Featured Articles:

• How to Pursue Behavioral-Physical Healthcare Integration in a VBC Framework
• A Proposal to Enhance the Health Equity Benchmark Adjustment in ACO REACH
• How data drives value-based care and population health
• Leveraging RCM and Coding to Help Address the Health Equity Gap

Full Issue

Featured Articles:

• Exploring the Intersection of AI, Bias, and Value-Based Care
• Healthcare Vertical Integration: Back to the Future
• Humana: Home Health Business Key To Value-Based Care Strategy
• Policy Researchers: Look to Other Health Systems in Advancing Health Equity

Full Issue

Featured Articles:

• Top 10 Accountable Care Organizations by Medicare Shared Savings
• The Rapidly Evolving Move to Value-Based Care in a Post-Pandemic World
• To Advance Health Equity For Dual-Eligible Beneficiaries, We Need Culturally Appropriate Services
• Researchers Explore ACOs’ Cost Savings Around Patients with Mental Illness

Full Issue

Featured Articles:

• Industry Voices—No risk, no reward: How health plans are helping providers take on more risk in the transition to value-based care
• Rethinking care for the most frail patients
• Innovation for all: Adapting patient-facing tools to promote digital health equity
• AMA and others make MSSP requests ahead of final rule

Full Issue

Featured Articles:

• CMS Releases the Latest MSSP Numbers, Touts Savings and Quality
• Not Adequacy, Amplitude: Tactical Steps to Build a Preferred Provider Network
• Addressing Challenges in Primary Care—Lessons to Guide Innovation
• Top 3 Social Determinants of Health Barriers Among Seniors

Full Issue

Featured Articles:

• How Technology Helps Identify and Track Social Determinants of Health Data
• Helping Older Patients Get Comfortable Talking About Mental Health
• 4 Steps to Successful Value-Based Payment
• A Need For Disability Data Justice

Full Issue

Featured Articles:

• Will Medicare Physician Fee Schedule Changes Drive Value-Based Care?
• Physician Advocates for Equity See Built-In Problems in ACO Incentives
• Lessons From Five Years Of The CMS Accountable Health Communities Model
• Medicare cuts would undermine the movement to increasing in-home care

Full Issue

Featured Articles:

• Health Equity Relies on Healthcare Orgs as Anchor Institutions
• 3 Steps to Enter the Value-Based Care Space
• CMS moves toward guidance on health equity, climate change
• Report Identifies Keys to Data Integration for Value-Based Care

Full Issue

Featured Articles:

• Digital health companies must act on health equity. This is the time.
• PY 2023 Decisions for Competing with or Participating in Multi-ACO Enablers
• Strategic Implications of Health Equity in ACO REACH: Part 2 of 2
• HEDIS Changes Reflect Focus on Health Equity

Full Issue

Featured Articles:

• Opening the door: Are behavioral health providers ready for value-based care?
• CMS Announces Unprecedented Quality Measure Set for Home- and Community-Based Services
• Diabetes care quality measures must be improved, study finds
• How Healthcare Spending, Utilization Varies by Payer, Region

Full Issue

Featured Articles:

• The Medicare Value-Based Care Strategy: Alignment, Growth, And Equity
• AMA says Medicare payment schedule rule threatens patient access
• Four ways to improve digital health equity
• Risk-Based Alternative Payment Models Aid Chronic Disease Management

Full Issue

Featured Articles:

• CMS proposed payment rule includes major updates for ACOs
• Three Key Decisions To Direct Your APM Adoption Strategy
• Strategic Implications of Health Equity in ACO REACH: Part 1 of 2
• CMS Analysis Reveals Implicit Bias in Healthcare, Value-Based Payment

Full Issue

Featured Articles:

• Five value-based care strategies for leveraging patient data
• Risks And Benefits To Community Health Worker Certification
• Greater Collaboration Needed for Digital Health, Interoperability
• Study: Health system’s social needs program reduced utilization, but not enough to cover its high costs

Full Issue

Featured Articles:

• We Have A National Strategy For Accountable Care, So What’s Next?
• 5 Imperatives For Your Value-Based Technology To Support APMs
• Why Social Determinants of Health Are a Critical Factor for Preventing Member Risk Escalation in the Value-Based Care Equation
• Industry Voices—ACOs, analytics and the great reopening

