Rural #PrimaryCare organizations face unique challenges that create significant barriers to providing quality care in their communities. Our latest article explores how rural primary care organizations can leverage #ValueBasedCare to keep patients & communities healthy. bit.ly/43nUyxt #RuralHealth
Rural health care clinics leverage value-based care to improve health disparities
Bridge rural health care gaps with value-based care. Get proven strategies to improve patient outcomes, reduce costs and strengthen your independent practice.
bit.ly
November 14, 2025 at 4:54 PM
Rural #PrimaryCare organizations face unique challenges that create significant barriers to providing quality care in their communities. Our latest article explores how rural primary care organizations can leverage #ValueBasedCare to keep patients & communities healthy. bit.ly/43nUyxt #RuralHealth
Maximize savings with formulary compliance, adherence-based savings, and value-based contract tracking. Gain insights to improve care and reduce costs for better patient outcomes! Learn how PQS by Innovaccer can help: zurl.co/cGgjM #ValueBasedCare
November 14, 2025 at 1:00 PM
Maximize savings with formulary compliance, adherence-based savings, and value-based contract tracking. Gain insights to improve care and reduce costs for better patient outcomes! Learn how PQS by Innovaccer can help: zurl.co/cGgjM #ValueBasedCare
3/4
Decades in, #ValueBasedCare hasn’t shown consistent gains in outcomes or costs.
But it’s done wonders for administrative overhead, #consolidation, and #burnout.
www.pcplens.com/p/value-base...
Decades in, #ValueBasedCare hasn’t shown consistent gains in outcomes or costs.
But it’s done wonders for administrative overhead, #consolidation, and #burnout.
www.pcplens.com/p/value-base...
Value-Based Care & The Illusion of Improvement
Historical Origins, conceptual framework to current implementation and problems with VBC.
www.pcplens.com
November 13, 2025 at 7:00 PM
3/4
Decades in, #ValueBasedCare hasn’t shown consistent gains in outcomes or costs.
But it’s done wonders for administrative overhead, #consolidation, and #burnout.
www.pcplens.com/p/value-base...
Decades in, #ValueBasedCare hasn’t shown consistent gains in outcomes or costs.
But it’s done wonders for administrative overhead, #consolidation, and #burnout.
www.pcplens.com/p/value-base...
2/4
The irony? “Quality” measurement was born to fix the #HMO backlash of the 1990s.
When denial-based cost control failed, payers rebranded it as #ValueBasedCare. Same logic—new language.
The irony? “Quality” measurement was born to fix the #HMO backlash of the 1990s.
When denial-based cost control failed, payers rebranded it as #ValueBasedCare. Same logic—new language.
November 13, 2025 at 7:00 PM
2/4
The irony? “Quality” measurement was born to fix the #HMO backlash of the 1990s.
When denial-based cost control failed, payers rebranded it as #ValueBasedCare. Same logic—new language.
The irony? “Quality” measurement was born to fix the #HMO backlash of the 1990s.
When denial-based cost control failed, payers rebranded it as #ValueBasedCare. Same logic—new language.
1/4
#QualityMetrics began as a tool to improve care—then morphed into a system to control it.
Today they manufacture blame, drive consolidation, and mask politics as “objectivity.”
www.pcplens.com/p/the-scorek...
#ValueBasedCare #HealthPolicy #medsky #imsky
#QualityMetrics began as a tool to improve care—then morphed into a system to control it.
Today they manufacture blame, drive consolidation, and mask politics as “objectivity.”
www.pcplens.com/p/the-scorek...
#ValueBasedCare #HealthPolicy #medsky #imsky
The Scorekeepers of American Medicine
The History of Quality Measures and Why They Persist
www.pcplens.com
November 13, 2025 at 7:00 PM
1/4
#QualityMetrics began as a tool to improve care—then morphed into a system to control it.
Today they manufacture blame, drive consolidation, and mask politics as “objectivity.”
www.pcplens.com/p/the-scorek...
#ValueBasedCare #HealthPolicy #medsky #imsky
#QualityMetrics began as a tool to improve care—then morphed into a system to control it.
