Existing care management approaches, such as Principal Care Management (PCM), Transitional Care Management (TCM), and ...

Prior authorization has been a flashpoint for providers, and, while insurers have taken steps to ease these utilization management protocols, they still play a key role as the industry shifts to value ...

Forbes contributors publish independent expert analyses and insights. Joshua Cohen is a Boston-based writer who covers health policy. Through the Medicare Advantage Value-Based Insurance Design (VBID) ...

Policy makers and health plans seek value-based management of specialty drugs. This study examines real-world factors that favor some approaches over others and their potential impact. Objectives: ...

This Forefront article demonstrates how safety-net providers can and do succeed in value-based payment models with the support of multi-stakeholder alignment and conducive policy environments. This ...

As healthcare leaders look to the year ahead, many predict that this will be the year the training wheels come off value-based care. This is not a new priority, but the move from value-based theory to ...

Precision Value Based Management owns the technology that grades and ranks physicians for payers, hospital systems, and ACOs, with over 21 million patients that are being tracked. “They know exactly ...

We’ve all seen the news: Value-based care is coming, it’s inevitable, it’s here. But many health systems have yet to see major impacts from value-based reimbursement models such as accountable care ...

Before the pandemic, hospitals in the U.S. were making notable progress in the effort to address flagging patient safety and care quality metrics. And that effort paid off — adverse events and safety ...

Forbes contributors publish independent expert analyses and insights. I cover transformation and innovation across the health care industry. For two decades, value-based care has been built upon a ...

Tasked with reducing healthcare costs while offering more comprehensive care, health plans and providers are reconsidering their approach. Traditionally, the healthcare system operated under a fee-for ...