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Glean Industry Insight From Our Perspective

Learn more about value-based care, risk adjustment, population health management, government programs like Next Generation ACO and other health care transformation topics through our deep experience and perspective.

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In light of yesterday’s grand reveal of the “Better Care Reconciliation Act of 2017” (Better Care Act), the Senate Republican’s bill to repeal the Affordable Care Act, we thought we’d share some thoughts on what’s likely to come.
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Successfully executing your risk adjustment strategy is more complex than it might seem. In the second installment of our three-part blog series recapping our risk adjustment webinar, we discuss why we believe the future of risk adjustment is prospective and how physician engagement is essential to your success.
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CASE STUDY: Evolent partnered with the largest health system in southwestern Ohio to grow their Medicare Advantage and Commercial plans quickly. Read this case study to learn how our support in product price and benefit design, network development, and sales and marketing helped them quickly generate critical mass in membership for their plans.
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Upon reflection of our experiences transforming health care across over 30 markets, we have realized that regardless of location, population or years running a risk adjustment program, there are many common misconceptions about what it takes to be successful in risk adjustment. We highlighted those myths in our April webinar, but in this three-part blog series, we dive deeper into the realities we've uncovered. In part one, we debunk and discuss why your EMR's problem list may not be the best source for risk adjustable conditions.
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Dealing with health issues and, as a result, the health care delivery system is something that happens to everyone at some point. And unfortunately, figuring out how to manage whatever sent you to the doctor is often a stressful, expensive and unpredictable process. Chief Medical Officer John Mach recently had a family member in this situation and talked about it and how value-based models create impact and efficiencies across the care continuum in a guest blog post for McKnight's Long Term Care.
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