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Executive Briefing | November 2, 2021

Value Transformation in Specialty Care

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Section I: Introduction Over the past decade, the value movement in healthcare has grown and evolved. Driven by the development and adoption of primary care-led models (e.g., patient-centered medical homes, accountable care organizations or ACOs), payers have experienced a significant…

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Executive Briefing | December 16, 2020

Provider Data Management: A Longstanding Problem – Amplified in 2020 and Beyond

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YOUR PROVIDER DATA QUALITY PROBLEM MAY BE BIGGER THAN YOU THINK… AND IT COULD BE GETTING WORSE Under normal circumstances, inaccurate provider data presents significant operational and financial challenges for health plans. In 2020, these problems have been exacerbated across…

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Article | December 15, 2020

Geographic Direct Contracting: Background & Strategic Opportunity

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On December 3, 2020, the Centers for Medicare and Medicaid Services (CMS) Innovation Center released details on the much-anticipated Geographic Direct Contracting Model, or “Geo.” Geo is a new payment and care delivery model designed to assess whether Direct Contracting…

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Executive Briefing | June 5, 2020

Social Determinants of Health: Driving Sustainable Healthcare Value as a Convener

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DEFINING CONVENER Health starts in our homes, continues in our communities, and is largely impacted by our day-to-day choices and interactions. The interconnectedness of life demonstrates why providing holistic healthcare that delivers long term results is hindered by a primarily…

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Executive Briefing | January 21, 2020

2020 Healthcare Trends: The Year of Integration

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It’s that time of year again. At the start of every year, and particularly at the dawn of a new decade, the buzzing speculation of what is to come in the new year intensifies. In this Executive Brief, HealthScape has…

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Executive Briefing | August 22, 2019

Accelerating the Race to Value: The Impact of Regulatory Actions to Improve Price Transparency

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“My Administration seeks to enhance the ability of patients to choose the healthcare that is best for them. To make fully informed decisions about their healthcare, patients must know the price and quality of a good or service in advance.” –…

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Executive Briefing | March 5, 2019

Value-Based Care Requirements in Medicaid

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Historically, CMS has pushed towards value-based care for programs that are “helping us move toward paying providers based on the quality, rather than the quantity of care they give patients.” Touted as a transformative reimbursement model, value-based care has historically…

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Executive Briefing | March 20, 2018

Value-Based Contracting: How to Think Like a Payer

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It is widely recognized that the rate of healthcare spending in the U.S. is unsustainable. In recent years, experts of all types, from academia to policy makers, agree that the traditional fee-for-service (FFS) approach is a major contributor to our…

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Executive Briefing | September 12, 2017

Oscar Health & Cleveland Clinic Parter to Engage Consumers

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In this market update, HealthScape Advisors explores trends in carrier – provider partnerships and defines the “missing ingredient” in many such models: effective consumer engagement. As the centerpiece of this update, we examine the innovative elements of a collaborative partnership…

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Infographic | September 7, 2017

INFOGRAPHIC: Results from Our Survey on Value-Based Payment Models

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HealthScape Advisors partnered with the Health Plan Alliance and several health plan clients to investigate drivers of success under value-based payment models. As part of this effort, HealthScape engaged 30+ health plans using both an online survey and executive interviews…

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