Full Issue

Featured Articles:

• What Research Says About ACO Success
• Integrating social determinants of health into health data exchanges
• What Hospital Success Looks Like Under Value-Based Care
• MedPAC Backs Simplifying Medicare Alternative Payment Models

Full Issue

Featured Articles:

• How physicians can untangle the web of relationships essential for value-based care success
• Six Ways Competition Must Shape Your APM Strategy
• Health Equity, Gun Violence Prevention Among Priorities for AMA’s New President
• Medical bias experts: Stop using race as a predictor of health outcomes — use SDOH instead

Full Issue

Featured Articles:

• Aneesh Chopra: Greater ACO enrollment will bolster preventive care
• Health Value: It Takes a Skilled Workforce
• Why Value-Based Care Begins with Quality Education
• Younger Patients Want Social Determinants of Health Screenings

Full Isse

Featured Articles:

• Are ACOs and Home Services the Path to Health Equity?
• Accounting for Risk Among Dual Eligible Beneficiaries
• 5 Ways to Leverage Tech for Hospital Success Under Value-Based Care
• How Health Information Exchanges Boost Value-Based Care

Full Issue

Featured Articles:

• Why CMS is prioritizing value-based care and how healthcare companies can support this initiative
• Wanted: Better Script For Health System And Medical Group Transition To APMs
• Efficient Data Sharing Needed for Value-Based Care Transition
• ACO REACH And Advancing Equity Through Value-Based Payment, Part 2

Full Issue

Featured Articles:

• Value-based care creating a new era of interoperability
• Considerations for Social Determinants of Health Screening Design
• Medicare Shared Savings Program: Celebrating 10 Years and Looking Forward to the Future
• ACO REACH And Advancing Equity Through Value-Based Payment, Part 1

Full Issue

Featured Articles:

• For ACOs, the Question Is: To eCQM or Not to eCQM?
• Technology’s critical role in successful value-based care
• How to Use Healthcare Analytics to Improve Care Access
• Using Data to Quantify a Key Pandemic SDOH: Social Isolation

Full Issue

Featured Articles:

• Breaking Down Common CMS Value-Based Payment Programs
• Experts Discuss Driving Health Equity, Increasing CMS, ACO Alignment
• CMS targets reforms to benchmarks to kick-start flat ACO participation
• CMS Officials Announce Major New Strategies Around ACOs

Full Issue

Featured Articles:

• What’s driving the transition to value-based care?
• Fact Checking the ACO Realizing Equity, Access, and Community Health (REACH) Model
• Future of Value-Based Care, Role of Alternative Payment Models
• Key Advantages of Medicare Advantage Plans Versus FFS Medicare

Full Issue

Featured Articles:

• Here’s what primary care will look like in the future
• Population Health vs. Public Health: How They Differ and the Tech Behind Them
• Hospices Gauge How Quality Counts in ACO REACH
• Patients struggle with unmet basic needs: Medical providers can help

Full Issue

Featured Articles:

• Everybody’s Talking About Value-Based Health Care. Here’s What They’re Not Saying.
• Nurses are Burned Out. Can Quality Measures Help?
• Implement Pharmacy Performance Measures for Value-Based Care
• Legal and payer changes focus on addressing social determinants of health

Full Issue

Featured Articles:

• What Comes Next In Prioritizing Equity In Payment? The ACO REACH Model
• Bipartisan House bill aims to boost value-based purchasing drug agreements in Medicaid
• Podcast: Analyzing the New ACO REACH Model, with Rick Goddard and Joe Satorius

Full Issue

Featured Articles:

• Rural ACOs Work to Overcome Challenges in Medicare Payment
• AHA launches Health Equity Roadmap, an interactive program for members to build out their equity efforts
• How to Evaluate Physician Performance Using Appropriateness

Full Issue

Featured Articles:

• A Typology For Health Equity Measures
• Sneak Peek into the Post-Acute Care Industry Trend Report
• HIMSS 2022: Health equity, transformation, Michael Phelps, Scott Pelley, and other highlights
• Most doctors have patients affected by social drivers but feel ill-equipped to address them, survey finds

