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Revolutionizing Value-Based Care(VBC): A Dashboard for Risk Stratification

General, Portfolio, Risk Adjustment an Risk Stratification /
vbc value-based care risk stratification tool

In the fast-paced world of value-based care (VBC), effective risk stratification is key to managing costs, improving patient outcomes, and optimizing resource allocation. As healthcare analysts and executives, we often grapple with fragmented data sources—claims, encounter, pharmacy fills, eligibility, and demographics—that make it challenging to identify high-risk patients early. That’s why I developed a custom […]

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Risk Stratification: Finding Your Most Impactful Patients in a VBC Contract

General, Risk Adjustment an Risk Stratification /
VBC Risk Strat. Value based care

In our last post, we deconstructed the shared savings model in a VBC, breaking down the financial mechanics that govern most value-based care arrangements. Understanding the rules of the game—the benchmarks, attribution, and quality gates—is essential. But knowing the rules is only half the battle. The other half is knowing where to act. When you’re

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Deconstructing the Shared Savings Model: A Guide to VBC’s Workhorse

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VBC MSSP Shared Savings

In our last post, we explored the essential building blocks of effective Value-Based Care. Now, we zoom in on the most prevalent and foundational payment model in the VBC landscape: the Shared Savings Model. This model is the engine behind most Accountable Care Organizations (ACOs) and similar arrangements. At first glance, the concept is simple:

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The Building Blocks of Effective Value-Based Care: Essential Components for Success

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Value-Based Care VBC

The future of healthcare payment is undeniably rooted in Value-Based Care (VBC). Moving beyond simply paying for services, VBC strategically aligns provider reimbursement with the quality of care delivered, patient outcomes achieved, and overall cost efficiency. This monumental shift holds profound implications for organizations seeking sustainable success in healthcare. However, VBC isn’t merely a new

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From Volume to Value: Comparing Healthcare Payment Models

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VBC FFS

Healthcare’s escalating costs and variable outcomes have long presented a formidable challenge. In response, a transformative approach has emerged: Value-Based Care (VBC). Unlike traditional models, VBC fundamentally redesigns how healthcare providers are reimbursed, linking payment directly to the value delivered – defined by quality, improved patient outcomes, and responsible cost management. For organizations like payers,

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The Silent Struggle: Why Brilliant Healthcare Analysts Often Can’t Deliver (And Why healthvizconsult.com Exists)

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For years, I’ve lived and breathed healthcare data, working across complex ecosystems from payers and Managed Care Organizations (MCOs) to Accountable Care Organizations (ACOs). I’ve seen the immense potential of analytics and the dedication of the talented individuals on these teams. But I’ve also witnessed a profound, often unspoken, disconnect: the brightest analytics team members

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