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Discover how we recently navigated the complexities of healthcare integration for two leading health systems. In our latest case study, our experts' FMV opinions helped these clients contribute to their clinically integrated networks for a larger joint venture. By leveraging our expertise, they unlocked access to diverse patient populations, expanded physician networks, and synergized clinic and hospital strengths across markets. Read the full case study here: https://lnkd.in/dhS7PquP Written by Clinton Flume, Sydney Richards, and Lance Whitty #healthcareintegration #FMVopinions #VMGHealth #healthcaresuccess

Ashley McNairy, senior product director for Cotiviti, explains how forward-thinking leaders can use the coming months to address methodology changes proactively and improve their success with the 2025–2026 ratings. Taking a proactive approach is essential for plans to address the evolving nature of the Star Ratings methodology. Here are several effective strategies that plans can use to enhance their performance for the next round: ▪️ Empower your Star Ratings team to foster a culture of continuous quality improvement ▪️ Start early and look ahead to 2026 ▪️ Create a baseline and benchmark results to identify areas of opportunity ▪️ Prioritize measures to generate a meaningful impact in the next 12 to 24 months Learn more in Integrated Healthcare Executive. https://bit.ly/3vEFgGD HMP Global #HealthPlans #healthcare #payments

#UnitedHealth Group Inc (NYSE:UNH) shares fell in early Friday trading despite the healthcare and wellbeing company reporting fourth-quarter earnings ahead of analysts’ expectations. Minnesota-based UnitedHealth owns insurer #UnitedHealthcare (UNH) as well as Optum, which provides primary and surgical care, pharmacy benefits and services to providers, hospitals and insurers across the health system. It attributed a 14% rise in revenue to $94.4 billion for the three months to December 31, 2023, to both businesses. However, medical costs — its biggest expense — rose 16% to $62.2 billion, pushing total operating costs 14% higher to $86.7 billion. Adjusted earnings per share jumped 15% to $6.16, ahead of analysts’ consensus estimates of $5.98, according to Zacks Investment Research. More at #Proactive #ProactiveInvestors #NYSE #UNH http://ow.ly/csmU1058CcE

Private equity got excited about value-based care in the waning days of the pandemic, and now it's time make good on the promise of better, cost-effective, integrated care. But in a highly inflationary environment, that is proving tough. Between elevated claims expense, operating costs, and other SG&A, providers need to finesse their footprint, payor contract negotiations, MRA scores, and operational model to deliver the "value" in VBC. Done well, both the patient and their primary-care practice will benefit. My colleague Colin Dmochowski and I outline 5 steps operators can take to improve cost - read the full article here:

Private equity got excited about value-based care in the waning days of the pandemic, and now it's time make good on the promise of better, cost-effective, integrated care. But in a highly inflationary environment, that is proving tough. Between elevated claims expense, operating costs, and other SG&A, providers need to finesse their footprint, payor contract negotiations, MRA scores, and operational model to deliver the "value" in VBC. Done well, both the patient and their primary-care practice will benefit. Our experts Jerry Wang and Colin Dmochowski outline 5 steps operators can take to improve cost - read the full article here:

Private equity got excited about value-based care in the waning days of the pandemic, and now it's time make good on the promise of better, cost-effective, integrated care. But in a highly inflationary environment, that is proving tough. Between elevated claims expense, operating costs, and other SG&A, providers need to finesse their footprint, payor contract negotiations, MRA scores, and operational model to deliver the "value" in VBC. Done well, both the patient and their primary-care practice will benefit. Our experts Jerry Wang and Colin Dmochowski outline 5 steps operators can take to improve cost - read the full article here:

Private equity got excited about value-based care in the waning days of the pandemic, and now it's time make good on the promise of better, cost-effective, integrated care. But in a highly inflationary environment, that is proving tough. Between elevated claims expense, operating costs, and other SG&A, providers need to finesse their footprint, payor contract negotiations, MRA scores, and operational model to deliver the "value" in VBC. Done well, both the patient and their primary-care practice will benefit. Our experts Jerry Wang and Colin Dmochowski outline 5 steps operators can take to improve cost - read the full article here:

While deal talks between The Cigna Group and Humana Inc. have reportedly fizzled, Cigna’s desire to sell its Medicare Advantage business is apparently still alive and well. Health Care Service Corp. and Elevance Health, Inc., are the two contenders for Cigna’s MA segment, which could fetch more than $3 billion, according to a report from Bloomberg, citing anonymous sources. Industry observers say they aren’t surprised that Cigna is still trying to offload its MA book of business, even if doing so is no longer necessary to fend off antitrust scrutiny associated with a Cigna-Humana megamerger. What’s less clear, they say, is what Cigna’s growth strategy would then look like. Access the article to read Dustin Thompson, CPA's insightful perspective: https://lnkd.in/eG5p3BYu #ProvidentHealthcarePartners #medicareadvantage 

In this insightful article, Medriva addresses the challenges of rising #healthcare costs and the strain on payer-provider relationships, As leaders in #healthcaretechnology, AaNeel stands at the forefront of helping organizations adapt to #valuebasedpayment models. Our expertise not only addresses challenges posed by inflation but empowers companies to navigate through the transformative period in payer-provider relationships, emphasizing the shift towards #valuebasedcare. READ ARTICLE▶️ https://lnkd.in/ezNCwJQf #HealthcareInnovation #ServiceExcellence #ValueBasedCare #AdaptationInHealthcare

Cigna's $3.7B deal to sell its Medicare businesses to HCSC is a strategic pivot to optimize their portfolio and enhance stakeholder value. This move allows Cigna to invest in growth areas, while HCSC can broaden its service offerings. A smart play in the dynamic healthcare sector, but hinges on regulatory approval. What's your take on such strategic realignments? #HealthcareInnovation #StrategicGrowth #CignaHCSCDeal Original article: https://lnkd.in/eKmC6eh2