Full Issue

Featured Articles:

• Value-Based Contracting: At an Inflection Point?
• Why Understanding Risk Scoring in the ACO REACH Model is Critical For Success
• Small Practice Participation and Performance in Medicare Accountable Care Organizations
• Hospital Populations Do Not Reflect Communities, Imperil Health Equity

Full Issue

Featured Articles:

• The Accountable Care Model: Weathering the Storm and Growing Stronger
• Key Components of a Post-Acute Growth Engine
• Care coordination: What’s needed to succeed with accountable care and home health?
• Top Effective Social Determinants of Health Interventions

Full Issue

Featured Articles:

• CMS changing direct contracting to an ACO gets mixed reaction
• Remote Patient Monitoring Best Practices: Tips For Setting Your RPM Program Up For Success
• How ACO REACH Compares to Direct Contracting
• How The Principles Of Environmental Justice Can Improve Health Equity

Full Issue

Featured Articles:

• CMS overhauls Direct Contracting model to include new requirements on governance, health equity in 2023
• Seven Key Strategies For Health Systems And ACOs To Attract And Engage Consumers
• What the Pandemic Taught Us About Value-based Care
• Provider Collaboration Needed to Drive Patient Experience, ACO Success

Full Issue

Featured Articles:

• Healthcare Groups Plead with HHS’ Becerra to Retain Direct Contracting Model
• Trends in Characteristics of Fee-For-Service Medicare and Medicare Advantage Enrollees
• Podcast: NAACOS Health Policy Update and the Rumored Cancellation of the GPDC Model, with Allison Brennan
• Do Patient Navigators Close Racial Disparities in Primary Care Access?

Full Issue

Featured Articles:

• Social Determinants Of Health In The Age Of Digital Healthcare
• Healthcare Associations Call on Congress to Spur APM Adoption
• What’s Ahead in 2022
• Volume vs. value: Physician compensation models slow to adapt

Full Issue

Featured Articles:

• Will Consumers Derail Your Value-Based Care Success?
• Raising the Bar: Using Primary Care Practice Standards to Advance Health Equity in Medicaid
• Use of Electronic Health Record Systems in Accountable Care Organizations
• Along with rate increase for MA plans, CMS pitches closer look at social determinants of health

Full Issue

Featured Articles:

• The Case For ACOs: Why Payment Reform Remains Necessary
• How to Use Longitudinal Patient Data to Create a Better Continuum of Care
• Which digital health sectors led VC investment in 2021
• Examining the value-based care approach: How improved data models and analysis can remedy inequities

Full Issue

Featured Articles:

• The Perils and Payoffs of Alternative Payment Models for Community Health Centers
• Getting Real About Health Equity
• Growth in Health Information Exchange With ACO Market Penetration
• How Pharmacists Can Help Address Social Determinants of Health

Full Issue

Featured Articles:

• CMS Officials Make Major Statement on Health Equity, Referencing Role of Value-Based Care
• Waves of Pandemic Incite Soaring Demand for Population Health Technology and Analytics Solutions, Black Book 2022 User Survey
• 5 Behavioral Health Trends for 2022
• Medicare Direct Contracting Demo Garners Critics and Defenders

Full Issue

Featured Articles:

• Improving Risk Prediction for Chronic Disease Management
• How Payers Are Linking Community-Based And Value-Based Care To Strengthen Outcomes And Equity
• What CMMI’s director told us about mandatory payment models, ACOs, and more
• Favorite Quotes of the Year: Health Equity Edition

Full Issue

Featured Articles:

• The Year in Review: A Year of Twists and Turns for APMs
• Data Drives Value-Based Healthcare
• Improved Payments for Social Care Can Promote Health Equity
• Medicaid Managed Care Organizations Help Address SDOH, Health Equity

Full Issue

Featured Articles:

• 2022 forecast: 7 predictions for what lies ahead for health equity
• The Time Is Right to Revisit Value-Based Care
• Former CMS chief of staff previews 4 areas of value-based care in 2022
• The State of Value-Based Reimbursement, Financial Risk in Healthcare

