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Harvard Pilgrim bets on value-based drug payments with new deals for Enbrel and Forteo

February 24, 2017  /  Emerging Healthcare Models

As high pharmaceutical prices strain budgets of payers and patients alike, Harvard Pilgrim is betting so-called pay-for-performance deals will help lower drug costs and improve patient outcomes. 

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HHS rule delay does not slow launch of bundled-payment models

February 16, 2017  /  Emerging Healthcare Models

The Trump administration’s move to delay the effective date for a rule that launched several new cardiac and orthopedic bundled-payment models under Medicare will not slow the launch of the initiatives, an HHS spokesman confirmed Thursday.

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Studies underscore importance of nuances, time in judging ACOs

February 16, 2017  /  Emerging Healthcare Models

In the ongoing debate over how accountable care organizations can lower costs and improve health, two new studies offer insights into the nuances of how ACOs affect spending, utilization and quality.

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Examining different accountable care organization payment models

February 16, 2017  /  Emerging Healthcare Models

Two new studies take a look at different accountable care organization (ACO) payment models.

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Aetna, UnitedHealth show increasing appetite for value-based care contracts

February 11, 2017  /  Emerging Healthcare Models

Aetna has long held a goal to reach 75 to 80 percent of its medical spend in value-based relationships by 2020.

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Provider Consolidation Not Directly Associated with Payment Reform

February 11, 2017  /  Emerging Healthcare Models

Although the prevailing wisdom is that payment reform will accelerate provider consolidation, new research published in Health Affairs finds minimal evidence that consolidation has been associated with accountable care organization (ACO) penetration.

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Cigna and Fresenius Medical Care North America Collaborate to Drive Quality and Lower the Cost of Caring for Kidney Dialysis Patients

February 11, 2017  /  Emerging Healthcare Models

Value-based reimbursement model uses incentives to engage health care providers Helps drive improved health, affordability and patient/provider experience Cigna’s first value-based reimbursement arrangement for kidney disease specialty

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Bundled Payment Model Attracts More Oncologists than Expected

February 3, 2017  /  Emerging Healthcare Models

The CMS bundled payment model revolving around oncology is bringing in twice as many provider organizations as initially anticipated.

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Merck and Aetna pair population health with risk-sharing, in two deals

January 29, 2017  /  Emerging Healthcare Models

In America, pay-for-performance pricing deals involving pharmaceutical brands and insurers have historically come up short. So why do Merck and Aetna — one of the latest such pairs to enter a deal using value as the basis for payment — believe their agreement will fare any better?

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CMS Bundled Payment Models Lead to Greater Patient Selectivity

January 26, 2017  /  Emerging Healthcare Models

Some hospitals participating in CMS bundled payment models have moved patients at high risk of complications to other providers that are not taking part in bundles.

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