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Geisinger CEO: Price variability won't be solved unless payers & providers get on the same page

Price transparency data has revealed there is a high degree of price variance for healthcare procedures depending on patients' insurance carriers and the location in which services are delivered. Jaewon Ryu, Geisingerโ€™s president and CEO, said that the only way this variability can be addressed is by getting decision makers on the payment side much more aligned with the care delivery side of things.
United States Jaewon Ryu Centers For Medicare Aetna Better Health Reuter Total Health Medicare Shared Savings Program

How payers, employers can expedite healthcare's transition to value-based care

Moving to value-based care models isn't easy. But payers may be in the best position to make this change, according to the Business Group on Health. Employers, meanwhile, can encourage their employees to receive care from providers participating in value-based care.
Dylan Landers Nelson Business Group On Health Holy Grail Business Group Weight Loss Medical Devices

Why improving maternal care could be impossible without VBC

This dearth of maternity care providers is exacerbating the countryโ€™s less-than-stellar reputation for birth outcomes. In order to ensure better health for mothers and their newborns, OB-GYNs must identify risk factors that negatively impact pregnancy early on and work to maintain the whole picture of their pregnant patients' health. However, OB-GYNs arenโ€™t incentivized to do this under a fee-for-service payment model.
United States Wildflower Health Us Women Health Alliance Leah Sparks Weight Loss Medical Devices

How EmpiRx's value-based model led to less drug spending on mental health, decreased opioid use

EmpiRx found in its data that pharmacy claims for behavioral health treatments increased 9.4% from 2020 to 2021. For antidepressants, utilization increased 12% during this time period, but per claim spend fell 1.8%. ADHD medications saw a 20.2% increase in utilization and a 9.1% decrease in per claim spend.
Karthik Ganesh Empirx Health Employee Benefit Research Institute New Jersey Based Empirx Weight Loss Medical Devices

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Solving healthcare's last mile problem: 3 ways to better reach patients

There are a few key priorities providers and digital health companies should consider in their efforts to better reach patients โ€” including scaling up their commitment to value-based care and working to engage patients beyond their episodic care needs โ€” according to a recent healthcare innovation panel.
United States Cyril Philip Zachary Clark Max Cohen Sprinter Health Uber Health

Aledade claims its VBC network has saved $1.2B over 8 years

Aledade said that its value-based care network has helped save the U.S. healthcare system save more than $1.2 billion over the past eight years. A primary care physician at an accountable care organization that works with Aledade testified that being a part of the network has yielded significant shared savings that have led to better care outcomes, such as lower re-hospitalization rates.
District Of Columbia United States Lee Fleischer Medicare Shared Saving Program Maryland Based Aledade Medicare Advantage

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