Full Issue

Featured Articles:

• Why value-based administration is key to value-based care
• LAN survey: 40% of health payments tied to alternative payment models in 2020
• Power and Participation: How Community Health Centers Address the Determinants of the Social Determinants of Health
• Value-Based Care Driving Efforts to Improve Patient Access

Full Issue

Full Issue

Featured Articles:

• 4 Key Use Cases for Patient Data Access, Patient Portals
• Accountable Care Organization & Direct Contracting Entity Survey
• FLAACOS 2021 VBC PANEL SURVEY: A Summary of ACOExhibitHall.com Advisory Board Responses
• How a pandemic shines a brighter light on the need for SDoH innovation

Full Issue

Featured Articles:

• Achieving Racial and Ethnic Equity in U.S. Health Care: A Scorecard of State Performance
• Benchmark Report Sneak Peek: 2022 Post-Acute ACO Partnerships in Focus
• Choosing the Appropriate Provider or Practice Group for Referrals
• Health Systems Set Sights on Risk-Based Payment in Medicare Advantage

Full Issue

Featured Articles:

• 62% of Consumers Unfamiliar with Value-Based Care, Study Finds
• Building a Value-Based Pharmacy Performance Program
• Small primary care practices that received training in quality measures to enhance care improved patient outcomes
• 5 ways health plans are addressing health equity

Full Issue

Featured Articles:

• The 2022 CMS PFS And QPP Final Rule: A Warning Shot To Provider Holdouts Of Value-Based APMs
• New Kid On The Block: Remote Therapeutic Monitoring To Make Its Way Into CMS 2022 Medicare Physician Fee Schedule
• Health Equity and Health Disparities: The Role of Health IT and the Need to Standardize Data Collection
• Normalized Data: What It Is and Why You Need It

Full Issue

Featured Articles:

• Medicare, Medicaid innovation center lays out ambitious agenda for next decade
• Steve Klasko on diverging from the ‘natural order of things’ to move health care forward
• Addressing Social Determinants of Health Closes Health Disparities

Full Issue

Featured Articles:

• New ACO Playbook: How To Supercharge Your ACO
• Improving The Health Of Rural Americans
• BMA: Medicare Advantage Offers Lower Costs, Better Benefits Than FFS

Full Issue

Featured Articles:

• Downside Risk Pays Off: 4 Best Practices for High ACO Performance
• Analysis: How COVID-19 Vaccination Rates Vary Across Different Communities
• Who is Generation C and how will healthcare adapt to meet their expectations?
• Population Health and Data Analytics Strategies for Value-Based Care

Full Issue

Featured Articles:

• ACOs Angling for a Bigger Role in Health Equity
• Healthcare at the Crossroads: Value-Based Care and Interoperability
• Acknowledging Economic Stability as a Primary Social Determinant of Health
• Medicare Advantage, Direct Contracting, And The Medicare ‘Money Machine,’ Part 2: Building On The ACO Model

Full Issue

Featured Articles:

• New ACO Playbook: Seven Keys To Expanding ACO Savings—And Market Share
• What is Utilization Management?
• CMMI director hints at shift away from payment models for every episode of care, specialties
• Medicare Advantage, Direct Contracting, And The Medicare ‘Money Machine,’ Part 1: The Risk-Score Game

Full Issue

Featured Articles:

• The State of Payer, CBO Social Determinants of Health Contracting
• Special Report: Analyzing 2020 ACO Results and Factors for Success
• SDOH Strategies All Provider Organizations Should be Adopting Now
• HHS aims to use value-based care payment models to lower drug prices

Full Issue

Featured Articles:

• Efficiency One Key to Success in Value-Based Care Engagement
• Coordination Without Consolidation? Options for ACOs
• Gottlieb: COVID-19’s Lasting Effects on Healthcare Delivery
• Healthcare leaders share lessons learned addressing social determinants of health

Full Issue

Featured Articles:

• Developing value-based virtual partnerships: What health plans should know
• CMS Releases 2020 MSSP ACO Results, Marking Fourth Consecutive Year of Net Savings to Medicare
• Gottlieb: COVID-19’s Lasting Effects on Healthcare Delivery
• Healthcare leaders share lessons learned addressing social determinants of health

