- William Shrank, MD, MPHS, Chief Medical Officer, Humana
• Asthma (84%)
• Behavioral health screening and treatment (68%)
• Attention Deficit Hyperactivity Disorder (ADHD/ADD) (68%)
• Depression/anxiety (63%)
• Children with special healthcare needs (CSHCN) (74%).
Source: "Medicaid Access & Care in 2020: Results from the Institute for Medicaid Innovation’s 2021 Annual Medicaid Health Plan Survey," Institute for Medicaid Innovation, November 2021.
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Avalere: 5 Top Therapeutic Areas Utilizing
Outcomes-Based Contracts in 2021 1. Cardiovascular: 79% 2. Endocrine: 68% 3. Respiratory: 54% 4. Immune/Inflammatory Diseases: 41% 5. Infectious Disease: 31%. Notes: From an article entitled, "Avalere Survey: Over Half of Health Plans Use Outcomes-Based Contracts." Respondents who indicated they were currently using Outcomes-Based Contracts in September 2021 were asked to identify in which therapeutic areas they were utilizing these contracts. Source: Avalere, November 4, 2021 |
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Developing Clinically Integrated Networks and other Innovative
Contracting Models
This webinar focuses on innovative value-based contracting
models with discussion of strategic, financial, risk, legal, and
regulatory considerations for physicians starting or joining a
clinically integrated network or entering into alternative
value-based contracting models. |
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Managed Healthcare Executive, November 16, 2021
Getting Paid blog/AAPF, November 10, 2021
NEJM Catalyst, November 10, 2021
Healthcare Innovation, November 5, 2021
JAMA Health Forum, November 5, 2021
Healthcare Finance, November 3, 2021
HealthcareExec Intelligence, November 1, 2021
Patient Engagement HIT, November 1, 2021
Medical Economics, October 28, 2021
Hospice News, October 27, 2021
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Assoc. of Rural & Critical Access Hospital Status
with Outcomes After ED Visits JAMA Network Open, November 19, 2021 |
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New Report Finds VB Care Agreements Benefited Humana MA
Members Business Wire, November 16, 2021 |
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Avalere Survey: Over Half of Health Plans Use
Outcomes-Based Contracts Avalere, November 4, 2021 |
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Improving the evidence base for performance-based
pharmacy payment models Journal of the American Pharmacists Association, November 1, 2021 |
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Medicaid Access & Care in 2020: Results from
Institute for Medicaid Innovation Institute for Medicaid Innovation, November 2021 |
In this month's first issue:
- Can The Pandemic Accelerate The Adoption Of Value-Based Healthcare In Developing Nations? by Joel Schamroth and David Walcott
- Key Metrics to Gauge Quality of Value Based Care by ChenMed Staff
- CMS Innovation Center 2021 Strategy Refresh
In this month's second issue:
- Capitation in Commercial Lines of Business By Brian A. Sweatman and Louisa Bonds, Milliman
- CMS Home Health and Radiation Oncology Payment Model Final Rules Posted
- 56% of Plans Use Outcomes-Based Rx Contracts
Click here to view a brief (under 2 minutes) video with more
information
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