Patients need the right care at the right cost. Utilization management nurses ensure members receive appropriate services based on evidence-based practices.
What do providers need to do to succeed in value-based care? There are several ways to foster financial success—but providers should prioritize four key plays to truly maximize incentives.
Transitioning to value-based care (VBC) models may be daunting in the short term, but medical practices can expect to reap an abundance of long-term benefits for patients, staff, and their community. As VBC takes center stage as the future of healthcare, it is America’s physicians who are key to its successful adoption. As a physician leader, it is understandable that you are concerned about your practice’s readiness to make the shift. Leading efforts to set up a VBC model and pay arrangements is no small task. As payers drive VBC, providers are being thrust into the role of implementers, the