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For managed-care plans focused on improving population health and reducing overall costs, the goal has to be on prevention, not just treatment. One increasingly popular strategy is targeting members based on social determinants of health (SDOH), which accounted for around $2.5 billion in spending between 2017 and 2019, according to a 2020 study. But how can plans make sure their investments in SDOH initiatives will bear fruit and make them more competitive in the market?
Fierce Healthcare | June 3, 2021

A group of bipartisan lawmakers wants the Center for Medicare and Medicaid Innovation (CMMI) to be more transparent in its handling of value-based care models as the center continues a major overhaul of its demonstrations. The 24 lawmakers sent a letter to CMMI Director Liz Fowler on Wednesday seeking for more insight into the center’s decision-making process on value-based care models it oversees. The letter comes less than a month after Democrats were concerned over several parts of the Direct Contracting Model. “As we look towards the future of CMMI, we believe it will be stronger with greater transparency and increased participation from stakeholders,” the letter said.
Over the past decade, adoption of value-based payment (VBP) models has increased substantially. The Center for Medicare and Medicaid Innovation’s has launched multiple new models since its authorization, commercial payers have structured almost one-third of their payments as alternative payment models (APMs), and state Medicaid programs have increasingly included payment reforms in their waivers and Medicaid managed care contracts. Nevertheless, questions remain on how payment and care reforms can best reduce overall costs and improve quality, outcomes, and people’s experience of care.
There’s a growing awareness among employers, community advocates, and the public health sector that issues of diversity, equity, and inclusion (DEI) must be addressed in the healthcare ecosystem if we are to implement genuine value-based care (VBC). Unlike traditional fee-for-service healthcare, VBC emphasizes keeping people well over “sick care.” As a holistic approach to healthcare, VBC can leverage social determinants of health (SDoH) to develop individualized care plans and to inform population health strategies.
Sponsored Webinars

Three Steps for Network Success 
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June 24, 2021 | 1 PM EST

The Key to Closing Care Gaps: Effective Digital Communications 
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June 29, 2021 | 1 PM EST

Upcoming Conferences
11th National ACO Summit
September 20-23, 2021 (Virtual)

FLAACOS Fall Conference
November 4-5, 2021 | Orlando, FL

American Physician Groups Annual Conference
December 9-11, 2021 | San Diego, CA

This week's focus: Critical metrics for provider organizations
Each week we showcase one of our solution providers in a 4-5 minute interview and ask them what they bring to the ACO Community and what sets them apart. Today's guest:
Platinum Level Exhibitors
Thank you to our Platinum Level exhibitors. These organizations offer the absolute highest quality products & services to the ACO & IPA community. To learn more & visit their interactive booths, click on the logos below:
Gold Level Exhibitors
Thank you to our Gold Level exhibitors. To learn more & visit their interactive booths, click on the logos below:
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