In the evolving landscape of healthcare, the transition to value-based care stands out as one of the most pivotal initiatives. Still, it has taken several years—and a global pandemic—to gain serious traction. The recent announcement by CMS highlighting the 1.8 billion dollar success of the Medicare Shared Savings Program further underscores the rise in focus…

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Aligning staff and clinicians around shared, value-focused goals and objectives is essential for organizations to foster a culture of collaboration, improve patient care outcomes and drive value-based healthcare. Let’s explore seven strategies you can use for getting staff and clinicians on board with initiatives to advance value-based care. I’ve seen successful leaders employ these exact…

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Engaging clinicians in organizational initiatives can be challenging. They are already balancing a plethora of priorities pulling them in different directions—and many are also struggling with symptoms of burnout. So, how do you motivate clinicians to buy into important goals and objectives without adding more to their plate than is reasonable or sustainable? In this…

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In advance of her panel participation at the 2023 RISE Qualipalooza, we sat down with Vice President of Product Consulting at MedeAnalytics, Andrea Sorensen, to discuss the primary panel topic: how to incorporate providers into quality improvement efforts and value-based care initiatives. In this post, Andrea discusses why clinicians are critical to advancing value-based care.…

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Payer organizations should be dialed in on data engagement as a key indicator of financial sustainability, successful care delivery, and smooth operational management. We’re almost halfway through the year, depending on when you’re reading this article. Is your organization where it should be in optimizing its data use? As focus on value-based care delivery continues…

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Every patient has a plethora of data associated with their health record, which can include decades of enrollments, claims, accounts and charges. Much of this data is not housed within the same institutional, facility or provider database…

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Value-based care remains top of mind for payers and providers alike. However, continued misalignment between payers and providers can hinder their ability to achieve cost and quality goals. A recent Quest Diagnostics study shows that 62 percent of health plan executives feel that payers have made progress in aligning with providers, while only 41 percent of physicians agree with this notion. What’s more, according to an HFMA survey commissioned by MedeAnalytics, an overwhelming 88% of providers say they are not ready for value-based care.

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Following a surge of cesarean section (C-section) operations for expecting mothers, doctors in California must now reduce the number of C-sections performed to 23.9 percent for low-risk births. The state’s health insurance marketplace under the Affordable Care Act, Covered California, wants to curb this rate to improve patient safety and quality. Any hospital that doesn’t […]

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