We explain CMS’s new Advanced Primary Care Management (APCM) model, which expands care management access, simplifies billing, and supports proactive, patient-centered care—empowering PCPs with flexible, scalable tools and technology-driven solutions.
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.
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
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
Throughout the history of U.S. healthcare, the predominant mechanism for financial compensation has been fee-for-service: hospitals, doctors and providers have been compensated based on the
