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Recent posts by François de Brantes
3 min read
When the Medicare Bundled Payment for Care Improvement (BPCI) program was launched in 2013, it was the first national alternative payment model that put providers at financial risk (for any losses incurred on the patients they manage) from day one of the program. In 2018, BPCI was replaced by BPCI-Advanced. By then, it had grown substantially from its early roots to representing over $10 billion in at-risk contracts per year with providers in all but one state. And it’s still going strong today.
Topics: Episodes of Care
3 min read
For decades now, employers have been at the forefront of health care transformation, continuously pushing for greater price and quality transparency, demanding better value from the delivery system, and encouraging plan members to be better consumers. Despite their efforts, progress has been slow. Employers continue to see health care prices increase, crowding out other investments and stifling pay raises. Quality improvements have been modest and, in some cases (like maternity), have worsened. Pricing transparency remains elusive.
Topics: Episodes of Care Value-based care
2 min read
Two new posts (1 and 2) on the Medicare Shared Savings Program for Accountable Care Organizations (ACOs) show the importance of taking a rigorous lens to the evaluation of any alternative payment program and continuously working to improve them. Importantly, the posts remind us of the significant impact these models have had on the healthcare system.
Topics: Value-based care
4 min read
Frustrated by continued health plan inflation and point solutions that keep piling up and sometimes fail to live up to their promise, employers are looking for more comprehensive approaches that deliver measurable value today—and tomorrow.
1 min read
Each September, the health and mental health communities come together during National Recovery Month to reflect and discuss where we are and where we need to go to help those with substance use disorders achieve lasting recovery. This September, the discussion has taken on a whole new level of complexity with COVID-19 constraining access to services and limiting the in-person support that is a vital part of