, practical path for scaling risk-based ...

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 ...

BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, a Cotiviti business and pioneer in healthcare data interoperability, today announced the next generation of its Population Payment Management platform ...