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Focus on the future when developing your provider network
Every health system and provider organization entering into risk-based contracts needs to focus on the types of providers they want in their network. The type of providers they want will depend on the...
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Four areas where providers can dramatically improve care management
Value-based care is fundamentally altering the nature of health care in the United States. Care delivery is transitioning from an episodic, somewhat reactive model into a more proactive health...
View ArticleHealth care alliances require balance, clear goals
In our previous post, we discussed how health care alliances are becoming more prevalent as the industry evolves. There are tremendous benefits to forming alliances, but health care leaders need some...
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Solving the health care risk challenge
Did you know that one-third of Americans’ health plan coverage will be part of a shared-risk program by 2020? In fact, more than 90 percent of health plans already include value-based reimbursement...
View ArticleBlazing the path of progress in value-based care
There is no one path to provider risk. Market dynamics, culture and history are among the elements that make each organization’s path unique. Providers that are transforming on the volume-to-value...
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Eliminate silos, strengthen teamwork for better patient care
More than 40 years ago, the Institute of Medicine released its Educating for the Health Team report that advocated cross-functional provider teamwork over siloed service areas. But fee-for-service...
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Relationships the secret to value-based health care success
Lehigh Valley Health Network (LVHN) executives believe no doctor, hospital or insurance company can stand alone and succeed in value-based care. That’s why the Pennsylvania-based system’s leadership...
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Trust: The secret sauce for the next generation of health care
Survival in today’s value-based health care industry takes trust — in people, technologies and business processes. Trust is the “secret sauce” that brings everything together, said health care futurist...
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Managing bundled payments: A key component of your value-based strategy
Compared to other value-based reimbursement methods, bundled payments for episodic health care are old news. Many payers have been slow to embrace them. However, one major payer that’s looking at...
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Health systems find direct contracting with employers beneficial, yet difficult
Contracting directly with large employers to provide care for their employees is an increasing trend among health systems. Successful direct contracting programs address employers’ frustrations with...
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