Today they manufacture blame, drive consolidation, and mask politics as “objectivity.”
www.pcplens.com/p/the-scorek...
#ValueBasedCare #HealthPolicy #medsky #imsky
November 13, 2025 at 5:10 PM
Decades worth of #Medicare programs to help #valuebasedcare did move the curve on #populationhealth, care management, and #patientengagement. Cost was harder to move. Arguably successful. www.medicaleconomics.com/view/federal...
Federal primary care programs improved quality but not costs, study finds | Medical Economics
A decade of federal initiatives strengthened care coordination, engagement and clinical quality in primary care, but fee-for-service incentives kept spending high.
www.medicaleconomics.com
November 11, 2025 at 1:24 PM
Decades worth of #Medicare programs to help #valuebasedcare did move the curve on #populationhealth, care management, and #patientengagement. Cost was harder to move. Arguably successful. www.medicaleconomics.com/view/federal...
The lesson? Don't stop at supervised learning. The future of healthcare ROI lies in deploying the right framework for the right problem, especially those that require transparent, pragmatic optimization over time.
#ReinforcementLearning #ValueBasedCare #HealthTech #ActuarialScience #MLbeyondLLMs
#ReinforcementLearning #ValueBasedCare #HealthTech #ActuarialScience #MLbeyondLLMs
November 11, 2025 at 1:00 PM
The lesson? Don't stop at supervised learning. The future of healthcare ROI lies in deploying the right framework for the right problem, especially those that require transparent, pragmatic optimization over time.
#ReinforcementLearning #ValueBasedCare #HealthTech #ActuarialScience #MLbeyondLLMs
#ReinforcementLearning #ValueBasedCare #HealthTech #ActuarialScience #MLbeyondLLMs
Not a quiet change: big #healthinsurer, United, severely restricting #coverage of remote #patient monitoring. Happens as #Medicare is changing coverage rules for it. Also runs counter to role in #valuebasedcare. www.fiercehealthcare.com/regulatory/r...
UnitedHealthcare rolls back remote monitoring coverage for most chronic conditions
Despite the momentum of remote monitoring uptake, UnitedHealthcare has quietly pushed out a massive change to its coverage policies that could impact thousands of Medicare beneficiaries.< | The change...
www.fiercehealthcare.com
November 10, 2025 at 1:43 PM
Not a quiet change: big #healthinsurer, United, severely restricting #coverage of remote #patient monitoring. Happens as #Medicare is changing coverage rules for it. Also runs counter to role in #valuebasedcare. www.fiercehealthcare.com/regulatory/r...
Almost 7 million Americans on Medicare use telehealth for doctor visits. But since the government shutdown began last month, access to telehealth has been irregular. #telehealth #valuebasedcare #healthcare
www.southcarolinapublicradio.org/podcast/my-t...
www.southcarolinapublicradio.org/podcast/my-t...
My Telehealth: Government shutdown leads to irregular telehealth access
Almost 7 million Americans on Medicare use telehealth for doctor visits. But since the government shutdown began last month, access to telehealth has been irregular.
www.southcarolinapublicradio.org
November 7, 2025 at 5:14 PM
Almost 7 million Americans on Medicare use telehealth for doctor visits. But since the government shutdown began last month, access to telehealth has been irregular. #telehealth #valuebasedcare #healthcare
www.southcarolinapublicradio.org/podcast/my-t...
www.southcarolinapublicradio.org/podcast/my-t...
Predictive analytics doesn’t just forecast the future — it helps shape it.
#SOAImpact #PredictiveAnalytics #ValueBasedCare #HealthCareFinance #ActuaryLife
#SOAImpact #PredictiveAnalytics #ValueBasedCare #HealthCareFinance #ActuaryLife
November 4, 2025 at 1:01 PM
Predictive analytics doesn’t just forecast the future — it helps shape it.
#SOAImpact #PredictiveAnalytics #ValueBasedCare #HealthCareFinance #ActuaryLife
#SOAImpact #PredictiveAnalytics #ValueBasedCare #HealthCareFinance #ActuaryLife
It’s an exciting time to be an actuary.
