November 16, 2018
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AJMC | November 8, 2018    
What does it take to achieve member-centric, value-based care in population health? At a conference in New Jersey on Thursday, speakers talked about using partnerships and data to solve challenges, especially ones made worse by poor social determinants of health. Allen J. Karp, MBA, the EVP of healthcare management and transformation at Horizon Blue Cross and Blue Shield of NJ, detailed the path the insurer has taken over the past 7 or so years to break down silos in an effort to lower costs while improving health.. . READ MORE   

Roji Health Intelligence | November 14, 2018    
In a recent post, we addressed the many types of population health initiatives and some guidelines for creating the most benefit. Now let's take a closer look at one of those guidelines: integrating population health into regular or routine care of patients-specifically, with greater involvement and communication by the patients' physicians.. . READ MORE   

Alex Azar -- HHS | November 14, 2018    
"Social determinants of health is an abstract term, but for millions of Americans, it is a very tangible, frightening challenge: How can someone manage diabetes if they are constantly worrying about how they're going to afford their meals each week? How can a mother with an asthmatic son really improve his health if it's their living environment that's driving his condition?..." . .. READ MORE   

Becker's Hospital Review | November 14, 2018   
Humana released its annual value-based care report detailing how tying payment to performance outcomes affected Medicare Advantage patients and their providers. The physician-written report, titled "The Intersection of Health + Care," considers quality metrics and prevention measures for 2017. About 1.74 million Medicare Advantage members who see physicians under value-based reimbursement models were included in the survey 

Vendor Spotlight
Most Medicare Shared Savings Program ACOs are unaware that CMS expects them to be generating at least 60% of their revenue through commercial contracts by year five of the organization's existence. Moreover, many Advanced Payment ACOs will find themselves in a tight spot once CMS seed money runs out unless commercial contracts are in place. Reliance Consulting Group works with ACOs all around the nation to establish lucrative contracts and value based care initiatives with major payers.        
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