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Specialty physicians in Connecticut gain path to value-based care, payment boost via private health plan

The State of Connecticut Health Plan is the first commercial plan in the country to have its episodes-of-care payment model designated as an Advanced APM by CMS. With limited Advanced APM options via CMS, this designation will provide specialty physicians in the state a path to value-based care payments through the private sector.
United States State Of Connecticut Kevin Lembo Centers For Medicare Medicaid Services Connecticut Health Plan Quality Payment Program

Mount Sinai, Empire BlueCross BlueShield to extend access to home-based care models

Empire members will gain access to three Mount Sinai Health System care models, which enable patients to opt for in-home care when medically appropriate. The agreement also includes a plan to improve bi-directional data exchange between the provider and payer.
Robert Fields Bluecross Blueshield Mount Sinai Visiting Doctors Program Mount Sinai Health System Mount Sinai Community Paramedicine Community Paramedicine

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Value-Based Care Alternative Reimbursement Models

Looking at alternative reimbursement models for medical practices that are tied to value-based care and discuss primary reimbursement models used, including Accountable Care Organizations and bundled payments, along with direct contracting and price transparency.
Anti Kickback Statute Administrative And Regulatory Value Based Care Lternative Reimbursement Models Rimary Reimbursement Models Bundled Payments

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