Value-Based Care
Alternative payment models are becoming more advanced as the healthcare system transitions to value-based care and payers drive to accelerate generated savings. Track and stay ahead of this evolution to identify strategic partnerships and measure results.
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:
Interview: E3 – The Future of Technology in Community Hospitals
In our digital health series, we explore the role innovation and technology play in the healthcare landscape. 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.
Interview: E2 – Telehealth Technology Improving Patient Access?
In the second interview of our health technology series, we discuss the promise of telehealth technologies with Jamey Edwards, CEO of Cloudbreak Health.
Webinar: Looking Ahead: How Will New Payment Models Evolve Under MACRA?
As the industry continues to see a shift from volume to value, Avalere experts examine the future of Medicare's Quality Payment Program under a new administration.
Interview: E1 – The Role of Technology in Chronic Disease Management
In our four-part series dedicated to digital health, 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: Navigate Value-Based Payments
Watch this short video of Fred Bentley from our Provider Practice, discuss insights on navigating the transition from volume to value-based care in a changing healthcare environment.
Interview: E3 – Positioning for Success in the Merit-Based Incentive Payment System
In the final episode of our QPP podcast series, Nelly Ganesan, one of our MACRA experts, talks about the Merit-Based Incentive Payment System (MIPS) optimization.
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.
Risk-Bearing ACOs Growing in Popularity Under Medicare Programs
On January 18, 2017, the Centers for Medicare & Medicaid Services (CMS) announced the new Accountable Care Organization (ACO) participants in the Medicare Shared Savings Program (MSSP) for 2017.
Interview: Navigating Bundled Payment Models in 2017
Fred Bentley fills you in on the core components of the EPM final bundled payment rule and the future of bundled payment models.
Avalere Analysis on Final EPM Bundle Rule
Today, the Centers for Medicare & Medicaid Services took another step in shifting Medicare to a value-based payment model that rewards hospitals for delivering better care at a lower cost.
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
Webinar: EPMs: The Newest Bundled Payment Model
CMS released another mandatory bundled payment proposed rule which will significantly expand the scope of hospitals bearing risk for episodes of care nationally.
Interview: E4 – The Evolution of Payment Models and the Impact on Life Sciences Companies
In our final bundled payment podcast, Avalere's Adam Borden discusses how the potential updates may impact device manufacturers.