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 June 16, 2023

Five Observations From 2023 First Quarter Earnings Calls: Legacy Payers and VBC Market Entrants

By Joe Maher, CPA, MBA

Sg2 highlights five emerging trends and dynamics in a subset of publicly traded legacy payers and VBC-focused entrants, drawn from earnings call transcripts from 2023 Q1.

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 April 20, 2023

Clinically Integrated Networks: Looking Back at Key Learnings and Looking Ahead to Possibilities

By Joe Maher, CPA, MBA

With value-based care gaining broader adoption, CINs have another opportunity to serve as clinical and economic engines for VBC. In most cases, this evolution will require advances in the care...

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 April 13, 2023

Provider-Sponsored Health Plans—a Cure for Health System Woes or “Out of Their Wheelhouse”?

By Tawnya Bosko, PhD, DHA

Today’s economic uncertainty, rising costs and hospital financial performance coupled with major insurer reluctance to continue FFS rate increases have hospital and health system executives thinking about managing the health...

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 March 22, 2023

Observations From 2022 Fourth Quarter Earnings Calls: Legacy Payers and VBC Market Entrants

By Joe Maher, CPA, MBA

Sg2 reviews quarterly earnings calls from a subset of publicly traded legacy payers and value-based care focused entrants to highlight emerging trends and dynamics in these closely related industries.

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 February 1, 2023

Why Start Now? Care at Home Provides Value Beyond Cost Savings

By Brianna Motley

It may seem like jumping into a full-scale hospital at home program makes the most sense, but there is considerable value in starting with a less complex type of care...

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 January 12, 2023

Will 2023 Be the Year That You Fully Embrace Value-Based Care?

By Laura P Jacobs

Value-based care is a vital part of addressing the challenges the health care marketplace faces, and 2022 only reinforced what challenges lie ahead. As your organization faces these challenges in...

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 November 10, 2022

Look Beyond MSSP Policy Changes for Long-term Success in Value-Based Care

By Tawnya Bosko, PhD, DHA

CMS finalized changes to the Medicare Shared Savings Program. Now, provider organizations must consider what has and hasn't changed when refreshing value-based care strategies.

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 October 7, 2022

Value-Based Care Economics Are More Compatible With Fee-for-Service Models Than You Realize

By Joe Maher, CPA, MBA

Savvy organizations recognize there are strategic options for incorporating value-based care infrastructure that can complement and even support the fee-for-service model.

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 August 18, 2022

It’s Time for Providers to Reevaluate Clinical and Economic Models for Value-Based Care

By Joe Maher, CPA, MBA

Value-based care and contracting can strengthen an organization’s business model by providing better alignment and longer-term durability when done strategically and thoughtfully.

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 July 5, 2022

How the Expiration of MACRA’s aAPM Bonus Will Impact ACO Decision Making

By Tawnya Bosko, PhD, DHA

In the absence of congressional intervention, a significant financial incentive for physicians to participate in value-based payment models will disappear at the end of 2022. Providers will need to decide...

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 May 11, 2022

MSSP Season Is Here! Should You Participate, and if You Participate, Are You Prepared for Downside Risk?

By William Ringwood

Application process starts June 1, 2022, for Medicare Shared Savings Program (MSSP), which is Medicare’s established accountable care organization program that allows for new participants every performance year.

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 March 21, 2022

ACO REACH Is Here! How Will It Impact Your Value-Based Care Strategy?

By Regina Menza

On February 24, 2022, CMMI announced the ACO REACH Model, which will replace the current Direct Contracting Model on January 1, 2023, as the highest level of risk/reward total cost...

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