Redstone

We bring national expertise and original thinking to health care strategy with a focus on the nexus of public health, technology, and value-based care.

06/17/2023

This week's must-read comes to us from our friends at Health Affairs:

In part 2 of this article, we describe ways to align payment design with equity in the areas of performance measurement, spending targets, performance-based incentives, and care delivery redesign. In part 1, we looked at the areas of organizational participation, payment rules, and risk adjustment.

06/02/2023

This week's must-read in comes to us from Behavioral Health Executive:

Progress toward value-based care replacing fee-for-service has been slow in behavioral health, but enthusiasm remains strong. This may relate more to disdain for the status quo than any evidence VBC will improve our healthcare funding.

05/26/2023

This week's must-read comes to us from our friends at RevCycle, Inc.:

The CMS Accountable Health Communities Model reduced emergency department use for Medicare and Medicaid beneficiaries but did not help resolve health-related social needs issues as intended.

05/19/2023

This week's must-read in comes to us from the brilliant minds over at The American Journal of Managed Care about some research coming out of Mass General Brigham:

Although commercial accountable care organization populations are healthy on average, some individuals might benefit from programs for high-risk patients to mitigate high levels of health care utilization.

05/12/2023

This week's must-read in comes to us from Ezekiel Emanuel, via our friends at Health Affairs:

In Part 1 of this article below, I discuss the megatrends I predict related to system and payment reform. Part 2 will cover trends related to system reconfiguration, and Part 3 will focus on patient care trends.

05/05/2023

This week's must-read comes to us from our friends at RevCycleIntelligence, who are spotlighting some thinking from Ernst & Young leaders on the intersection of , , and .

Health systems are acquiring primary care practices to help advance value-based care in a post-pandemic world.

04/28/2023

Big news from a small state is this week's must-read…

Insurance Commissioner Trinidad Navarro and Cristine Vogel Director of the Department's Office of Value-Based Health Care Delivery issue their Annual Review of Carrier Progress Towards Meeting Affordability Standards.

04/18/2023

This week's must-read comes from our friends at The American Journal of Managed Care:

Payment models that align financial incentives of payers, providers, and patients can mitigate spending growth in thoughtful ways, but the details of the models matter.

04/07/2023

This week's must-read comes to us from our friends at RevCycleIntelligence…

Incorporating community-level social risk factors into Medicare risk adjustment did little to address payment disparities, a study published in JAMA Health Forum found.

04/03/2023

Last week's must-read in comes to us from Maryland…

The Maryland Primary Care Program is part of the Maryland Total Cost of Care Model that has been agreed to by the state of Maryland and the Centers for Medicare and Medicaid Services. The MDPCP is aimed at reducing overall spending for traditional Medicare beneficiaries in Maryland by offering care....

03/24/2023

This week's must-read in comes to us out of China, where a pilot program in capitation was deemed successful enough to take nationwide:

‘AGPs + capitation’ payment for outpatient care lies in its ability to control the growth of medical expenses through correcting inappropriate incentives.

03/17/2023

This week's must-read in comes to us via . It's from , wrapping up his four-part series, on the work he did as co-chair of ' Council on Healthcare Spending and Value:

forbes.com/sites/billfrist/2023/03/10/a-road-map-for-action-on-health-care-spending-and-value-part-iv--value-based-payment

Health care has undergone a cultural shift toward not only prioritizing better value and more comprehensive care but also in how these services are paid for. The days of strictly fee-for-service payment models are dwindling. And value-based payment models have stepped into the fold.

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