Full Issue

Featured Articles:

• Patient Centeredness Transfers to Data, Too
• New ACO Playbook: 3 Strategies To Tackle Hidden Costs Of Specialty Care
• Paying it Forward: How Payers Can Accelerate the Transition to Value-based Care
• 10 issues every healthcare leader should be thinking about

Full Issue

Featured Articles:

• Cost Savings Aren’t The Only Objective For ACOs: Growth Matters, Too
• 5 Ways Value-based Care Organizations Use Healthcare Data to Improve Outcomes & Attract Patients
• What ACOs should do now that CMS won’t extend the Next Gen ACO model through 2022
• Study: Private consultancies can influence hospital participation in CMS bundled payments model

Full Issue

Featured Articles:

• A New Elephant is in the ACO Waiting Room: It is Following the Money
• Closing the Gaps & Improving Care: Why Patient Centric Data Matters
• Moneyball for Healthcare: Data is the Key
• New ACO Playbook: Three Ultimate ACO Strategies To Keep Physician Practices Onboard

Full Issue

Featured Articles:

• Value-Based Care Assessment: The First Step to Value-Based Care
• The role of CINs in securing Value-Based Contracts
• How to Add, Pay Community-Based Organizations in Value-based Care Contracts
• Study: Private consultancies can influence hospital participation in CMS bundled payments model

Full Issue

Featured Articles:

• The Fundamentals of Medicare Advantage Star Rating Methodology
• Using Healthcare Analytics to Understand & Optimize Physician Referrals at the Point of Care
• ACO Participation May Keep SNFs ‘In the Game’
• Use Value-Based Payment To Resolve The Debate About Telehealth Payment Parity

Full Issue

Featured Articles:

• Shared Savings ACOs get a year off from electronic clinical quality measures
• Five Important Health Care Trends That Consumers Should Track
• Increase in Medicare Advantage Activity to Address Social Determinants of Health, But Barriers Still Remain
• The Missing Ingredient in Your Hospital’s Social Determinants Initiative

Full Issue

Featured Articles:

• Medicare eligibility erases many healthcare disparities in US
• 3 Strategies To Push ACO Savings Beyond Coordination of Care Limits
• Feeding two birds with one seed: payment reform, telehealth, & health equity
• How to choose an ACO partner

Full Issue

Featured Articles:

• The 2022 CMS PFS And QPP Proposed Rule: 7 Things To Know
• Top 3 Steps to Develop a High Performing Network (HPN)
• The pandemic fallout to come, and the role of digital SDOH
• The (SGR) Fix Is In: How MACRA Short-Circuited Incentives For Joining Two-Sided Models

Full Issue

Featured Articles:

• New ACO Playbook: 3 Approaches To Scale Up Data Sufficiency For Value-Based Care
• Healthcare Is Not Equal for All – We Need Population Health 4.0
• CMS Needs to Rethink How Medicare Assesses Quality
• Using advanced analytics to look at the ‘whole person’ for better value-based care delivery

Full Issue

Featured Articles:

• Educational Attainment Emerges as SDOH Predicting Health Disparities
• Keys to Building a Successful RPM Program
• Value-based care gains traction during COVID-19
• Medicare ACOs Facing Multiple Changes and Challenges

Full Issue

Featured Articles:

• Integrating Data Systems To Support Value-Based Contracts
• Rep. Bustos: Social Determinants of Health Key Legislative Goal
• Addressing social determinants of health to attract and retain talent
• Number of Accountable Care Organizations Declined During COVID-19

Full Issue

Featured Articles:

• New ACO Playbook: How ACOs Can Transform Clinical Care For Diabetes
• The Interoperability Effect: Driving Value-Based Care and Financial Health
• Social Isolation Key SDOH Impacting Health, Mortality Outcomes
• Network Leakage: The Cause & Effect

Full Issue

Featured Articles:

• MedPAC: Overhaul MA payments and streamline CMMI models
• 4 SDOH Driving Health Disparities in Patient Portal Use
• The expanding role of specialists in value-based care
• Nutrition’s Critical Role in Value-Based Care

Full Issue

Featured Articles:

• Building a social determinants of health strategy: data is the key
• A Decade of Value-Based Payment: Lessons Learned And Implications For The Center For Medicare And Medicaid Innovation, Part 1
• Lawmakers call for CMMI to be more transparent and accountable as model review continues
• Why should payers and employers care about community care networks?

