To succeed, value-based models need to broaden their focus to include identifying the rising-risk population and proactively incorporating interventions to prevent exacerbations of unmanaged chronic conditions.

Health reforms in recent years have opened up the door to greater use of Community Health Workers (CHWs) due to their role in working with higher-risk populations.

While primary care is the foundation for effective population health management, traditional reimbursement structures under fee-for-service (FFS) do not facilitate the delivery of high-quality primary care.

As providers begin to bear risk for defined populations, providers and payers have begun to change the way they deliver and pay for health care. Accountable care organizations (ACOs), in particular, have proliferated with the common goal to fulfill the triple aim of improved patient satisfaction, improved care and decreased health care costs. Though ACOs […]

Accountable care organizations have become an emphasis in health policy circles, but some feel they represent the return of 1990s managed care.