- Center on Health Equity & Access
- Clinical
- Health Care Cost
- Health Care Delivery
- Insurance
- Policy
- Technology
- Value-Based Care
Transitioning to Value-Based Reimbursement
The shift from fee-for-service healthcare to a value-based healthcare model has been associated with some challenges, notes Patrick White.
Mr White explains that the main challenge for healthcare groups is in the initial move. He notes that physicians and professionals who had previously been reimbursed under the fee-for-service model have financial concerns related to the switch to value-based reimbursement.
Mr White adds that another challenge is convincing the C-suite to incorporate physicians into the hospital management team. He notes that if presented with the responsibility and authority to make changes, physicians can help improve the overall delivery of care.
Despite these challenges, Mr White explains that the transition to a value-based healthcare model is necessary, and says that certain insurance companies have already begun measuring quality and cost per capita.
Frameworks for Advancing Health Equity: Community Wellness Centers
September 27th 2024Delia Orosco, MS, director of Community Wellness Centers at Inland Empire Health Plan, shares insight into innovative initiatives provided by the wellness centers and their new mobile mammogram clinics.
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Exploring Consumer Perspectives on Network Adequacy Definitions
September 19th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the September 2024 issue of The American Journal of Managed Care® that explored the factors consumers consider essential for an adequate provider network.
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Breaking Down Co-Pay Accumulators, Maximizers and the Impact on Patients
October 18th 2024Co-pay accumulators and maximizers are 2 programs that insurers have started implementing to help them redirect financial assistance from the patient, said Kimberly Westrich, MA, chief strategy officer, National Pharmaceutical Council.
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CHEST 2024 Posters Reveal Disparities in Acute Coronary Syndrome Care, Outcomes
October 16th 2024Two posters presented at the CHEST 2024 annual meeting highlighted significant disparities in acute coronary syndrome care and outcomes among different racial, ethnic, and gender groups, underscoring the urgent need for targeted interventions to address these inequities.
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