There is a new kid on the block in the CMS alphabet soup of value-based payment models. The Transforming Episode Accountability Model (TEAM) pushes hospitals and health systems to better manage five surgical episodes of care for the initial admission and the thirty-days following. TEAM is a mandatory model for selected markets launching January 2026. […]
As value-based care evolves, clinically integrated networks (CINs) increasingly see the importance of engaging specialists to improve performance in their VBC contracts. Veralon recently completed a survey of CIN leaders to explore how the approaches of these organizations have shifted, and how CINs are engaging specialists.
This clinically integrated network (“CIN”) had a track record of success, but was still leaving money on the table. Did they need to achieve formal CIN designation? Would one model of physician participation accommodate all types of interested physicians? Contact our Thought Leaders: John Harris, Managing Director, jharris@veralon.com Molly Johnson, Consultant, mjohnson@veralon.com
Health systems and their Clinically Integrated Networks (CINs) face threats from a variety of competitors, including market disruptors, that may lure away aligned independent physicians and patients. Although the landscape of these competitors differs by market, they threaten the core business of CINs and complicate health system alignment with independent physician groups. Contact the Author: […]
As health system physician enterprises have grown, addressing their challenges are central to health system success. Engaging physicians and supporting health system goals requires a cohesive approach. Contact the Experts: Mark Dubow, Director, mdubow@veralon.com Rudd Kierstead, Principal, rkierstead@veralon.com
Do you have a CIN? Is it achieving what it should? Contact the Authors: John Harris, Managing Director, jharris@veralon.com Molly Johnson, Manager, mjohnson@veralon.com
Clinically Integrated Networks (CINs) need quality data to understand their patient population and manage provider practice patterns. That makes information technology (“IT”) critical at any stage of CIN development. For CINs with a mix of employed and independent physicians, IT is likely to be a tale of two cities – the employed physicians have solid, […]
John M. Harris and Craig E. Holm describe howimplementation of MACRA bring significant strategic implications for hospitals and health systems as well and physicians.