#SOAImpact #PredictiveAnalytics #ValueBasedCare #HealthCareFinance #Innovation
#SOAImpact #PredictiveAnalytics #ValueBasedCare #HealthCareFinance #Innovation
October 31, 2025 at 6:02 PM
It’s an exciting time to be an actuary.
#SOAImpact #PredictiveAnalytics #ValueBasedCare #HealthCareFinance #Innovation
#SOAImpact #PredictiveAnalytics #ValueBasedCare #HealthCareFinance #Innovation
New article: Everyone Is Pre-Sick
Risk Factor Yield Curve:
Payment models assume everyone lives in the “effective zone.”
Left = poverty overwhelms care
Right = diminishing returns
We need to fix the premise
www.pcplens.com/p/everyone-i...
#medsky #healthpolicy #imsky #valuebasedcare #SDOH
Risk Factor Yield Curve:
Payment models assume everyone lives in the “effective zone.”
Left = poverty overwhelms care
Right = diminishing returns
We need to fix the premise
www.pcplens.com/p/everyone-i...
#medsky #healthpolicy #imsky #valuebasedcare #SDOH
October 30, 2025 at 4:41 PM
New article: Everyone Is Pre-Sick
Risk Factor Yield Curve:
Payment models assume everyone lives in the “effective zone.”
Left = poverty overwhelms care
Right = diminishing returns
We need to fix the premise
www.pcplens.com/p/everyone-i...
#medsky #healthpolicy #imsky #valuebasedcare #SDOH
Risk Factor Yield Curve:
Payment models assume everyone lives in the “effective zone.”
Left = poverty overwhelms care
Right = diminishing returns
We need to fix the premise
www.pcplens.com/p/everyone-i...
#medsky #healthpolicy #imsky #valuebasedcare #SDOH
Join us on 11/6 for a hybrid public workshop exploring how value-based payment systems can support people w/ #SeriousIllness & reshape the U.S. #HealthCare system. Register: https://ow.ly/WVxN50X98qg #ValueBasedCare #HealthPolicy #CareCoordination #CareTeams
October 30, 2025 at 2:00 PM
Join us on 11/6 for a hybrid public workshop exploring how value-based payment systems can support people w/ #SeriousIllness & reshape the U.S. #HealthCare system. Register: https://ow.ly/WVxN50X98qg #ValueBasedCare #HealthPolicy #CareCoordination #CareTeams
What strategies are your organizations using to implement this targeted, high-touch approach?
#ValueBasedCare #RiskAdjustment #PrimaryCare #FinancialOptimization #HealthTech
buff.ly/Ya2RED9
#ValueBasedCare #RiskAdjustment #PrimaryCare #FinancialOptimization #HealthTech
buff.ly/Ya2RED9
Impact of More Primary Care Visits on Commercial Health Care Costs | AJMC
More frequent routine primary care visits for certain higher-risk commercially insured adults are associated with lower net population-level health care costs.
www.ajmc.com
October 28, 2025 at 12:01 PM
What strategies are your organizations using to implement this targeted, high-touch approach?
#ValueBasedCare #RiskAdjustment #PrimaryCare #FinancialOptimization #HealthTech
buff.ly/Ya2RED9
#ValueBasedCare #RiskAdjustment #PrimaryCare #FinancialOptimization #HealthTech
buff.ly/Ya2RED9
The MIPS cost performance category measures a practice’s ability to manage healthcare expenses, while providing high quality care to patients.
Analyzing which chronic condition could use the most support is essential to decreasing expenses.
#MIPS #valuebasedcare #medicalpracticestrategist
Analyzing which chronic condition could use the most support is essential to decreasing expenses.
#MIPS #valuebasedcare #medicalpracticestrategist
October 24, 2025 at 11:03 PM
The MIPS cost performance category measures a practice’s ability to manage healthcare expenses, while providing high quality care to patients.
Analyzing which chronic condition could use the most support is essential to decreasing expenses.
#MIPS #valuebasedcare #medicalpracticestrategist
Analyzing which chronic condition could use the most support is essential to decreasing expenses.
