Serving the Value-Based Care Community | |
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Inside Precision Medicine | January 17, 2024
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Researchers from Mass General Brigham, reporting in npj Digital Medicine, detail their development of a generative artificial intelligence (AI) that can identify social determinants of health (SDoH) from a doctor’s notes. The new model, developed using a large language model (LLM), the finely tuned tool identified 93.8% of patients with an adverse SDoH. This compares with only two percent of diagnostic codes including SDoH information and the new model also demonstrated it was less prone to bias when compared with generalist models such as GPT-4. | | |
As we roll into 2024, new technologies are creating optimism around healthcare delivery. Intelligent technologies create opportunities for workforce efficiency, while data is powering much more sophisticated consumer experiences. We have the potential to deliver better more equitable health outcomes, but it will require the right focus. Here’s my breakdown of Top 10 trends impacting digital health engagement. | |  |
Michael Palantoni says he is seeing growing support for shifting to value-based care, including discussions and cooperation that would have been unthinkable a few years ago. Palantoni is the vice president for platform and data services at athenahealth, the electronic health record company, which is working with payers and providers on addressing gaps in care in the shift to value-based care. “I think that’s one of the most fundamental shifts in most value-based care models is that the traditional roles of the payer and the provider break down,” Palantoni says. | | |
2023 Signaled Several Emerging Trends Across the Healthcare Provider Space: The clash between payors and providers intensified, demanding strategic precision. Generative AI, which stepped into the spotlight in 2023, now commands a pragmatic examination of its impact on care delivery. Private equity’s abrupt reckoning with outlandish valuations demands a necessary recalibration. The rise of capitated arrangements raises questions – lessons learned, or failures repeated? In an era defined by vertical integration… industries intertwine, and markets consolidate. From this evolving landscape, five key trends have emerged that will shape healthcare providers and payers in 2024. | | |
Following July 1, 2022, most group health plans and issuers of group or individual health insurance across the country are required to disclose pricing information of negotiated rates for healthcare services between insurer and provider under the new Federal Price Transparency Rule (The Rule). The stated purpose of The Rule is “empowering consumers with the necessary information to make informed health care decisions." However, provider organizations, especially those that currently have value-based care arrangements or those looking to engage in value-based care arrangements, can also benefit from price transparency data. | | |
Upcoming Sponsored Webinars | | |
Patient & Provider Engagement: Better Health. Better Outcomes. | January 25, 2024 | 2 PM EST | |
Examining options for APP Reporting from a cost and burden standpoint and finding the most cost-effective solution to build upon for the future
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Customize Your APP Reporting Approach for Lowest Cost Now –
and Future Innovation
| January 31, 2024 | 12 PM EST | |
Examining options for APP Reporting from a cost and burden standpoint and finding the most cost-effective solution to build upon for the future
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Establishing your Medicare Advantage HEDIS strategy for the year | February 13, 2024 | 12 PM EST | |
Innovative and unconventional approaches to Medicare Advantage HEDIS strategy from real-world experiences.
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Check back next week for more webinar announcements! |
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Check our our Webinar Archive to view past webinars on a variety of value-based care related topics! | | |
Third Virtual Value-Based Payments Summit Special Edition: Held in Conjunction with the Second Health Care Value Week | January 29 - February 2, 2024 | Virtual | | |
Check back next week for more conference announcements! | | | |
Salient Healthcare makes it easy for users to clearly understand the relationship between all relevant data sources – diagnostic, prescriptive, claims, payments, and patient activity – helping to improve healthcare outcomes at lower costs. Their industry-leading analytics software platform provides visibility into critical metrics for provider organizations to continuously improve performance, delivering a continuous performance solution. Salient’s approach to continuous improvement is to enable decision makers to take timely and precise action to eliminate waste or expand opportunity. With their decades of experience in value-based care programs, Salient Healthcare can quickly find opportunities to reduce costs, improve outcomes, and achieve shared savings for value-based care organizations. | | | |
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