Accountable Care

Clinical decision support improves outcomes, ROI and the move to value-based care, says Yaw Fellin of Wolters Kluwer Health. 

"If we can manage patients on the front side of their diagnoses, and continue that management longitudinally, it's going to have a significant impact on the escalation of patients' chronic conditions," one expert says about the value of preventative care.

Pushing the needle on value-based care will require buy-in from employers, says Susan Dentzer, president and CEO of APG. 

While 80% of a commercial bill is the plan's responsibility, 20% is owed by patients, says PayMedix CEO Tom Policelli.

The goal of the new nationwide ecosystem is to simplify patient access through virtual care pathways that work in tandem with local delivery, enabling higher quality and cost efficiencies for providers, says Transcarent CEO Glen Tullman.

 More than 7 million have lost Medicaid coverage, with states taking widely different approaches to the redetermination process, says John Barkett.

Health systems should get organized on alignment, transparency and reciprocity to further their VBC efforts, and providers need support to better understand and interpret population health data, says John Fryer, president of Tribus and CRO at Lumeris.

Also: eClinicalWorks now offers a suite of patient engagement capabilities through a collaboration between Ero Health and HealthTalk A.I.

The LLMs, trained on healthcare and reimbursement concepts and terminologies, could improve population health management, care management and coordination, CRM, VBC, and self-serve analytics, the company said.

Episode-based payment incentives must be aligned across other value-based models, CMS says.