Many clinicians don’t routinely have in-depth conversations with seriously ill patients to identify the goals and values of these patients and guide their care, palliative care experts have long noted. Many physicians report feeling frustrated by having to treat seri... more
States are increasingly focusing on health equity, and in particular racial health equity, as a key priority within their Medicaid programs ― often explicitly building health equity requirements into managed care contracts. Ensuring equitable access to high-quality a... more
As a nation, we underinvest in primary care. Only about six percent of total health care expenditures in the U.S. are for primary care activities, compared to peer countries that average 14 percent. This underinvestment leads to poor and inequitable health outcomes. Th... more
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The Eastern Band of Cherokee Indians (EBCI) is a federally recognized Native American nation consisting of approximately 15,000 enrolled members. Most of these members reside in the Qualla Boundary, a Tribal land spanning five counties in western North Carolina. T... more
The health care system is increasingly moving away from volume-driven, fee-for-service (FFS) reimbursement and toward value-based payment (VBP) models that incentivize quality, enhance the patient experience, and reduce costs. While VBP is increasingly being adopted in ... more
As the health care system moves toward more sophisticated value-based payment (VBP) models, those seeking to improve efficiency continue to look to primary care as the key to prevention and better health management. And for good reason: greater use of primary care is as... more
On September 15, the Centers for Medicare & Medicaid Services (CMS) released a State Medicaid Director (SMD) letter on value-based care (VBC) opportunities in Medicaid. The letter is designed “to provide information on how states can advance [VBC] across their he... more
Payers across the country are launching population-based payment (PBP) models. This upfront, prospective, value-based payment (VBP) approach pays providers based on the number of patients served, as opposed to the number of services performed, and includes provider acc... more
As the Pay for Success movement has grown throughout the United States, a broad array of intermediaries, service providers, and prospective investors have set their sights on state Medicaid programs, which serve one in five Americans, as among the most bankable benefici... more
