Managed Care

Do Risk-Based Contracts Reduce Low-Value Care in Medicare?
Management & Administration Do Risk-Based Contracts Reduce Low-Value Care in Medicare?

In the ever-changing landscape of U.S. healthcare, a pivotal question looms large: can risk-based contracts within Medicare Advantage (MA) plans truly curb the pervasive issue of low-value care—those procedures and tests that offer minimal clinical benefit compared to their cost or potential harm?

Why Are Medicare Advantage Patients Delayed in SNF Transfers?
Management & Administration Why Are Medicare Advantage Patients Delayed in SNF Transfers?

In the intricate web of modern healthcare, a pressing issue has emerged that impacts countless patients and providers alike: the delayed transfer of Medicare Advantage (MA) patients from hospitals to skilled nursing facilities (SNFs). These delays, often extending several days beyond what

How Can Value-Based Care Transform AFib Management?
Management & Administration How Can Value-Based Care Transform AFib Management?

Imagine a healthcare system where the focus shifts from merely treating symptoms to prioritizing long-term patient outcomes, especially for complex conditions like atrial fibrillation (AFib), which affects millions and often leads to severe complications such as stroke and heart failure. This

Childhood Cancer Awareness Highlights Persistent Care Barriers
Management & Administration Childhood Cancer Awareness Highlights Persistent Care Barriers

Every September, Childhood Cancer Awareness Month brings into sharp focus the remarkable strides made in pediatric oncology, while also exposing the daunting challenges that continue to hinder progress. Over recent decades, survival rates for young patients have soared to an impressive 80-85%, a

How Can Medication Adherence Boost Medicare Advantage Success?
Management & Administration How Can Medication Adherence Boost Medicare Advantage Success?

In the complex landscape of healthcare, particularly within Medicare Advantage (MA) plans, the challenge of ensuring that members consistently take their prescribed medications stands as a critical barrier to both individual health and systemic efficiency, demanding innovative solutions. For older

How Is Thyme Care Transforming Oncology with $97M Funding?
Management & Administration How Is Thyme Care Transforming Oncology with $97M Funding?

In a healthcare landscape where cancer care often feels fragmented and prohibitively expensive, a new player has emerged with a vision to overhaul the system through innovative, value-based solutions. Thyme Care, a trailblazer in oncology care, has recently captured significant attention by

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