Managed Care & Value-Based Reimbursement
The impending shift to value-based reimbursement (VBR) and managed care in the health and human services industry has become a driving force across both public and private sector organizations, not only forcing new operating models and systems, but pushing providers to develop new partnerships with payers and to prepare for population health management. This shift presents organizational, technical, and cultural challenges that require a robust technology infrastructure, data-driven decisionmaking, and new leadership competencies. As behavioral health provider organizations move towards risk-based contracts, those who adapt to this change will have a better opportunity to carry forward in the provision of value-based services.
Editor's Picks
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Four Keys To Success With Value-Based Reimbursement
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Only 4 U.S. State Medicaid Plans Not Using Alternative Payment Models
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VBR – Where's The Beef?
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Tech for VBR—It’s All About The Data
On October 11, 2021, PopHealthCare, a subsidiary of GuideWell Mutual Holding Corporation, launched Emcara Health, a value-based nationwide medical group. Emcara Health will provide a suite of care solutions to … Continued Read
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Latest Resources
- New Mexico Medicaid System: An OPEN MINDS State Profile
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- Tennessee Announces Intent To Award Next Medicaid MCO Contracts To Incumbents; Contracts Include Changes In Coverage Options For Consumers With I/DD
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- Nevada Medicaid System: An OPEN MINDS State Profile
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- The ‘Ideal’ Health Home?
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- Humana To Offer Virta Health's Diabetes Reversal Platform For Self-Funded Employer Plans
- Innovations For The Most Complex Consumers? Think 3-To-1
- Arizona Medicaid Awards Three Contracts For Total Health Coverage For Individuals With Serious Mental Illness
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Latest Industry Bulletins
- NCQA Accredits Somatus’ Kidney Care Management For Population Health & Case Management
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Latest Industry News
- GuideWell Subsidiary PopHealthCare Launches Emcara Health, A Value-Based National Medical Group
- Humana To Offer Virta Health's Diabetes Reversal Platform For Self-Funded Employer Plans
- Anthem Selects Somatus To Deliver Personalized, Value-Based Kidney Care
- Medicare To Expand Home Health Value-Based Purchasing Model Nationwide In 2022
- Partners Health Plan, New York Medicaid MCO For I/DD, Launches Expansion Plans
