How Payers Are Linking Community-Based and Value-Based Care to Strengthen Outcomes and Equity
"Many community-based organizations lack sustainability. It is up to payers—or the holders of the financial and outcomes risk for the individual—to create the infrastructure and processes to add CBOs to their VBC models and pay them for their services," says one health tech executive.
Anthem's Chris Day Shares Keys to Plan's Value-Based Strategy
"Supporting providers versus just providing them with data is how value-based design has evolved," says Anthem's Chris Day.
Aetna Partnership Decreases Member Social Determinant: Loneliness
Medicare Advantage plans collaborate with companionship companies to meet non-medical needs and collect data that grows member trust and revenue.
Integra ACO to Launch Home Care Programs Using Advanced Remote Monitoring Technology
"We don't want to wait for symptoms. We can be proactive, before a full exacerbation of a chronic disease," says one ACO executive.
ROI From Humana Prior Authorization Platform Drives Nationwide Expansion in Less Than One Year
"This is a re-imagined PA process, one where expedited approval becomes the standard," says one Humana executive.