Cynthia Kilroy is a healthcare consultant with experience with managed care, hospital, and physician organizations, with an emphasis on helping these entities prepare for existing and emerging value-based care models….
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Denise Harr, MD, is Senior Medical Director of Medical Value Initiatives at Capital Blue Cross. Her department supports the value-based programs that the insurer has implemented with providers across its…
A recent slew of failed or near-failed network contract negotiations emphasizes the many challenges facing providers and payers at a time they need to more deeply collaborate to ensure mutual…
Providers and payers have pursued several parallel convergence models as they experiment to secure a foothold in the new world of value-based care (VBC). Some are proving to be more…
Population health management solutions have never existed in a vaccuum: they are typically a suite of products enabled by an enterprise-wide strategy with specific goals. Vendors are learning that offering…
Successfully enabling an Accountable Care Organization is extremely challenging: There isn’t one standard ACO model; there isn’t one single ACO national policy; there isn’t one specific map to follow to…
It won’t happen in 2017 or 2018, but the argument can be made that PHM will likely include some form of benefit/coverage counseling in the mid-term future. PHM is still…
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