THE OUTLOOK FOR HEALTH CARE IN 2023:

What you need to know about the forces reshaping our industry.

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Value-based care should be more than a buzzword by now

The public sector is progressing slowly but steadily towards risk, but the future of commercial risk remains unclear. What happens in the commercial space will determine whether the industry remains in a hybrid state or realigns around a new cost and quality standard.

Productive plan-provider partnerships and a data-driven approach to tackling risk opportunities will be foundational to progress. Explore our research below to find out what defines successful partnerships and where we’ve discovered addressable opportunity through commercial claims analysis.

 

Strategies for building productive plan-provider partnerships

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Expert Insight
Successful partnerships take time—here's why

Most commercial risk partnerships need 3-5 years before they produce results. Learn about why partnerships take time to mature, and what you should do to stay on track.

Physician executive
Blog Post
Why change leadership is important to VBC

Value-based care partners need to conquer ingrained beliefs and embrace change to succeed. Our organizational transformation experts have tips for overcoming common challenges.

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Blog Post
Change management advice from the trenches 

A former Chief Clinical Officer shared with us his recommendations on how to adjust negotiation tactics to be a better partner and support clinical staff through VBC transformation.

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Upcoming Research
More on partnership is coming soon

We are studying the range of plan-provider partnership models being applied to commercial populations, and what strategies and tactics have improved collaboration and outcomes.

 

Takeaways from our analysis of commercial claims

Where the top opportunities are

Our analysis of a national database of commercial claims illuminated where opportunities to improve cost and quality outcomes for the privately insured exist—and where we might see increased costs.

Review Our Take
Pregnancy care opportunities

Maternal health outcomes in the United States lag those of other industrialized nations despite significant spending. Find out where you should focus, your efforts to improve quality while reducing costs.

Read our analysis
Chemotherapy opportunities

Spending on chemotherapy is high and continues to grow. It’s a difficult area to tackle—especially across patients, employers, plans, and providers—but there are areas you can prioritize today.

Find Out More
 

For members: Featured resources to support implementation of VBC

Win physician buy-in for value-based care

Four principles to successfully engage your frontline clinicians in VBC

Learn more
How health plans can support providers in risk

Three ways that plans can get providers more comfortable with risk

Read now
Population health cheat sheet library

Cheat sheets to get you smart on population health basics in 5 minutes or less

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How to scale chronic disease management programs

Three steps for developing a scalable and effective program

Download now
How to improve your risk performance

Insights on what makes ACOs successful, based on analysis of MSSP data

Learn more
Refining your approach to risk stratification

Three ways to find the high and rising risk patients who are also actionable

Read more

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