Full Issue

Featured Articles:

• Value-Based Contracting 101: Preparing, Negotiating, and Succeeding
• Community health worker support reduces 30-day readmission among high-risk ACO patients
• The Real Registry Advantage For ACOs Reporting Via APP: 5 Myths Debunked
• Working 9-to-3: Addressing the social determinants of aging

Full Issue

Featured Articles:

• New ACO Playbook: To Show Standout Performance, ACOs Must Rethink Quality
• How value-based care can support the growing mental and behavioral health need
• CMS won’t extend the Next Generation ACO Model through 2022
• Time To Set Aside The Term ‘Low-Value Care’—Focus On Achieving High-Value Care For All

Full Issue

Featured Articles:

• ABCs of VBC: CMS Value-Based Initiatives – A Current Review and Future Perspective
• The Move to Value-Based Care Takes a Pandemic Pause
• Why PCPs Should Focus on Coding and Documentation in Value-Based Care Programs
• Using Novel Data Sources To Inform Care Management During And After The Pandemic

Full Issue

Featured Articles:

• New ACO Playbook: Three Touchstones For ACO Viability
• Profiling ACO Success: What Drives High Performance in the Medicare Shared Savings Program?
• How social determinants of health can enable value-based care
• AMA: Most physicians now work outside of private practice

Full Issue

Featured Articles:

• New ACO Playbook: Can Coordination Of Care Save Enough Money To Save ACOs?
• In Providers’ Words: What’s Working and What’s Not in Value-Based Care Today
• Knowing SDOH is Good Medicine
• How to Avoid Falling From Grace: Strategies for MA Plans to Sustain & Improve Performance

Full Issue

Featured Articles:

• Value-based care at ‘critical juncture,’ new CMMI chief says
• It doesn’t have to be ‘either/or’ with value-based payment
• NAACOS Recognizes Three ACOs for Care Improvement Efforts
• On the Road to High-Value Healthcare in the U.S.: Are We There Yet?

Full Issue

Featured Articles:

• Why ACOs Need A New Playbook
• Whither the ACO?
• Industry Groups Seek Next Gen Extension, Full-Risk ACO Options
• The Key to SDOH: Health literacy

Full Issue

Featured Articles:

• Population Health Still At Odds With Fee-For-Service
• Provider Perceptions of Pharmacists in Primary Care–Based Accountable Care Organizations
• Reinventing Community-Based Healthcare Delivery in a Value-Based Landscape
• To Sustain The Value Movement, Make Next Generation ACOs A Permanent Option

Full Issue

Featured Articles:

• 5 Value-Based Behavioral Health Strategies For ACOs And Medical Group Models
• The shift to value-based care has accelerated in the wake of the pandemic
• CMS Delays CHART Model’s ACO Transformation Track
• MedPAC calls for fewer pay models, cutting Medicare Advantage spending

Full Issue

Featured Articles:

• A Roadmap for Value-Based Payment in 2030
• With Competing Payment Models On Hold, What’s The Future For ACOs?
• CMS delays ACO Track of the Community Health Access and Rural Transformation Model
• NAACOS Calls For Renewed HHS Focus, Funding on Value-Based Care

Full Issue

Featured Articles:

• NAACOS asks HHS Secretary Becerra to grow Medicare ACO programs
• CMS payment models that are under review, delayed
• CMS Starts Primary Care First Value-Based Payment Model Second Wave

Full Issue

Featured Articles:

• Rewarding ACOs that Manage Complex Patients
• Why Workforce Development for Value-Based Care is a Vital Issue to Address
• Providers and payers face intense negotiations after the pandemic

Full Issue

Featured Articles:

• Biden Administration Pauses Key Value-Based Reimbursement Models
• Challenges and Strategies Behind Patient Engagement
• Making the emergency department utilization, SDOH connection
• MedPAC likely to recommend CMS simplify alternative payment models

