Value Based Payment

Kaiser Permanente is set to acquire Geisinger in a deal with major industry ramifications

In a move with implications for healthcare business models, Kaiser Permanente has announced plans to acquire Geisinger and form a new nonprofit organization. Upon acquisition Geisinger will join Risant Health, an organization that is being launched by Kaiser Permanente’s hospital arm. Geisinger and future acquisitions will operate as distinct entities and retain their current branding…

Nick HutApril 27, 2023

Hospitals are facing a long slog to return to pre-pandemic normalcy, panelists say

The logjam of patients who cannot be seen expeditiously at hospitals is becoming an entrenched problem with no imminent solutions, a CMS leader said this week. “The data tells us healthcare services, particularly for the Medicare population, have not come back to pre-pandemic levels,” said Jonathan Blum, principal deputy administrator and COO with CMS. “We’re…

Nick HutApril 21, 2023

David Johnson: Academic medicine, where privilege compounds dysfunction

Academic medicine combines healthcare with higher education, the two U.S. economic sectors that have exhibited outsized cost growth over the past 50 years. The result is a stunning disconnection between academic medical center (AMC) business practices and the supply-demand dynamics reshaping healthcare delivery. Market, technological and regulatory forces are pushing the healthcare industry to deliver…

David W. JohnsonApril 14, 2023

4 reasons why now is the time to revisit value-based care

Lessons from the pandemic, investment trends, shifts in Medicare policy, and technological change suggest that now may be the time to reconsider and revisit value-based care. Value-based care has been a hot topic for years now. Every conference, every industry meeting and every publication has talked about the importance of moving “from volume to value.”…

Sarah WileyFebruary 24, 2023

In federal ACO programs, advocates see signs of slow but steady progress

Growth in accountable care organization (ACO) programs has been inconsistent since the Affordable Care Act made accountable care part of the healthcare lexicon in 2010. Nonetheless, proponents are optimistic about the state of ACOs and their potential in upcoming years, even if there’s uncertainty about CMS’s ability to achieve its stated goal of ensuring every…

Nick HutFebruary 23, 2023

How Braven Health is looking to improve the lives of New Jersey patients through value-based care

Patrick Young, president of population health for Hackensack Meridian Health and Jeff Smith, chief commercial officer at value-based managed services operator Lumeris, share the success story of payer-provider partnership Braven Health.

Erika GrottoJanuary 30, 2023

CVS Health pushes forward with efforts to reshape segments of the healthcare industry

About two decades after adding the first three MinuteClinics to its stores, in 2005, CVS Health continues to grow as one of the biggest disruptors in healthcare. The company has embarked on a series of strategic transactions that make it a major player across an increasingly large swath of the industry, as described this month…

Nick HutJanuary 27, 2023

How healthcare organizations are navigating the era of price transparency

In this roundtable, healthcare leaders from across the nation discuss how their health systems are navigating regulations around price transparency, common challenges and the effect on their organizations.

HFMA December 22, 2022

Massive federal spending bill alleviates reimbursement concerns for hospitals, but less so for physicians

Healthcare provider advocates applauded the inclusion of key reimbursement relief measures and other policies in a proposed federal spending bill for FY23, although physician groups expressed concern about the outlook for their constituents. With a divided Congress looking to muster the votes to pass the legislation before a self-imposed deadline of week’s end, the bill includes many…

Nick HutDecember 20, 2022

How a Hospital or Health System Can Assess the Risk of Moving to Value-Based Payment

To gain a clearer understanding of the financial impact of transitioning to a value-based model, healthcare executives can learn from the experiences of another health system that has undertaken a similar migration.

Ross ArmstrongDecember 2, 2022