Download Slides In the FY 2027 Inpatient Prospective Payment System (IPPS) and Long-Term Care Prospective Payment System (LTCH) Proposed Rule, CMS introduced CJR Expanded (CJR-X): a proposed nationwide, mandatory bundle payment model that would place every eligible acute care hospital at financial risk for 90-day lower extremity joint replacement (LEJR) episodes — with no…
The “alphabet soup” of new value-based care models from the Centers for Medicare & Medicaid Services (CMS) can be confusing and overwhelming for nursing home operators, but there are two models that should be on every provider’s menu: the Long-Term Enhanced ACO Design (LEAD) model and Transforming Episode Accountability Model (TEAM). Brian Fuller, managing director…
Download Slides TXAACOs 2026 brought together some of the nation’s leading minds in accountable care, healthcare innovation, population health, and value-based care. While attendees gained valuable insights from the conference sessions, many of the most important conversations happened between presentations, over dinner, in networking events, and in discussions among industry leaders throughout the week….
Download Slides Optimizing performance of value-based clinicians and addressing gaps in chronic care pathways are two major obstacles to helping patients achieve the clinical goals that improve outcomes and reduce utilization costs. Using an AI native-services solutions across the conditions that drive spend in a value-based organization, Altitude partners are effectively improving clinician performance…
This white paper explores how remote temperature monitoring can support earlier identification of inflammation before wounds develop, while helping reduce provider burden through structured patient outreach and staged intervention protocols. It also reviews the difference between research alert rates and real world implementation data, showing how proactive intervention and care management support can help streamline…
CMS finalized a new rule aimed at streamlining the No Surprises Act’s overwhelmed arbitration system. Provider groups largely welcomed the reforms — though some industry leaders said additional changes are still needed to address alleged misuse and improve transparency. The Centers for Medicare and Medicaid Services finalized a new rule on Thursday to improve the federal independent…
We started this series with a simple observation: The Value-Based Care world—for which your ACO was built—has greatly altered. ACOs now have a much bigger charge to manage specialty care for their patients and to adopt CMS tools to negotiate rates with high performance networks. The TEAM payment model is live and ACOs have a role….
The Ambulatory Specialty Model (ASM) represents a significant shift from the traditional MIPS reporting system, aiming to enhance the accountability of specialists regarding patient outcomes and costs. Unlike MIPS, which operates like a choose-your-own-adventure format, ASM introduces a more structured approach, emphasizing greater responsibility in managing patient care. This change is substantial and requires clear…
When clinics select an AI partner – especially for AI Voice Agents – the expectation is that the tool gets the job done. Without integration into your systems and workflows, that rarely happens. Clinics end up with an incomplete solution that never adds the expected value and fails at the exact use cases AI should…
Download Slides In this webinar, learn how to: Identify the most significant compliance and financial risks associated with using AI in coding within value-based care models Explain how AI-driven coding practices can unintentionally lead to unsupported diagnoses, audit exposure, and inaccurate risk adjustment Recognize red flags that indicate AI is influencing coding and documentation…
Download Slides The APP submission window is closed, and it is time for a debrief. If you’re like most, some aspects went well, but there are definitely opportunities for improvement. It’s likely that at least one of your measures suffered from a gap in documentation rather than a gap in care, and that others…
The healthcare industry generates an astounding amount of data. The total amount of global healthcare information surpassed 4,200 exabytes in 2025 and is growing at an annual rate of 63%. However, about 97% of hospital data goes unused, meaning that organizations are missing out on valuable insights and opportunities that could lead to better operations,…