Full Issue

Featured Articles:

• Low-Value Care Spending Slows as Medicare Pushes Value-Based Care
• Achieving Success in Medicare’s Highest-Risk ACO Program: One ACO’s
• Best Practices in Value-based Care
• The digital divide becomes a new social determinant of health

Full Issue

Featured Articles:

• Addressing Social Determinants Lowered ED Utilization in Medicare
• How to bring specialists into the ACO fold: 9 strategies for success
• Coordinated payment policies could speed transition to value, experts say
• 7 New Value-Based Health Care Directions You’ll See In 2021

Full Issue

Featured Articles:

• Next Gen ACOs: Savers or Spenders?
• CMS Regulation Impacts on MSSP and QPP: The Top 10 Changes ACOs Need to Know
• Physician Practices Trail Hospitals in Value-Based Care Readiness
• CMMI’s geographic direct contracting model needs an overhaul, experts say

Full Issue

Featured Articles:

• Top Social Determinants of Health Barring Patient Care Access
• What Will CMS Do Under the Biden Administration?
• Why Health Equity Will Be Measured In Value Based Health Care

Full Issue

Featured Articles:

• ACO Participation Hits New Low as Biden Administration Takes Over
• Skilled Nursing Facilities Lack Enhanced Patient Data Sharing
• Billing, antitrust exemption changes upend negotiations between insurers and providers
• NAACOS Warns Policymakers Over Slowing ACO Participation in the MSSP Program

Full Issue

Featured Articles:

• Next Generation ACOs Saved Medicare $558M in 2019
• CMS Issues Guidance for Medicaid and CHIP Programs Regarding Social Determinants of Health
• ACO participation reaches new low as advocates press Biden for major changes
• Re-thinking Alternative Care Models and Value-based Care

Full Issue

Featured Articles:

• Most Next Gen ACOs achieved bonuses in 2019
• 7 New Value-Based Health Care Directions You’ll See In 2021
• Telehealth flexibilities continue and ACOs are held harmless under public health emergency extension

Full Issue

Featured Articles:

• New physicians short on opportunities to practice value-based care
• What percent of physicians participated in ACOs? – 9 stats
• Atul Gawande: To fix our broken healthcare system, start with primary care

Full Issue

Featured Articles:

• ACOs Fear Direct Contracting Options Stray Too Far From Providers
• ACOs press for halt to Geographic Direct Contracting model due to complexity concerns
• The Year That Was: In 2020, Tumult for ACOs, and a Year-End Holiday Gift Under the Tree

Full Issue

Featured Articles:

• CMS unveils highly anticipated geographic direct-contracting model
• Is the CMS Geographic Direct Contracting Model Right For You?
• Prospective or Retrospective ACO Attribution Matters for Seriously Ill Patients
• A Prayer and a Plea for our Nation to Realize the Severity of COVID-19, with Dr. Brent Staton

Full Issue

Featured Articles:

• CMS unveils highly anticipated geographic direct-contracting model
• Is the CMS Geographic Direct Contracting Model Right For You?
• Prospective or Retrospective ACO Attribution Matters for Seriously Ill Patients
• A Prayer and a Plea for our Nation to Realize the Severity of COVID-19, with Dr. Brent Staton

Full Issue

Featured Articles:

• As Value-Based Care And Telehealth Rise, Patient Experience Measurement Desperately Needs An Update For The Digital Age
• CMS doubles down on value-based care
• Prospective or Retrospective ACO Attribution Matters for Seriously Ill Patients
• The 2021 QPP Final Rule: A Warning Bell For ACOs And A Wake-Up Call For MIPS Participants

Full Issue

Featured Articles:

• CMS Announces Changes to Medicare MD Payment Related to Telehealth, ACOs
• A New Elephant is in the ACO Waiting Room: It is Following the Money
• HHS’s Efforts to Reduce Prescription Drug Prices and Transition to Value-Based Care – Part 1: CMS and OIG Issue a Series of Final Rules
• Five Strategies To Help ACOs And Independent Specialists Create Common Ground On Data Sharing

Full Issue

Featured Articles:

