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CMS Value-Based Care Opportunities In Medicaid

On September 15, 2020, the Centers for Medicare and Medicaid Services issued guidance to support state Medicaid Directors in moving towards value-based arrangements and alternative payment models. The guidance outlines lessons learned from early state and federal experiences in implementing […]

6 Steps To Improving CCBHC Outcomes The Berks Counseling Center Case Study

On May 25, 2022, Qualifacts’ CCBHC Program Manager Mary Givens and John Heim, Technology Specialist, EHR Systems for Berks Counseling Center discussed a 6-step process for improving performance on behavioral health led CCBHC outcomes. They provided insight into the greatest […]

40% & Counting

By Monica E Oss, Chief Executive Officer The proportion of U.S. health care reimbursement dollars paid in advanced value-based reimbursement (VBR) models—contracts with shared savings, downside financial risk, and/or population-based payments—just passed 40%. The slow adoption of VBR with financial […]

VBR Marches On – A Trend Driving 2022 Strategy

By Monica E. Oss, Chief Executive Officer We started the year with the release of new reports on the continued movement away from fee-for-service reimbursement to alternate, value-based reimbursement (VBR) models. Over half of health systems are planning to move […]

The Opportunities & Challenges Of VBR – Making It Work On The Ground

By Monica E. Oss, Chief Executive Officer Despite significant movement, behavioral health is trailing the rest of health care domains in value-based reimbursement contracting. Forty-five percent of specialty provider organizations have some value-based reimbursement (VBR)—compared to 72% of primary care […]

Technology Strategy For Sustainability—EHRs Are Just The Start

This closing keynote presentation took place October 27, 2021 during The 2021 OPEN MINDS Technology & Analytics Institute. OPEN MINDS Chief Executive Officer Monica E. Oss gave an up-to-the-minute look at the critical changes in the landscape for serving complex consumers – and what […]

Making Tech Work

By Monica E. Oss, Chief Executive Officer Tech investment in health care is big. Eighty percent of health care provider organization executive teams are looking to make additional investments in technology in the next five years (see Future Of Healthcare Report: […]