The Direct Contracting Entity program is further proof of the federal government’s commitment to value-based care, but most DCE participants are missing a significant savings opportunity: post-acute care. Introduced in 2019 by the Center for Medicare and Medicaid Innovation (CMMI), the Direct Contracting Entity program (DCE) is building momentum in 2021. With 53 participants already […]
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UnitedHealthcare, the nation’s largest private payer, is increasing its commitment to value-based care models. In the last three years, the amount of UnitedHealthcare’s care-provider reimbursements tied to value-based care programs has nearly tripled to $64 billion annually. By the close of 2020, that number is expected to reach $75 billion. Nearly one in every three […]
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Achieving most of the Centers for Medicare & Medicaid Services’ (CMS) value-based care efforts requires the ability to monitor patients through the continuum of care and accurately report on that patient’s journey. It also requires that several disparate organizations coordinate their efforts and work together to achieve the best outcomes at the lowest costs. However, this […]
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Two recent reports have determined that building an effective post-acute care network will help healthcare systems improve patient outcomes while reducing costs and spending variations. Analysis from The Institute of Medicine and a Deloitte survey both indicate that—in order to succeed in value-based care—health systems need to establish a trusted, narrow network of high-quality, post-acute care partners. Not […]
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For the post-acute healthcare industry, last year was full of fear and uncertainty. After the initial (and prolonged) tumult of the Affordable Care Act and the eventual (uneasy) alliance the industry formed with it, the new Trump administration seemed poised to shake everything up again. Well, the dust has cleared after the administration’s first year, […]
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The shift away from fee-for-service toward value-based care is fully underway, and the reason for this move is clear. Healthcare costs are skyrocketing. Currently, healthcare represents almost 20 percent of the gross domestic product (GDP), and those costs are growing faster than the economy can keep up. The biggest steps toward curtailing healthcare expenses including […]
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