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How ACOs Address Social Drivers of Health

In the last decade, there has been a growing recognition of the influence of social drivers of health (SDOH), prompting primary care clinicians to implement new strategies aimed at enhancing patient outcomes. Accountable Care Organizations (ACOs)...

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4 Key Facts about Annual Wellness Visits

Excellent primary care serves as the foundation for keeping Medicare patients healthy. A key way to ensure this high standard of care is maintained...

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1 min read

Episode 182 | Patient and Caregiver Experiences in Value-Based Care

Join Melanie Phelps, Senior Advocacy Advisor for Health System Transformation at the American Heart Association (AHA), to discuss her recent research...

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5 min read

Making the Most of Commercial Value-Based Care Contracts with Independent Primary Care Organizations

While many independent primary care practices start their value-based care journey as part of an MSSP accountable care organization (ACO), adding...

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Episode 181 | Nursing in Value-Based Care

Value-based care is a team effort, and nurses play a crucial role in coordinating care to achieve better and more efficient patient outcomes....

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2 min read

ACO Vs. MCO: Understanding the Key Differences

As health care systems increasingly focus on cost management and patient outcomes, many primary care organizations are exploring different care...

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2 min read

Transitional Care Management Guidelines 2025

Best practices for navigating transitional care management Transitional care management (TCM) involves coordinated services to help patients safely...

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3 min read

Transitional Care Management Coding

Accurate coding in Transitional Care Management (TCM) is essential for compliance, appropriate reimbursement and the continued delivery of...

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3 min read

Transitional Care Management 101

Effective patient transitions between care settings are a cornerstone of high-quality, value-based health care. Transitional care management (TCM)...

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Episode 188 | Natalie Davis on Why You Shouldn’t Talk about Value-Based Care

Natalie Davis, CEO of United States of Care, joins us to talk about the challenges of discussing value-based care with...

Episode 187 | Behavioral Health Care Accessibility

A majority of those with behavioral health challenges lack access to high-quality care. Gabe Diop, co-founder of Rula,...

Episode 186 | How International Medical Graduates Help Ease the US Physician Shortage

The U.S. faces a significant shortage of primary care physicians, particularly in rural and under-resourced...

Episode 185 | Crossing the Chasm in Value-Based Care with Farzad Mostashari, M.D., and Geoffrey Moore, PhD

Aledade CEO, Dr. Farzad Mostashari, and best-selling author Geoffrey Moore explore how the concepts in Moore’s...

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