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Declining FFS Payments Feature

How Can PCPs Escape Declining Medicare Payments?

CMS’s 2025 proposal cuts physician pay but advances value-based care initiatives.

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5 Takeaways: America’s Physicians Group’s Fall Conference 2024

America's Physicians Group Fall Conference 2024 spotlighted capitation, proactive adaptation, and team-based care as key drivers of healthcare's value-based future.
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What will the next Trump administration mean for value-based care?

Pearl Health helps primary care physicians navigate value-based care models. This article explores future changes under a second Trump administration, and their impact on healthcare costs, patient outcomes, and Medicare sustainability.
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5 Key Takeaways from the NAACOS Fall Conference 2024

Pearl Health joined the NAACOS Fall Conference to discuss value-based care, sharing insights on AI in healthcare, risk-bearing models, and care management strategies.
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5 Key Takeaways from 2024 Innovations in Value-Based Care Conference

At the Innovations in Value-Based Care Conference 2024, Pearl Health leaders discussed the enduring commitment to value-based care, enhancing patient outcomes, and the need for unified efforts across healthcare stakeholders.
Fraud in Healthcare

Prevention of Fraud in Medicare: Three Levers for Swift Action

Medicare fraud costs billions annually, impacting beneficiaries and providers. Pearl Health suggests three levers for swift action: streamlined reporting, faster resolution, and reinsurance reform to combat fraud, waste, and abuse (FWA).
Declining FFS Payments Feature

How Can PCPs Escape Declining Medicare Payments?

CMS's 2025 Medicare Physician Fee Schedule proposal aims to advance value-based care but includes a 2.8% reimbursement cut, sparking industry-wide concern over financial viability and calling for comprehensive reform.
Evolution of Healthtech

Unlocking Patient-Centric Care: The Next Evolution of Healthcare Technology

Our healthcare system is undergoing a revolution towards patient-centric care, shifting from volume to value-based care models, emphasizing holistic patient engagement and proactive health management.
Navigating ACO Reach Webinar 2024

ACO REACH: What You Need To Know Before August 1

The August 1st enrollment deadline for participating in Medicare’s ACO REACH Model in 2025 is rapidly approaching. To help answer questions for those considering participation, on July 11th, Pearl hosted a free informational webinar on ACO REACH.
Conduce Health: Building Bridges Between PCPs & Specialists

Q&A With Conduce Health: Building Bridges Between PCPs & Specialists in Value-Based Care

Through the approach of Conduce’s marketplace and two product offerings — Clinical Profiles and the Referral Engine — Conduce Health and Pearl Health have launched a unique partnership in South Carolina to tackle the needs of complex, polychronic patients and the network of physicians managing their care
Evolution of VBC models

The Evolution of Value-Based Care: MSSP, ACO REACH, and Beyond

By 2030, CMS aims for all Traditional Medicare beneficiaries to be in accountable care relationships, with 50% already under Accountable Care Organizations. Primary care providers increasingly adopt value-based care models for better outcomes and rewards.
Navigating Uncharted Waters in MA

Navigating Uncharted Waters in Medicare Advantage

As we guide primary care providers (PCPs) through the transition to value-based care, one question frequently arises: how exactly does Pearl's technology integrate with existing Electronic Health Record (EHR) systems? It's an important question worth exploring. In this article, we'll dive into how EHRs and the Pearl Platform fit into a practice's workflow, and our ongoing work to enhance Pearl insights for PCPs through seamless EHR integration.
Primary Care Pulse 2024 Open

Launching Pearl Health’s 2024 Primary Care Pulse

Are you a PCP? Share Your Experiences in the Primary Care Pulse! We’re always looking for ways to better understand the challenges and pressures that PCPs face in navigating the clinical, administrative, and financial realities of US healthcare.
Vori and Pearl MSK Health

Empowering Patients with Value-Based Care: A New Approach to Musculoskeletal Health

In the realm of MSK health, patients often face agonizing journeys. Surgical interventions, despite repeated attempts, leave them in discomfort, burdened with astronomical bills. We advocate for responsible, evidence-based care, prioritizing patient involvement and noninvasive approaches, shifting the paradigm towards holistic healing and shared decision-making.
Voluntary Alignment in ACO REACH

What is Voluntary Alignment in ACO REACH?

The newest value-based care model from the Center for Medicare and Medicaid Innovation (CMMI), ACO REACH, aims to improve clinical outcomes and reduce Total Cost of Care (TCOC). Providers are incentivized to deliver the best care to their Traditional Medicare patients, while achieving economic efficiencies that are critical to an overburdened Medicare trust fund. One feature of this program — Voluntary Alignment — can empower patients to play a larger role in their own health, while enhancing physicians’ ability to manage their panels and grow their practices.
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Taking the Pulse: Why Aren’t PCPs Paid What They’re Worth?

If primary care’s time has come, why doesn’t it feel like it? That’s one question we explored in Pearl’s 2023 Primary Care Pulse Report. After collecting survey responses from more than 200 physicians, conducting follow-up interviews, and exploring secondary research, we learned a great deal about the challenges PCPs face in today’s healthcare system. We explored one challenge, the epidemic of PCP burnout, in a recent blog post, and today will dive into another — physician pay.