In many accountable care organizations (ACOs), frontline physicians are under strong pressure to schedule Medicare annual wellness visits (AWVs) for every eligible patient. On paper, AWVs are framed as a cornerstone of value‑based care. In reality, for patients who already receive regular, well‑designed chronic care and follow‑up visits, a separate AWV can easily become cost‑ineffective. It adds encounters and expense without…

Hemab Therapeutics and Seaport Therapeutics are the newest biotech companies to join the public markets, each with an upsized IPO. According to IPO research firm Renaissance Capital, April was the biggest month for biotech IPO proceeds in more than five years. The biotech IPO window looks like it’s reopening. This past week closed with three…

The year 2025 wasn’t easy for most ACOs struggling with the sudden transition to data aggregation. In fact, it was a trial by fire. ACOs joined the modern era of quality reporting in 2025 with APP (APM Performance Pathway) Reporting, which spurred aggregation from multiple practice systems and patient matching across the ACO. This required…

In time, value-based care will come to hospices, and they must be ready, according to Kent Anderson, CEO of Ohio’s Hospice. In this environment, scale will be key, as will a need to better understand the needs and objectives of referral partners, Anderson told Hospice News. He also leads Metta Health, a revenue cycle management…

With the release of the 2027 Medicare Advantage (MA) advance notice in January 2026, the Centers for Medicare and Medicaid Services (CMS) demonstrated they were willing to implement a bold agenda that defied public and market expectations. Looking ahead, Director of Medicare and Deputy Administrator of CMS Chris Klomp has made it clear that he wants to…

It’s a new world for ACOs, especially those just immersing in aggregated patient data. Once a rarity for ACOs to look beyond claims data for population health and analytics, ACOs are now finding themselves at the center of a data need surge. The transition from easy, manual quality reporting for a sample of ACO patients…

CARLSBAD, Calif. and SPRINGFIELD, Ore., April 21, 2026 /PRNewswire/ — Ceresti Health, a national leader in tech-enabled dementia management, and PacificSource, an independent, not-for-profit community health plan serving the Northwest, today announce first year cost savings attributable to Ceresti’s dementia management program. Medicare Advantage plans are facing one of the most challenging financial environments in years as flat payment…