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Deep dives into topics in healthcare
When patients leave the hospital, their journey to recovery is far from over. In fact, it’s during this crucial transitional period that they’re most vulnerable to complications and setbacks that can lead to unplanned readmissions, higher mortality rates, and unnecessary health care costs.
As healthcare moves toward value-based care, negotiating contracts that are provider-friendly and mutually beneficial has become increasingly important — and increasingly difficult.
Learn how to set your medical practice up for success in 2024 with the ACO REACH model. Discover key features, modifiable variables, and tips for preparation. Don’t miss the opportunity to embrace value-based care and increase revenue.
Discover how Pearl Health meets primary care physicians (PCPs) where they are, addressing their concerns and offering financial opportunities through the ACO REACH model. Learn about primary care capitation, risk-based arrangements, and revenue enhancements to maximize revenue and support PCPs in delivering quality care.
As the deadline to participate in ACO REACH in 2023 approaches, Pearl has made this free informational webinar available on demand.
As primary care practices navigate the choices offered by ACO REACH, they encounter an important factor to consider within the Global program: the Performance Year
The US healthcare system has long struggled to identify a fair and efficient reimbursement scheme that aligns the incentives of patients, providers, and payers. In this article, Pearl Health recognizes the Top 50 Value-Based Care Thinkers of 2023 and discusses the biggest themes, news, and trends driving evolution and innovation in value-based care, including physician enablement and data interoperability.
Advance Care Planning is a process that helps patients share their personal values, life goals, and preferences regarding future medical care, while offering numerous benefits for both patients and clinicians.
Discover the importance of having an incident policy in place at Pearl Health. Learn about the process, criteria, and SLAs involved in handling critical issues, and how it helps keep the company’s technology and patient data safe. Read now to learn more.
We are proud to announce that we have raised $75 million in our Series B funding round, led by Andreessen Horowitz’s Growth Fund and Viking Global Investors, with follow-on funding from AlleyCorp, SV Angel’s Growth Fund, and other leading investors.
Risk prediction models are incredibly useful tools that recognize the underlying patterns common to patients who will go on to become HCHN.
If you’re a PCP joining a REACH ACO in 2023, there is a lot to comprehend about how capitation will impact your monthly revenue in advance of the January 1st start date. In this post, we will address providers’ most Frequently Asked Questions regarding BPCC with the goal of empowering PCPs to take advantage of capitation in the new REACH ACO model.
The Centers for Medicare & Medicaid Services (CMS) announced that Accountable Care Organizations (ACOs) in the Medicare Shared Savings Program saved Medicare — and US
Primary care providers (PCPs) in the US are burdened with administrative tasks and under-compensation, impacting downstream healthcare costs. The limitations of existing value-based care models creates an opportunity to explore the potential of Specialty Risk Partners (SRPs), mission-driven companies managing distinct patient cohorts based on clinical disease burdens. Pearl Health proposes a risk marketplace to enable physician-led healthcare, by aligning PCPs with SRPs through financial incentives to improve healthcare outcomes and benefit all parties involved.
There are distinct eras in the development of the modern American healthcare payments system. Pre-Insurance Period (Pre-1942): The period prior to World War II involved
What does it take to build a patient-centric brand? Discover the key drivers of an effective brand strategy for your primary care practice.
At Pearl, we focus on empowering our physicians and our community to extend the quality and length of human life through preventative, patient-focused care.
At Pearl, we recognize the need to embed compliance in everything we do from the onset. We’re hitting the ground running on our path to becoming HITRUST certified.
As a primary care provider, you may be wondering what portion of your FFS revenue can be attributed to E&M services. Here, we break down total FFS revenue along various dimensions for you.
In Part 3, we continue to examine how value-based organizations can support primary care providers in managing the care journeys of their patients.
By removing certain risk factors in your life, you can statistically extend it. Data studied from more than 8,000 patients found that managing these risk factors well can extend life by approximately 9 years.
The ACO REACH program has many fewer Quality Measures (QMs) than past ACO programs did. Here’s a breakdown of the four QMs and our perspective on how to succeed.
In Part I of the Value-Based Care Playbook, we ensured a shared understanding of the notion of Value in the context of healthcare. Here, we
Much ink has been spilled on the Centers for Medicare and Medicaid Services (CMS) value-based care pilot known as Direct Contracting (see: Washington Post OpEd,
2021 Pearl Health Year-In-Review Milestones Primary Care Trends Resolutions Looking Back Trends Resolutions Looking Back: A Pearl Is Formed This past year marked the first full year
Part 1: Defining Value in Healthcare Value-based care, a term largely attributed to Michael Porter and Elizabeth Teisberg, is the idea of structuring incentives to
As we approach another Medicare ACO performance year, now in the REACH model as opposed to Direct Contracting, we’ve refreshed our FAQ article from last
The Centers for Medicare and Medicaid Innovation Center (CMMI) is hosting a listening session to discuss its October 2021 whitepaper, “Driving Health System Transformation –
Value-based care programs have never been simple, and Direct Contracting is no different. Nonetheless, understanding how Direct Contracting works is critical to succeeding in the
In the same way that there has been tremendous evolution in value-based models in the past decade, the way in which we access and use
Last week I had the privilege of joining the inaugural meeting of Pearl Health’s Anchor Partner Program to hear from some of our new partners:
A colleague recently sent me this video (referenced in this post’s title) over Slack. “Many misconceptions in here,” he said. To put it lightly.
Medicare may be one of the best healthcare markets for value based care models. The below arguments lay out why further investments in value based
With the advent of the COVID-19 pandemic, many ACOs who had enrolled in program models prior to the pandemic were stuck feeling uncertain about the
I am a physician and I am not satisfied with my electronic medical record system. This is unfortunately not a unique or interesting statement: the
Primary Care Physicians (PCPs) make up the lion’s share of the medical workforce and are the main point of contact to the healthcare system for
Running a physician practice inevitably means two distinct and often orthogonal challenges: taking care of patients and managing the “business” side of the practice. A