This MCOL podcast features a discussion by Doug Sherlock, Senior Health Care Analyst and President, Sherlock Company (www.sherlockco.com), featuring his insights into the quarterly financial performance of value based care organizations for the fourth quarter 2021.
- Lynda Rowe, Senior Advisor of Value-based Systems, Intersystems
Source: Value Based Payment News, Volume 7 Issue 10, May Second Edition 2022, Research Briefs: "RAND: Health Plans Paid Hospitals 224 Percent Higher Than What Medicare Would Pay."
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10 States with the Most Preventable Hospitalizations per
1,000 Medicare Enrollees 1. West Virginia: 53.59 2. Mississippi: 50.04 3. Kentucky: 49.85 4. Louisiana: 49.14 5. Alabama: 49.12 6. Washington, D.C.: 46.4 7. Illinois: 44.76 8. Michigan: 43.97 9. Delaware: 43.78 10. Indiana: 43.37 Notes: Values reflect the number of 2019 discharges per 1,000 Medicare enrollees for ambulatory care-sensitive conditions, such as diabetes with short- or long-term complications, chronic obstructive pulmonary disease, angina without a procedure, asthma, dehydration and urinary tract infection. The national average is 37.7. Source: America's Health Rankings analysis of U.S. HHS, Centers for Medicare & Medicaid Services, Office of Minority Health, Mapping Medicare Disparities Tool, United Health Foundation, accessed May 25, 2022. |
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2022 MIPS Overview Webinar Provides an overview of ways to participate in the Merit-based Incentive Payment System (MIPS) for the 2022 performance year. |
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Managed Healthcare Executive, May 24, 2022
EHR Intelligence, May 20, 2022
MedCity News, May 20, 2022
Healthcare Finance, May 19, 2022
RevCycle Intelligence, May 17, 2022
Business Wire, May 17, 2022
HealthPayer Intelligence, May 16, 2022
Becker's Hospital Review, May 16, 2022
FierceHealthcare, May 12, 2022
The American Journal of Managed Care, May 12, 2022
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High-Value Care During COVID-19: Lessons Learned and
Future Opportunities Hospital Pediatrics, May 18, 2022 |
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Hospital Overuse During COVID, 2022 Lown Institute, May 17, 2022 |
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Prices Paid to Hospitals by Private Health Plans RAND Corporation, May 17, 2022 |
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Quality Indicators Targeting Low-Value Clinical
Practices in Trauma Care JAMA Surgery, abstract only, April 27, 2022 |
In this month's first issue:
- 1st Quarter 2022 Earnings Reports: What UnitedHealth and Anthem Are Saying About Value- Based Care
- Medscape Physician Compensation Report 2022
- Blue Cross & Blue Shield of Rhode Island and Prospect Health Services Announce New Value Based Care Agreement
- Blue Cross Blue Shield of Michigan launches joint venture with Honest Medical Group
- agilon health and United Physicians form Long-term Partnership in SE Michigan
In this month's second issue:
- RAND: Health Plans Paid Hospitals 224 Percent Higher Than What Medicare Would Pay
- IHA: Better Quality, Lower Costs When Providers and Health Plans Share Financial Risk
- Hint Health Releases Report on Trends in Contracting for Direct Primary Care
- The Price of Childbirth in the U.S. Tops $13,000 in 2020
- CareJourney Analysis Shows Breast Cancer Screenings Dropped During COVID-19, but Women Cared for by Physicians in Value-Based Care Arrangements Were Significantly More Likely to Be Screened
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