If you’re an ACO worried about APP Reporting, we get it. Your concerns about the feasibility and costs of aggregating data from multiple systems are completely valid. But don’t let data complexity hoodwink you into a simplistic solution that will cost you more than the data is worth. Your solution to data aggregation needs to…
Acknowledging that a lack of alignment across the Centers for Medicare & Medicaid Services’ quality programs has contributed to challenges for clinicians and health insurers, the leaders of several CMS centers are proposing a “Universal Foundation” of quality measures that will apply to as many CMS quality-rating and value-based care programs as possible. Published Feb….
Download Slides Healthcare faces significant challenges in improving health equity, improving quality of care, and addressing social determinant of health issues. Join us as we show how point of care testing for the diabetic eye exam impacts these challenges. Webinar objectives: REACH model overview Health equity, Social Determinants of Health (SDOH) effects Point-of-care testing’s…
Participating in the healthcare system can be a daunting task for anyone. But especially for those in underserved populations. Because healthcare is a necessity, becoming a part of the system is a necessity, as well. Nevertheless, utilizing healthcare services can be problematic and difficult. Even those of us who work as part of the healthcare…
When Colin O’Reilly, DO, FAAP, FACOP, FCCM, makes a social determinants of health referral in his pediatric hospital, he can’t just send the child and family to any social services provider. He has to make sure that social service is completely accessible, both in its physical space and how it serves patients. That’s because O’Reilly…
CMS recently reaffirmed its goal to have all Medicare beneficiaries and the vast majority of Medicaid beneficiaries in a care relationship accountable for cost and quality by 2030.1 To advance model transparency and facilitate greater collaboration, CMMI released detailed model data to authorized researchers, including CareJourney (“Research Identifiable Files”).2 In the weeks ahead, we will…
Download Slides Has your organization grown over the last year? Do you expect to grow in 2023? If so, it is likely that your working capital needs will increase. Are you aware that there is a niche financing program available to value based organizations based mainly on expected CMS payments? Whether your organization needs…
During this past year, momentum has increased to make healthcare more accessible and affordable: Highlights in the realm of increasing accessibility to affordable care and streamlining user experiences include Amazon acquiring primary healthcare provider One Medical; and Walmart inking a deal with UnitedHealth Group to provide care to Medicare Advantage patients at in-store clinics. And…
Value-based care has evolved into a healthcare landscape of its own, with a wide range of organizations contributing to systematic changes that improve the quality of care and outcomes while better controlling costs. Providers specializing in value-based care have become attractive to investors and patients because of the distinctive quality of care they can provide…
To advance its goal of having 100% of people in traditional Medicare in an accountable care relationship in seven years, the Centers for Medicare and Medicaid Services has announced three initiatives in the Medicare Shared Savings Program and the ACO REACH and Kidney Care Choices models. More than 700,000 healthcare providers and organizations will participate…
The new value-based care model ACO REACH has been touted as the first ever to hold providers accountable for tackling health equity. But some providers say the Biden administration isn’t offering enough financial incentives for them to fully reach patients in extremely underserved communities. This year is the first performance period for the ACO REACH…
A recent study out of the Weill Cornell Medical College questions whether the Merit-Based Incentive Payment System (MIPS) accurately captures the quality of care delivered by primary care physicians. Published in JAMA in December, the cross-sectional observational study of over 80,200 primary care physicians found that MIPS scores were inconsistently related to performance on both…