#MIPS #valuebasedcare #medicalpracticestrategist
Join us on 11/6 for a hybrid public workshop exploring how value-based payment systems can support people w/ #SeriousIllness & reshape the U.S. #HealthCare system. Register: https://ow.ly/otwe50Xf4gJ #ValueBasedCare #HealthPolicy #CareCoordination #CareTeams
October 24, 2025 at 2:01 PM
Join us on 11/6 for a hybrid public workshop exploring how value-based payment systems can support people w/ #SeriousIllness & reshape the U.S. #HealthCare system. Register: https://ow.ly/otwe50Xf4gJ #ValueBasedCare #HealthPolicy #CareCoordination #CareTeams
New data from the Kaiser Family Foundation’s 2025 Employer Health Benefits Survey show once again how steep employer-sponsored health coverage is becoming.
buff.ly/mH1ZfTY
#HealthPolicy #UniversalHealthcare #MedicareForAll #ValueBasedCare #HealthcareCosts #PublicHealth #EconomicJustice #KFF
buff.ly/mH1ZfTY
#HealthPolicy #UniversalHealthcare #MedicareForAll #ValueBasedCare #HealthcareCosts #PublicHealth #EconomicJustice #KFF
Premiums and Worker Contributions Among Workers Covered by Employer-Sponsored Coverage, 1999-2025 | KFF
Since 1999, the Employer Health Benefits Survey has documented trends in employer-sponsored health insurance. Every year, private and non-federal public employers with three or more employees…
www.kff.org
October 24, 2025 at 2:00 PM
New data from the Kaiser Family Foundation’s 2025 Employer Health Benefits Survey show once again how steep employer-sponsored health coverage is becoming.
buff.ly/mH1ZfTY
#HealthPolicy #UniversalHealthcare #MedicareForAll #ValueBasedCare #HealthcareCosts #PublicHealth #EconomicJustice #KFF
buff.ly/mH1ZfTY
#HealthPolicy #UniversalHealthcare #MedicareForAll #ValueBasedCare #HealthcareCosts #PublicHealth #EconomicJustice #KFF
This proactive and nuanced approach, moving beyond static predictions to dynamic preparedness, aligns with the strategic insights sought by healthcare executives and policy leaders interested in CMS rule changes.
#ValueBasedCare #MSSP #ActuarialInsights #RiskManagement #HealthcareFinance
#ValueBasedCare #MSSP #ActuarialInsights #RiskManagement #HealthcareFinance
October 23, 2025 at 12:04 PM
This proactive and nuanced approach, moving beyond static predictions to dynamic preparedness, aligns with the strategic insights sought by healthcare executives and policy leaders interested in CMS rule changes.
#ValueBasedCare #MSSP #ActuarialInsights #RiskManagement #HealthcareFinance
#ValueBasedCare #MSSP #ActuarialInsights #RiskManagement #HealthcareFinance
There’s a real chance here to align incentives and finally make transparency matter.
#ValueBasedCare #HealthPolicy #EmployerBenefits #Transparency #ActuarialScience
#ValueBasedCare #HealthPolicy #EmployerBenefits #Transparency #ActuarialScience
October 22, 2025 at 12:06 PM
There’s a real chance here to align incentives and finally make transparency matter.
#ValueBasedCare #HealthPolicy #EmployerBenefits #Transparency #ActuarialScience
#ValueBasedCare #HealthPolicy #EmployerBenefits #Transparency #ActuarialScience
Ultimately, true value-based care means designing systems that recognize the connection between mind and body
What successes have you seen in integrating behavioral health into your care models, and what were the key enablers of that integration?
#BehavioralHealth #ValueBasedCare #ClinicalStrategy
What successes have you seen in integrating behavioral health into your care models, and what were the key enablers of that integration?
#BehavioralHealth #ValueBasedCare #ClinicalStrategy
October 21, 2025 at 12:42 PM
Ultimately, true value-based care means designing systems that recognize the connection between mind and body
What successes have you seen in integrating behavioral health into your care models, and what were the key enablers of that integration?
