Deep dives into topics in healthcare
Medicare’s future is linked to the success of the US and will be a harbinger for health systems across the world. Here are six predictions.
When you visit your doctor, chances are you could pay a copay or coinsurance bill with a credit card saved on your smart watch. Odds
The Centers for Medicare & Medicaid Services (CMS) announced that Accountable Care Organizations (ACOs) in the Medicare Shared Savings Program saved Medicare — and US
Background Independent Primary Care Providers (PCPs) are hurting across the country. While this malaise is a symptom of several trends impacting in concert, we believe
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.
As the deadline to participate in ACO REACH in 2023 approaches, Pearl has made this free informational webinar available on demand.
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 focus on empowering our physicians and our community to extend the quality and length of human life through preventative, patient-focused care.
For your practice to provide quality care and enjoy long term success in an ACO, we focus on two key levers impacting your shared savings
The Value-Based Care Advisor is one more way that we’re empowering PCPs to participate and succeed in ACO REACH
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.
The U.S. Conference of Mayors voted in support of the CMS’s ACO REACH Model, recognizing the model’s potential to increase primary care availability in underserved communities and bridge historic health inequities
As we move into the third year of the pandemic, what has become plain is the importance of healthcare data as a public good.
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.
From our experience helping primary care practices transition to value-based care, we know that delivering high-quality care while controlling costs is about more than simply aligning payments with value — that is just the beginning.
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
2022 is poised to be a big year for value-based care (VBC). The Centers for Medicare & Medicaid Services (CMS) and the Center for Medicare
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
For many primary care providers (PCPs) and their practices, entering the world of value-based care can be overwhelming and complicated. Managing traditional Medicare fee-for-service (FFS)
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
(Healthcare) Risk Is Opportunity The slogan for the Society of Actuaries is “Risk is Opportunity.” As providers consider managing healthcare risk through value-based models, they
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
As Direct Contracting participants weigh the merits and considerations of the Professional vs. Global tracks, one key factor to consider is the “Performance Year Discount”
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
Value-based care has been part of our healthcare lexicon for the last 15 years when, in 2006, Michael Porter and Elizabeth Olmsted Teisberg are credited
We’ve been lucky to meet and speak with some of the great minds in healthcare as we built Pearl Health and through our time scaling
Source We all have some level of reliance on Medicare. Whether you’re retired and on the program, about to move into benefits in the coming
Pearl Health believes that understanding the likely path of healthcare reform is critical for providers and payers alike to position themselves for success in the
