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Essential Insights, Expert Voices: The evolution of payer-provider partnerships

As the healthcare world continues to embrace innovative value-based care models, provider-payer partnerships have become a driving force of change in the industry. What players and factors have shaped this trend? And how will these collaborations transform the future of care?

In this first installment of a 3-part Essential Insights series, naviHealth experts will answer these questions and offer examples of how these evolving collaborations are already impacting care across the United States.


naviHealth at the CCMC New World Symposium 2018

Join naviHealth at the Commission for Case Manager Certification (CCMC) New World Symposium 2018 between January 18-20 in Nashville, TN. Stop by our breakfast session on Friday, January 19 at 7 am CT titled “Skills, Technologies, & Attributes Case Managers Need to Succeed in Value-based Care.”


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The voluntary path forward in bundled payments

The recently proposed changes to the Comprehensive Care for Joint Replacement (CJR) model and cancellation of the mandatory Episode Payment Models (EPMs) by CMS signals that voluntary bundles are likely to move forward, and even accelerate, as CMS and CMMI further recognize their value and support their expansion in response to market demand. In these Essential Insights, Brian Fuller, VP of Value-based Care, shares his thoughts on how the proposed ruling may impact the future of voluntary bundled payments, particularly BPCI and the broader shift toward value-based care.

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Patient engagement: Finding the right balance between high-tech and high touch

Technology has provided a wide range of valuable options for improving the patient experience — one that extends beyond traditional care settings to incorporate care across a wide clinical spectrum. In these Essential Insights, we explore best practices for healthcare administrators to adopt to ensure positive patient experiences and reiterate the idea that technology will never entirely replace the value of human interaction, particularly in healthcare environments.

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BPCI Participation Readiness: 4 Things You Need to Know

While participating in bundled payments can be a complex endeavor, health systems nationwide have proven them to be a reliable way to transform how patients experience post-acute care, reduce total costs to the healthcare system, and most importantly, improve outcomes for patients. With CMS’ upcoming announcement on the new model of BPCI expected soon, we urge health systems to begin preparing for this important step on the road to value-based care success.

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Interested in learning about BPCI Advanced? On January 31, our experts will evaluate the significance of the new model on quality, care and the accelerated push toward value. Register today: ow.ly/DQ3Z30hRId8 pic.twitter.com/BrSWWs1Eh3

Study highlights #telemedicine potential in emergency departments: ow.ly/XhFC30hPP7P

Are you at #CCMCNewWorld2018? Join us for a breakfast session on 1/19 called "Skills, Technologies, & Attributes Case Managers Need in Value-Based Care" hosted by Kim Hodge, our director, BPCI Clinical Outcomes and and Transitional Care Management.

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