The Specialty Contracting Playbook and accompanying worksheets are designed to help specialty care organizations, accountable care organizations (ACOs), and payers negotiate and implement contracts that support the transformation of specialty care delivery. The Playbook outlines goals, solutions, and key decision points across 10 contracting domains, including...
The Health Care Transformation Task Force released a new case study featuring Blue Cross Blue Shield of Michigan’s (BCBSM) condition-based musculoskeletal (MSK) model, co-created with TRIARQ Health. The model focuses on caring for patients earlier in their care journey to help patients avoid unnecessary procedures, better...
The Health Care Transformation Task Force released a new case study featuring Evolent's comprehensive oncology model, which implements evidence-based clinical pathways, provider alignment, care navigation, and value-based payment arrangements to drive high-quality cancer care. The case study highlights how aligning financial incentives with high-value care...
The Health Care Transformation Task Force released a new case study featuring a value-based musculoskeletal (MSK) care partnership between Henry Ford Health, Health Alliance Plan by Henry Ford Health, and Protera Health. The case study highlights how digital care, timely specialty evaluation, coordinated wraparound services,...
The Health Care Transformation Task Force released a new case study featuring Strive Health’s value-based kidney care model, highlighting how risk-aligned partnerships and multidisciplinary care can improve outcomes for people with chronic kidney disease (CKD) and end-stage kidney disease (ESKD) while lowering total cost of...
The Health Care Transformation Task Force released a new case study featuring Oshi Health’s multidisciplinary gastrointestinal (GI) care model, highlighting how value-based specialty integration can improve outcomes, enhance patient experience, and reduce avoidable health care spending. Oshi Health’s model transitions GI care from episodic, procedure-based interventions...
The Health Care Transformation Task Force released a new case study featuring Blue Cross and Blue Shield of North Carolina’s (Blue Cross NC’s) Advanced Kidney Care (AKC) program, a value-based specialty model focused on improving outcomes for people with chronic kidney disease (CKD) and end-stage renal disease...
The Health Care Transformation Task Force and MedStar Health released a case study featuring MedStar’s implementation of the Guiding an Improved Dementia Experience (GUIDE) Model, a federal program designed to strengthen care coordination and caregiver support for people living with dementia. Through the GUIDE Model, MedStar...
The Health Care Transformation Task Force (HCTTF) and the National Association of ACOs (NAACOS) developed recommendations for the Centers for Medicare & Medicaid Services (CMS) to strengthen beneficiary engagement opportunities for accountable care organizations (ACOs). The recommendations call for CMS to: Give...
Heart disease is the largest driver of medical costs in the U.S. and remains one of the hardest areas to improve. The Task Force and Chamber, a cardiology value-based care enablement company, co-developed a case study showcasing how Chamber’s model supports cardiologists to prevent hospitalizations,...