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Disruption
Disrupter Downfall: Do Legacy Providers Prevail?
Unpacking the recent exits and pivots from disrupters in health care Recent developments have seen numerous disrupters significantly alter their health care strategies or, in some cases, exit the sector entirely. Legacy providers watching from the outside are left feeling vindicated but also curious as to what they can learn from others’ struggles. If giants like Walmart and Walgreens, and ...
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Payment Evolution
Sustainable Value-Based Care Transformation Needs an Enterprise Approach
Many health care delivery organizations have a difficult time defining what value-based care (VBC) looks like for them. Even more challenging is developing a thoughtful plan around VBC and how that plan complements other enterprise strategic initiatives. Too often VBC plans are created in a vacuum, and as a result, either the implementation becomes a “VBC department initiative” or, eve...
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Consumer Strategy
Transforming Health Care Through Consumer Centricity
In today’s fiercely competitive health care landscape, where patient expectations are soaring and access to care remains to be a challenge, your organization can evolve and thrive with a strong focus on consumer centricity. What is consumer centricity? It’s all about putting the needs of health care consumers first. The goal is for health care providers to create much more value for the patients b...
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Payment Evolution
How Do You Compare? Leverage Data to Optimize Your Payer Positioning and Value-Based Care Performance
Providers are being asked to take on more financial risk by payers, moving from fee-for-service to value-based care payment models across all lines of business. Following Medicare’s goal of having 100% of traditional Medicare beneficiaries in an accountable care relationship by 2030, other payers such as Medicare Advantage, commercial and Medicaid plans are also placing responsibility on pro...
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Payment Evolution
Five Observations From 2023 Fourth Quarter Earnings Calls: Legacy Payers and VBC Market Entrants
As part of Vizient/Sg2’s value-based care (VBC) and payer-provider alignment analysis and market research, we review the quarterly earnings calls from a subset of publicly traded legacy payers and VBC-focused entrants. The summary is designed to highlight emerging trends and dynamics in these closely related industries, especially as they tie to VBC. The following post draws from recently re...
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Digital Health
Key Takeaways From the HIMSS 2024 Conference
Seeking to outrun the growing shadow of newer conferences like HLTH and ViVE, the 2024 HIMSS Global Health Conference & Exhibition brought together roughly 30,000 attendees to discuss the latest in health care IT trends and product developments. The topics covered were nothing unexpected: AI dominated session headlines and vendor pitches, but there was still plenty of attention spent on other ...
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Payment Evolution
Value-Based Care Disrupters: What Can Health Systems Learn From Their Successes and Failures?
Economic forces such as rising costs, labor shortages, consumerism and demographic shifts are driving the need for change and innovation. The health care industry is not immune to these forces. In fact, health care is further complicated by nonsustainable reimbursement models, digital disruption, an increasingly “sicker” population and rapid changes in ownership models. This has led to...
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Payment Evolution
Five Observations From 2023 Third Quarter Earnings Calls: Legacy Payers and VBC Market Entrants
As part of Sg2’s value-based care (VBC) analysis and market research, we review the quarterly earnings calls from a subset of publicly traded legacy payers and VBC-focused entrants. The summary is designed to highlight emerging trends and dynamics in these closely related industries, especially as they tie to VBC. The following post draws from recently released earnings call transcripts fro...
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Payment Evolution
It’s Time to Refresh Your Value-Based Care Strategy: Six Trends to Consider
Most health care systems by now have defined their strategy for addressing value-based care (VBC)—even if that strategy is to minimize their involvement in VBC arrangements. To stay relevant, strategies require regular evaluation to consider current trends and market conditions. This is especially true with VBC, since VBC touches every aspect of health care financing and delivery. Any market...
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Health Equity
Using Social Drivers of Health to Reduce Admissions for Diabetes Patients, Among Others
As healthcare organizations face unprecedented workforce and financial challenges, much emphasis is placed on capacity constraints with rising acuity and regulatory scrutiny as powerful underlying trends. Many systems struggle to find the right balance between their margins and their missions, and often see their capacity realities outweigh their community's health equity needs. Or, if they've lau...