In the News

CMS Issues Changes to Stop Loss Charges for DCEs

Detailed guidance on the CMS "built-in" stop loss for the Global and Professional Direct Contracting (GPDC) model was released on January 7, 2022. DCEs that want to meaningfully compare this coverage to the market will need a highly specialized risk partner. Deep Risk...

Osler Health IPA files lawsuit against Horizon (NJ)

Disputes over value-based care arrangements have become common, as payors and providers often lack a clear understanding of agreement terms.  Risk, data-sharing, and calculation methodologies are typically at the center of disputes.  Read about a recent dispute in NJ...

Humana Issues its Annual Value-Based Care Report

The report provides valuable insights into its value-based care (VBC) programs.  It also highlights comparative outcome, quality and patient satisfaction data between its VBC and fee for service beneficiaries - both in population health and bundled payment programs....

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