Blogs

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Key metrics for value-based care

Value-based care (VBC) is designed to incentivize providers to improve outcomes in a cost-efficient manner. In other words, payment and quality of care are inextricably linked.

All insights

Blog

Key metrics for value-based care

Value-based care (VBC) is designed to incentivize providers to improve outcomes in a cost-efficient manner. In other words, payment and quality of care are inextricably linked.

Value-based care

Blog

What’s behind the move from retrospective to prospective risk adjustment?

Health plans across the country are recognizing the superior value of prospective risk adjustment programs, and rightfully so.

Provider

Risk adjustment

Blog

Another blow to detached health risk assessments

Health Affairs recently published a study of data from 4 million Medicare Advantage (MA) members indicating that health risk assessments (HRAs) contributed up to $12 billion per year to risk adjusted payments in 2020.

Provider

Risk adjustment

Value-based care

Blog

Four observations from the frontlines regarding our recent VBC survey

Vatica Health recently conducted an independent survey of over 100 managers and executives of primary care practices and health systems to learn what’s working for them and what still needs to be addressed to facilitate a smooth transition to value-based care.

Value-based care

Blog

Relieve providers’ admin burden to help combat burnout

Provider burnout isn’t new. It existed long before COVID and was exacerbated by the pandemic. But it’s rising to new levels.

Provider

Risk adjustment

Blog

Five ways you can begin addressing SDOH to improve outcomes and lower costs

Government agencies and healthcare providers alike understand the impact of SDOH and want to do something to close the gap.

Risk adjustment

Value-based care

Blog

Understanding the financial impact of the RADV final rule

On January 30, 2023, the Centers for Medicare and Medicaid Services (CMS) released the final rule on Risk Adjustment Data Validation (Final Rule).

Compliance

Risk adjustment

Value-based care

Blog

A wave of CMS regulatory changes – a new paradigm for risk adjustment

Over the last several months there have been dramatic regulatory changes that will have a significant impact on Medicare Advantage Organizations (MAOs).

Compliance

Risk adjustment

Blog

The RADV final rule – strategies for mitigating the impact

The Centers for Medicare and Medicaid Services (CMS) released on January 30 the long-awaited final rule on Risk Adjustment Data Validation (RADV).

Compliance

Risk adjustment

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