How to Succeed in the BPCI-A Program: Transforming Care Across the Continuum
A strategy-focused article about the importance of robust care coordination and management for successful participation in alternative advanced payment models. Includes information from a recent meeting of HFMA’s Value-Based Healthcare Innovation Council (VBHIC).
Social distancing due to coronavirus may have unintentional negative effects on seniors aging in place
The unintentional physical and emotional suffering social distancing may cause at risk seniors who are sheltering in place, will also increase the total cost of care, putting further COVID-19-related pressure on participants in alternative payment models.
Social determinants of health ROI challenges are not yet outweighing potential benefits to patients
The continued shift to value-based care ensures health providers will continue to address SDOH factors.
Why health systems need a hybrid strategy and ambidextrous leadership to ensure financial sustainability
In today’s complex healthcare environment, health systems require an effective hybrid strategy that accounts for the fundamental differences among the various markets in which they compete, including inpatient, population health and emerging markets.
Humana partners with private equity firm to expand its primary care capabilities
Humana employing primary care physicians will help improve financial results for its plans by increasing HCC and Stars scores (increased revenue) and reduce medical expenses by improving care management and using claims data to make referrals to lower-cost providers.
With millions of physician referrals up for grabs, partnerships with consumer-centric sites of service matter
HFMA’s Chad Mulvany says in today’s competitive environment where traditional referral patterns are at risk of being upended, it’s crucial for health systems to partner with disruptors like CVS to capture these downstream opportunities.
Mid-Ohio ‘Farmacy’ principals encountered several surprising challenges trying to combat food insecurity
The Mid-Ohio “Farmacy” effort echoes what HFMA heard from participants at its recent Thought Leadership Retreat about tackling social determinants of health and highlights the complexities in the healthcare system for establishing such partnerships.
Atrius Health: Experience with global-risk contracts paves way to success in new arrangement
Previous success in risk-based contracts will allow Atrius Health to thrive in its new global-risk arrangement with Blue Cross Blue Shield of Massachusetts, two of the provider’s leaders write.
7 keys to engaging physicians for success under BPCI-A
Physician engagement is a critical success factor for health systems that are pursuing bundled payment initiatives.
Population health initiative seeks special community status
The governance of Healthy Aurora seeks to equalize decision-making by uncoupling the amount of financial contribution/investment from decision-making authority.