#BehavioralHealth #ValueBasedCare #ClinicalStrategy
What successes have you seen in integrating behavioral health into your care models, and what were the key enablers of that integration?
#BehavioralHealth #ValueBasedCare #ClinicalStrategy
This strategy is about protecting patients, analyzing outcomes risk, and mitigating collateral damage to your practice.
#practicemanagement #pdsa #qualityimprovementinhealthcare #valuebasedcare
#practicemanagement #pdsa #qualityimprovementinhealthcare #valuebasedcare
October 21, 2025 at 10:00 AM
This strategy is about protecting patients, analyzing outcomes risk, and mitigating collateral damage to your practice.
#practicemanagement #pdsa #qualityimprovementinhealthcare #valuebasedcare
#practicemanagement #pdsa #qualityimprovementinhealthcare #valuebasedcare
The era of value-based care enablers is here! Discover how technology and strategic partnerships are reshaping healthcare delivery.
Read more: bluebrix.health/articles/the...
#ValueBasedCare #HealthTech #DigitalHealth #HealthcareTransformation #PatientCare #InnovationInHealth
Read more: bluebrix.health/articles/the...
#ValueBasedCare #HealthTech #DigitalHealth #HealthcareTransformation #PatientCare #InnovationInHealth
The Rise of Value-Based Care Enablers - blueBriX
Explore how value-based care enablers transform healthcare by improving care coordination, interoperability, and patient engagement while helping providers, payers, and policymakers succeed in the shi...
bluebrix.health
October 21, 2025 at 9:15 AM
The era of value-based care enablers is here! Discover how technology and strategic partnerships are reshaping healthcare delivery.
Read more: bluebrix.health/articles/the...
#ValueBasedCare #HealthTech #DigitalHealth #HealthcareTransformation #PatientCare #InnovationInHealth
Read more: bluebrix.health/articles/the...
#ValueBasedCare #HealthTech #DigitalHealth #HealthcareTransformation #PatientCare #InnovationInHealth
Combining Medical and Integrative care as a team solves the problem of how to educate patients on their lifestyle choices.
Read more: anodunos.getlearnworlds.com/blog/self-ma...
#chronicpain #painmanagement ##selfmanagement #valuebasedcare #primarycare #behaviorchange #painnavigator #Anodunos
Read more: anodunos.getlearnworlds.com/blog/self-ma...
#chronicpain #painmanagement ##selfmanagement #valuebasedcare #primarycare #behaviorchange #painnavigator #Anodunos
October 17, 2025 at 6:32 PM
Combining Medical and Integrative care as a team solves the problem of how to educate patients on their lifestyle choices.
Read more: anodunos.getlearnworlds.com/blog/self-ma...
#chronicpain #painmanagement ##selfmanagement #valuebasedcare #primarycare #behaviorchange #painnavigator #Anodunos
Read more: anodunos.getlearnworlds.com/blog/self-ma...
#chronicpain #painmanagement ##selfmanagement #valuebasedcare #primarycare #behaviorchange #painnavigator #Anodunos
Thanks to Dr. Barr in HealthAffairs for speaking to this so well in his article today.
buff.ly/ywiZ70F
#ValueBasedCare #AIinHealthcare #CMS #ActuarialInsights #HealthTech
buff.ly/ywiZ70F
#ValueBasedCare #AIinHealthcare #CMS #ActuarialInsights #HealthTech
Can AI Help Deliver CMS’s Value-Based Care Agenda? | Health Affairs Forefront
I posit that the success of value-based care (VBC) programs, including the assumption of more risk, can be accelerated with optimized AI to support clinical workflows and quality gap closures.
www.healthaffairs.org
October 16, 2025 at 3:37 PM
Thanks to Dr. Barr in HealthAffairs for speaking to this so well in his article today.
buff.ly/ywiZ70F
#ValueBasedCare #AIinHealthcare #CMS #ActuarialInsights #HealthTech
buff.ly/ywiZ70F
#ValueBasedCare #AIinHealthcare #CMS #ActuarialInsights #HealthTech