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Value-based Payment Models in Oncology: Will They Help or Hinder Patient Access to New Treatments?

April 23, 2017  /  Emerging Healthcare Models

Early signs of success in Oncology Value-based Payment Models point to increasing experimentation with these new reimbursement approaches.

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Humana Expands Medicare Orthopedic Bundled Payment Programs

April 23, 2017  /  Emerging Healthcare Models

Humana is partnering with eight orthopedic specialty groups to expand bundled payment programs for Medicare beneficiaries requiring hip and knee surgery.

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Blues Plans Accelerate Move to Value-Based Products Despite Uncertainty Around ACA

April 12, 2017  /  Emerging Healthcare Models

Blue Cross Blue Shield plans are accelerating their move to value-based insurance products and reporting strong results from new initiatives, even as lawmakers in Washington are debating the future of the Affordable Care Act (ACA), which has been a catalyst for these changes.

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Cigna, Major Dialysis Company Partner To Improve Care

April 12, 2017  /  Emerging Healthcare Models

Cigna is aiming to avoid unnecessary hospitalizations for people on dialysis at clinics run by Fresenius Medical Care and others who are covered by Cigna insurance.

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Amgen Enters Into Agreement With Inovalon and Avalere to Engage Value-Based Contracting Opportunities

March 31, 2017  /  Emerging Healthcare Models

Inovalon today announced it has entered into an agreement with Amgen to to better manage healthcare costs and enable access to therapeutic solutions that deliver value to patients, payers, and providers.

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Private Sector Accountable Care Organization Development: A Qualitative Study

March 31, 2017  /  Emerging Healthcare Models

Private sector organizations pursuing an accountable care strategy allowed them to respond to policy changes anticipated to impact the way healthcare is delivered and reimbursed. 

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Private Sector Accountable Care Organization Development: A Qualitative Study

March 17, 2017  /  Emerging Healthcare Models

Private sector accountable care organization development has been motivated by perceived opportunities to improve quality, efficiency, and population health, and the belief that payment reform is inevitable.

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Oncology Medical Homes, Patient Navigators Improved Quality and Saved Costs at End of Life

March 17, 2017  /  Emerging Healthcare Models

Results of a recent study highlighted the medical home and patient navigator models as being associated with significantly lower costs and fewer hospitalizations at the end of life (EOL).

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65% of Organized Providers Paid Via Alternative Payment Models

March 3, 2017  /  Emerging Healthcare Models

A recent survey showed that only 35 percent of providers in an integrated employment model are not primarily reimbursed through an alternative payment model.

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Amgen strikes Enbrel ‘outcomes’ contract with Harvard Pilgrim

February 24, 2017  /  Emerging Healthcare Models

Evan as biosimilar competition for Amgen’s blockbuster rheumatoid arthritis drug Enbrel is lurking in the background, the biotech may have found a way to preserve market share with an outcomes-based contract for the popular med. 

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