Policy makers and health plans seek value-based management of specialty drugs. This study examines real-world factors that favor some approaches over others and their potential impact. Objectives: ...

Progressive care management approaches can enable meaningful, patient-centric outcomes without assuming risk. In Fresno, California, a woman receiving ongoing cancer treatment shared with her clinical ...

When you get right down to it, there are only a few compelling stories that sell products and services. While aspiration, empathy, desire, brand loyalty, price and delivery performance are all ...

Prior authorization has been a flashpoint for providers, and, while insurers have taken steps to ease these utilization management protocols, they still play a key role as the industry shifts to value ...

Innovative medical products offer significant and potentially transformative impacts on health, but they create concerns about rising spending and whether this rise is translating into higher value.

Business students need only three well taught courses: How to Value a Business, How to Think About Market Prices, and How to Manage a Business.—Inspired by Warren E. Buffett 2 A great deal has been ...

As healthcare leaders look to the year ahead, many predict that this will be the year the training wheels come off value-based care. This is not a new priority, but the move from value-based theory to ...

Value-focused patient care is transforming medical practice. As rising healthcare costs in the United States challenge the widely used fee-for-service architecture, innovative, patient-centered care ...

Precision Value Based Management owns the technology that grades and ranks physicians for payers, hospital systems, and ACOs, with over 21 million patients that are being tracked. “They know exactly ...

This Forefront article demonstrates how safety-net providers can and do succeed in value-based payment models with the support of multi-stakeholder alignment and conducive policy environments. This ...

Even before COVID-19, health systems were experiencing reduced fee-for-service margins. In 2019, median Medicare margin nationally decreased 2.2 percent while hospital costs rose 2.5 percent per year.