Success in Commercial Quality-Based Payments Systematic collaboration between payers and providers is the key to unlocking improved care delivery and lowering the total cost of care. Integrated relationships between payers... read more →
By Neeti Mehta and Bethany DeBlock In an article recently published on the Forbes website, The Silo Mentality: How to Break Down the Barriers, Brent Gleeson discusses the mindset that... read more →
The Annual Meeting of the Academy of Managed Care Pharmacy offers opportunities for its 8,000 members – including representatives of health plans, PBMs, ACOs, IDNs, specialty pharmacy, and federal and... read more →
The 2019 Conference of the American Medical Group Association – a unique gathering of executives from the nation’s leading healthcare organizations, medical groups, academic and faculty practices, IDNs, ACOs, and... read more →
By: Amanda Price Digital healthcare development continues to be critical across efforts to create more streamlined and cost-effective drug-development processes. In 2014, digital health investments totaled about $6.5 billion,... read more →
The development of the Diagnostic Related Group in the 80s, efforts to integrate hospitals, physicians, and managed care in the 90s, and early steps in outcomes-based reimbursement in the first... read more →
A new healthcare framework—the Quadruple Aim—seeks to transform the U.S. healthcare system, improving health outcomes, enhancing the patient experience and lowering per capita healthcare costs. Key Points: More than a... read more →
In an effort to reduce healthcare costs while improving the quality of care, healthcare stakeholders—including solo practices and even payers—are becoming increasingly integrated, giving rise to the organized customer. Key... read more →
By Katie Tsui The movement away from fee-for-service has brought to life a range of new healthcare delivery models, each with varying degrees of risk sharing, that support the implementation... read more →
The Traditional Model In the traditional care delivery model, health systems have billed or reimbursed for each service or treatment provided rather than for an overall health outcome. In this... read more →