Download Slides With Comprehensive Care for Joint Replacement Expanded (CJR-X) set to launch January 2028, every eligible acute care hospital in the country is facing a new reality: mandatory bundled payments across a full 90-day episode window for joint replacement procedures. This is part of a broader and accelerating shift — CMS already made…
Download Slides Quality reporting is a requirement for participants in ACOs, MIPS and other Alternate Payment Models. However, despite its value, quality reporting is often seen as a compliance exercise, rather than an opportunity to measure and improve quality. This short-term approach costs organizations (literally) when actionable insights go unrecognized, resulting in high-cost utilization…
Download Slides Clinical accuracy is the foundation of value-based care, but recent, high-profile enforcement actions have shown how much is at stake when the focus turns from delivering great care to optimizing coding. How can physician groups, ACOs and health systems capture true patient acuity without crossing into upcoding? Join Connective Health for a…
For most of the last century, Type 1 Diabetes announced itself with an acute crisis. A child gets sick, sometimes critically sick, and the diagnosis arrives in the emergency department. The standard clinical response is therefore reactive: wait for symptoms to appear, manage the acute crisis – often Diabetic Ketoacidosis (DKA) – and then initiate…
Download Slides Our last two webinars focused on accountable automation and a real-world Palm Beach ACO use case. In this session, we’d like to take the discussion one level higher and focus on the broader operating model ACOs will need as AI becomes more integrated into value-based care. The session would explore how ACOs…
A new study details how Medicaid Accountable Care Organizations can improve maternal healthcare quality and equity in the US by aligning performance mandates with innovative care coordination and social needs support among patients before, during, and after pregnancy. As the largest insurance program for maternity care, Medicaid is uniquely positioned to shape maternal health in…
Sixty percent of health plans are screening for social determinants of health, but gaps in how they use that information for maternal health still persist. Healthcare consulting firm Sage Growth Partners surveyed 50 health plan leaders and 300 recently pregnant women, as well as their caregivers, for a Sept. 9 report. About three-quarters of the health plan…
Researchers at the University of Edinburgh searched three databases on March 20 for work on how ambient artificial intelligence (AI) scribes are being implemented. They screened 1,333 results and were left with 27 articles. Thirteen were empirical studies. The narrative review, published Sept. 3 in BMJ Digital Health & AI, mapped those articles against the Non-Adoption,…
Download Slides As CMS moves toward outcome-based payment for chronic care at national scale, the next two model years give ACOs a period to build their own outcomes and utilization data before those expenditures affect benchmark calculations. CMS’s ACCESS Model went live in July 2026, bringing outcome-aligned payment for technology-supported chronic care into…
The technology can make clinical documentation mistakes that can be hard to detect, leading to potential medical errors and lawsuits as health systems increase their use. Lured by promises of time savings and more face-to-face interactions with patients, a growing number of doctors are using artificial intelligence-backed scribes for clinical documentation. But experts say there’s…
Primary care already has a pipeline problem. Medical Economics reported that the 2026 residency match offered 5,491 family medicine positions but filled 83.6% of them, leaving 899 unfilled and prompting a new review of the specialty’s growth and sustainability. Those family medicine match results should sharpen the way practices think about artificial intelligence (AI), which can help physicians recover…
CMS and state Medicaid agencies should consider several factors related to the ACO LEAD (ACO Long-Term Enhanced Design) model’s proposed test of integrated Medicare-Medicaid ACOs. Dual-eligible beneficiaries account for a disproportionate share of Medicare and Medicaid spending owing to their complex medical, behavioral, and social needs. Care for this population presents multiple challenges, in part, because Medicare…