The CMS ACCESS model shifts healthcare to continuous, outcome-driven care—making care management platforms essential ...

When catastrophic conditions aren’t treated as their own vertical, plans risk applying standard care or general case management models that lack the depth, coordination, and domain expertise required.

The future of healthcare leadership belongs to those willing to move past one-size-fits-all thinking and lead with intention ...

Health systems must adopt continuous care management with standardized communication and leadership support to address fragmented care delivery. UC Davis Health prioritized high-risk patients and ...

WellSpan turned this sidecar department into a system strategy, saving millions and improving care by embedding population health across service lines.

For decades, chronic disease management in Medicare has been hampered by a fee-for-service payment system that rewards volume and activity rather than true clinical improvement. This model created ...

Surveys have shown that most healthcare providers thought telehealth would stay at pandemic levels or even increase. But telehealth utilization has since dropped, and while it remains higher than it ...

It's still early days for value-based care. The VBC landscape today is characterized by widespread but sometimes superficial adoption. While many health systems have initiated value-based care ...

Health plans and value-based care organizations are ill-prepared to help patients with Alzheimer’s Disease or related dementia. Just 4% of respondents in a recent survey of 50 senior leaders working ...

Cancer care involves significant hidden labor, with patients and providers navigating a complex system with inadequate compensation. Value-based care models like PCM offer reimbursement for ...

OSF CompleteCare 55+, a hybrid virtual and in-person healthcare clinic in Chicago, offers high-touch wrap-around services for the growing number of seniors in the area. This could be the model for ...

To continue reading this content, please enable JavaScript in your browser settings and refresh this page. This article was updated Feb 24, 2023. Health care spending ...