- Center on Health Equity & Access
- Clinical
- Health Care Cost
- Health Care Delivery
- Insurance
- Policy
- Technology
- Value-Based Care
Segment 11 - Integrating Pathways into the Value-Based Framework
Panelists discussed the successes and failures associated with pathway implementation.
Panelists discussed the successes and failures associated with pathway implementation.
Dr Malin recognized US Oncology and its ability to spearhead pathway implementation and adoption. Dr Tischler concured with Dr Malin, but stressed that instituting pathways alone will not bend the cost curve. Community-based practices, he said, need to do more than implement pathways to save costs. Dr Yu added that pathways are only a start to accountability and delivering patient-centered care. Pathways need to fit within a value-based framework.
“I think that’s the future,” said Dr Nabhan. “We need to reduce variability within the same practice, across practices, across hospitals, across universities, and we can’t just stop there. We have to look at these clinical pathways as just an aspect of what we all have to do.”
Dr Nabhan warned that incentives are critical to offset the cost and hours associated with pathway program implementation.
ACOs’ Focus on Rooting Out Fraud Aligns With CMS Vision Under Oz
April 23rd 2025Accountable care organizations (ACOs) are increasingly playing the role of data sleuths as they identify and report trends of anomalous billing in hopes of salvaging their shared savings. This mission dovetails with that of CMS, which under the new administration plans to prioritize rooting out fraud, waste, and abuse.
Read More
Examining Low-Value Cancer Care Trends Amidst the COVID-19 Pandemic
April 25th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the April 2024 issue of The American Journal of Managed Care® about their findings on the rates of low-value cancer care services throughout the COVID-19 pandemic.
Listen
Bridging Care Gaps With a Systemwide Value-Based Care Strategy
March 29th 2025Mapping care management needs by defining patient populations and then stratifying them according to risk and their needs can help to spur the transformation of a siloed health care system into an integrated system that is able to better provide holistic, value-based care despite the many transitions that continue among hospital, primary, specialty, and community care environments.
Read More
