Population Health 360 Key Takeaways
On October 18, 2018, COPE Health Solutions and Montefiore Health System hosted the West Coast regional Population Health 360 Conference in Los Angeles, California. More than 50 health care leaders from provider and payor organizations gathered for this invite-only event to discuss current trends, challenges and the future vision of the value-based payment landscape. Attendees […]
Population Health 360 Conference Key Takeaways
Hospital Price Transparency: Unintended Consequences and Likely Impacts
The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule requiring hospitals to release pricing information before providing services. Under the rule, hospitals must list standard prices for 300 “shoppable services” as well as the lowest prices they will accept from cash-paying consumers. According to CMS Administrator Seema Verma, the new price […]
The Who, Where, Why and What You Should Do Next with the California DMHC’s Expanded Licensing and Exemption Requirements
Effective July 1, 2019, the California Department of Managed Health Care (“Department” or “DMHC”) is requiring organizations under certain conditions to file their risk contracts with DMHC. California managed care organizations, medical groups, risk bearing organizations (RBOs), clinically integrated networks (CINs) and any entities looking to enter into upside or downside financial risk agreements will […]
Redesigning Specialty Care in Community Clinics: A California Case Study
Golden State Guidepost: A Preview of Operational, Financial, and Regulatory Dilemmas
Meeting Consumers’ Demands in Safety Net Health Systems
MACRA: The Times are Changing!
Las Vegas Population Health 360 Key Conference Takeaways
Thank you all for joining our Las Vegas Population Health 360 Conference. More than 100 health care leaders gathered for this invite-only event to discuss current trends, challenges and the future vision of the value-based payment landscape. Attendees engaged in a series of panels and round table discussions throughout the two days to learn best […]
Heads You Win, Tails You Win – Roadmap to a Win-Win Path to Downside Risk in Medicare Alternative Payment Models
ACOs that started in the Medicare Shared Savings Program’s Track 1 in either 2012 or 2013 must determine whether to move to a risk-based model by their third contract periods, which begin in 20191. A number of the MSSP ACOs are making strides in improving quality, reducing hospitalization and waste in Medicare. The Centers for […]