
Value-Based Care
The healthcare system is transitioning to value-based care. We can help you navigate the alphabet soup: APM, ACO, MSSP, EPM, MACRA, OCM, OBC. Count on us to guide you through the transition.

Our Take on the Final QPP Rule
Yesterday, the Centers for Medicare & Medicaid Services (CMS) released a final rule that makes changes to the second year of the Quality Payment Program (QPP) for 2018. The QPP was created by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Podcast: E4 – Digital Health the Missing Partner in Pain Management?
In the final episode of our digital health podcast series, we interview Martha Lawrence, Chief Executive Officer of AccendoWave, discussing how technology has the promise to reduce pain for patients as an alternative to opioids. AccendoWave's system assesses patient discomfort levels using EEG technology.
Podcast: Evolving Value-Based Care Strategies in 2017 and Beyond
Tune in as Avalere's Fred Bentley explores how a leading health system adapts to evolving value-based payment models in an interview with Dr. Robert Nesse, senior director for Payment Reform at Mayo Clinic.
CMS Proposal for New Medicare Payment System Could Lead to Large Payment Variability for Specialists
New analysis from Avalere finds that payments to certain physician specialists could increase or decrease by as much as 16% for their 2018 performance under the Merit-based Incentive Payment System (MIPS).
Webinar: Shifting Gears: Strategic Partnerships to Drive Value-Based Care
Avalere experts discuss the need for unique stakeholder collaborations to facilitate success in the transition to a value-based care system.
Dan Mendelson Op-ed Featured in Medtech Insight
Avalere's President and Founder, Dan Mendelson, recently wrote a column about the new strategies that device manufacturers should take in this era of healthcare.
New Medicare Incentives Encourage Accountable Care Organizations To Assume Greater Risk
Avalere simulation finds that more ACOs will be eligible for earnings if they take on two-sided risk.
Takeaways from the Updated Better Care Reconciliation Act (BCRA)
As the Senate prepares to begin debate on a revised version of the Better Care Reconciliation Act (BCRA) next week, Avalere offers the following observations on select components of the legislation:
Podcast: E3 – The Future of Technology in Community Hospitals
Tune in to the third episode of our digital health podcast series as we explore the role innovation and technology play in the healthcare landscape. Today, we interview Sajid Ahmed, Chief Information & Innovation Officer of the new Martin Luther King Jr. Community Hospital. Hear how he leads its greater than $70 million health information technology initiative and launched the innovation hub that serves 1.35 million residents from all over South Los Angeles.
Webinar: Transitions of Impact: Driving PAC Optimization to Improve Patient Outcomes
Learn more about how new models of care are impacting providers as Avalere experts discuss care coordination and care transitions.
Podcast: E2 – Telehealth Technology Improving Patient Access?
In episode 2 of our health technology podcast series, we discuss the promise of telehealth technologies with Jamey Edwards, CEO of Cloudbreak Health.
Podcast: E1 – The Role of Technology in Chronic Disease Management
We are excited to bring you a 4-part podcast series dedicated to digital health where we explore the role innovation and technology play in healthcare. We kick off this series with Adam Kaufman, CEO of Canary Health. Canary Health is a leading digital health self-management platform, which has demonstrated success in helping people achieve improved health while lowering healthcare costs.
Video: Advance Your PAC Optimization
Watch Erica Breese, our post-acute care expert, preview how analytics can reduce readmissions and improve outcomes for patients after hospitalizations.
Rates of Hospital Acquisition of Physician Practices Have Accelerated Dramatically in Rural Areas
Avalere recently partnered with the Physicians Advocacy Institute to examine trends in physician employment and practice ownership by hospitals and health systems from 2012 to 2015.
Few Manufacturers Publicly Share Policies for Granting Patient Access to Investigational Products
Proposed Requirements in 21st Century Cures Act Would Increase Transparency Requirements
Medicare Part B Drug Payments Implicated in CMMI Models
The Center for Medicare & Medicaid Innovation is currently testing a variety of programs which place providers at risk for Medicare spending and may motivate providers to manage Medicare Part B costs, including drug spending and utilization.
Katherine Steinberg, MPP, MBA Joins the Avalere Center for Payment and Delivery Innovation™
Katherine Steinberg comes to Avalere Health with more than 15 years’ experience in the healthcare arena.
Providers Across the US Express Interest in Moving to New Cancer Payment Model to Control Medicare Costs
Earlier today, the Centers for Medicare and Medicaid Services (CMS) released participation information for its new Oncology Care Model (OCM) slated to begin July 1.
Costs of Care: Getting the Patient-Clinician Conversation Right
Avalere Supports the Robert Wood Johnson Foundation in Issuing Two Calls for Proposals
Podcast: An Introduction to the Merit-Based Incentive Payment System (MIPS)
HHS released a proposed rule to MACRA which implements two pathways: Merit-Based Incentive Payment System and Advanced Alternative Payment Models. In this podcast, Avalere's Angel Valladares discusses the four performance categories.