Industry Insights
Innovista’s Industry Insights is a collection of news articles, research papers, medical journal entries, and more. This library is meant to provide analyses and summaries of common challenges faced in the managed care industry. In addition to external publications, these insights also capture industry contributions made by Innovista Leadership.

Medicare Advantage Plans are Driving the Shift to Value-Based Care
Reversing the Trend of Slowing Adoption In the past years, the healthcare industry has seen a slow or stagnant adoption of value-based arrangements. According to the Catalyst for Payment Reform National Scorecard, over half of all commercial payments made in 2017 were...

Insights from Pam Audish: Collaboration is Key to Successful Management of Diabetic Population
As Texas ACOs participate in value-based relationships with health plans that offer opportunities to demonstrate provision of cost-effective, high-quality diabetes care it is important to understand the diabetic population. To assess diabetes prevalence, Innovista...

AI: The Future of Healthcare Technology and Preventative Care
How Predictive Analytics Will Change the Managed Care Landscape The conversation surrounding the future of healthcare can be complex and confusing, but one thing is clear: healthcare costs need to be brought under control. Predictive analytics offers invaluable...

The Ongoing Shift to Value-Based Care Raises Level of Urgency to Address Social Determinants of Health
Leveraging Technology to Improve Outcomes for Vulnerable and High-Risk Populations The shift from fee-for-service to value-based payment has accelerated interest in the collection and analysis of data related to Social Determinants of Health (SDOH) such as stable...

Interview with Eric Weaver, “It Takes Physician Leadership and Vision to Operationalize Value-Based Care”
Relentless Health Value, one of the oldest and largest podcasts dedicated to health care industry decision-makers, interviewed Eric Weaver, SVP of Strategy and Transformation at Innovista Health Solutions, regarding the role of the independent physician in the...

“Marriage Material: Independent Practices Find Success in Commitment to Accountable Care Organizations”
Innovista Health Solutions’ long-time partner, the Texas Medical Association (TMA), published an article studying the success of Alliance ACO, a Texas-based accountable care organization led by Innovista’s Crystal Ecton. Alliance ACO is comprised of two groups of...

Putting the “Care” Back in Healthcare
Increasing Productivity: How Leaders Set the Tone – and How They Can Improve It The healthcare industry oftentimes requires an advanced sense of care and compassion, but workplace environments seem to be extinguishing these very traits that are so valued in...

How Value-Based Care is Reducing Reliance on Nursing Homes
As Post-Acute Care Moves Away from Long-Term Facilities, Concerns Arise About Care Quality Increasingly large numbers of nursing homes are closing each year due to provisions of the Affordable Care Act (ACA), in addition to an increased number of assisted and...

Is Value-Based Care the Primary Practice Solution of the Future?
Identifying and Addressing Doubts about the Future of Medicine Since value-based payment models were introduced through CMS programs like MSSP and extended through commercial lines of business, nearly half (47.1%) of all physicians who responded to a 2018...

Strategies for an ACO to Limit Low-Value Medical Services
Identifying the Common Steps ACOs Take to Reduce Low-Value Care The American Journal of Managed Care recently published a paper, “ACOs With Risk-Bearing Experience Are Likely Taking Steps to Reduce Low-Value Medical Services”, detailing the traits commonly found...

The Importance of Holistic Patient Data in Population Health
Embracing the Bigger Picture in Value-Based Care A key measure in furthering the success of accountable care organizations (ACOs) and clinically integrated networks (CINs) is access to holistic patient data. Succeeding in value-based reimbursement requires a high...

The Multi-Faceted Nature of Bundled Care Savings
Why Bundled Care Does Not Always Result in Greater Savings Researchers supported by the Commonwealth Fund conducted a study researching the statistically significant difference between hospitals participating in Medicare’s new bundled payment program and those that...
Expansion of Purchasing Models Necessary to Maintain and Advance Value-Based Care
Center for Medicare & Medicaid Innovation Seeks to Assess and Improve Program Trajectory The Center for Medicare & Medicaid Innovation (CMMI), or the CMS Innovation Center, was created under the Affordable Care Act. CMMI seeks to study, conceptualize, and...
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