Value-based care

Blue Shield of California is the first payer to sign with a new value-based care collaborative with healthcare services company Altais and health IT company Aledade.

Utilization and care management solutions have been around for decades, but today’s health plans are looking for newer breakthrough technology to help them negotiate today’s changing market.

Blue Shield of California is partnering with a company that is making use of telehealth services to enable follow-up care for home care visits by physicians.

Jordan Bazinsky of Cotiviti says the need to inherently trust information is essential to gain trustworthy insights.

Humana is collaborating with electronic health records vendor Epic as both entities seek to bring together patients, providers and insurers to advance value-based care.

Health plans now gather and report data for quality reporting, claims reporting and to conduct risk adjustment analysis, but typically these various data collections occur separately, are sometimes duplicative and are uncoordinated, say Deloitte experts. But that will soon all change.

IBM has awarded Blue Cross of Idaho the 2019 IBM Watson Health Advantage Award for its use of data analytics to improve outcomes and lower costs in episodes of care.

BlueCross BlueShield of Western New York is sharing claims data via HEALTHeLINK, the region’s health information exchange, to help providers improve care.

Roy Beveridge, MD, chief medical officer at Humana, contends that the insurer has made great strides in leveraging data to get ahead in value-based care.

Progress toward a value-based care reimbursement system is slow, with clinicians hampered by a lack of information technology that could help them, according to a new survey of healthcare executives.

Selection of Atul Gawande, MD, to lead the new healthcare firm will advance innovation and change, says AHIP’s Matt Eyles.

The proposed Walmart-Humana combination is the latest of a series of moves that point to an abrupt change in the industry.

Healthcare organizations such as Allina Health are working more closely with carriers to ensure that patient information is shared to improve care and reduce costs.

The vast majority of stakeholders see administrative waste as a cause of poor communication.

A wealth of available information on patients and their health will help drive quality, efficiency and customer satisfaction, says CEO Joseph Swedish.