• ACOs, Population-Based APMs Most Effective at Lowering Costs
• How PCPs can leverage better coding to succeed in value-based care
• Evaluation Of Medicare Alternative Payment Models: What The Data Show
• Health Affairs Blog: Health Policy Researchers See Far More Complexity in MSSP Than Meets the Eye

Full Issue

Featured Articles:

• How ACOs In Rural And Underserved Areas Responded To Medicare’s ACO Investment Model
• The 4th Realm of Health: Social Determinants of Health – The Undiagnosed Condition
• Value-Based Health Care in Four Different Health Care Systems

Full Issue

Featured Articles:

• What Will a Biden or Trump Victory Mean for Healthcare?
• ACO Survey Shows Why Congress Should Address Value-based Payment Incentives
• Any Way the Wind Blows: The Future of Heath Care Payment Reform
• Centers for Medicare and Medicaid Services announces 51 direct contracting entities

Full Issue

Featured Articles:

• The COVID-19 Pandemic Can Help Us Understand Low-Value Health Care
• 2020 Shared Savings Benchmarks – Does your Organization Meet the Mark?
• Value-Based Care Requires a Balance of Telehealth, In-Person Visits
• CMS finalizes insurer transparency rule

Full Issue

Featured Articles:

• Telehealth Expansion in Medicare: Policy Changes, Recent Trends in Adoption, and Future Impact
• The Medicare Shared Savings Program In 2019: Positive Results During Major Transitions And On The Eve Of A Pandemic
• How Top Accountable Care Organizations Save Year After Year
• MGMA 2020: Transitioning to value-based care

Full Issue

Featured Articles:

• The True ROI of Population Health Management
• How Accountable Care Organizations Can Survive the Next Healthcare Crisis
• Seven Key Analytics To Direct Your ACO’s Specialty Strategies For Risk
• Direct contracting favors new entrants over existing ACOs

Full Issue

Featured Articles:

• Value-based Care After COVID-19: What Healthcare Leaders Need to Know
• ACOs Announcing Millions in Shared Savings
• Establishing A Value-Based ‘New Normal’ For Telehealth
• Citing COVID-19, providers push back on CMS payment rule rate cuts, telehealth rollback in 2021

Full Issue

Featured Articles:

• AMA and others ask CMS not to finalize proposed ACO quality changes
• ACOs still face barriers to achieving profitability, care goals
• Value as a business differentiator: 6 execs on what makes their ACOs high-performing
• Preparing Providers for Full MACRA Implementation in 2022

Full Issue

Featured Articles:

• Most ACOs Worried About Rising Advanced APM Thresholds Next Year
• Accountable Care Organizations Shifting Gears in 2020 (survey)
• CMS and NAACOS: The Battle of the Narratives Continues-During a Key Moment for ACOs
• Social Determinants of Health: The Unaddressed Variable Accounting for 80% of Health Outcomes

Full Issue

Featured Articles:

• 2019 Medicare Shared Savings Program ACO Performance: Lower Costs And Promising Results Under ‘Pathways To Success’
• CMS Savings Reaffirms the Need for Primary Care Support
• NAACOs urges Congress to address qualifying thresholds in value-based care models
• How Medicare Successes Inform Medicaid Value-Based Care Progress

Full Issue

Featured Articles:

• Three Fixes For ACOs’ Physician Engagement Strategies
• Doctors affiliated with health systems have much higher MIPS scores, JAMA study finds
• Why Primary Care Should Run the Healthcare System
• Coronavirus Pandemic Impacts Value-Based Contracts

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Featured Articles:

• The CHART Model: What it means for ACOs and Health Communities in 2020
• 3 Keys to Engage Specialists in Value-Based Care
• Straight Talk For Providers Adopting Capitation: Don’t Fly Blind Without The Right Data
• The QPP Proposed Rule 2021: What’s in Store for MIPS and ACOs

Full Issue

Featured Articles:

• How an ACO, FQHC Model Leveraged Social Determinants of Health
• Pre-visit Planning: Uncovering Stones for ACO Financial Viability Amidst COVID-19
• 2019 Financial Settlement and Quality Report Delivered

Full Issue

Featured Articles:

• NAACOS-Commissioned Report: ACOs and APMs Could Save CMS $270 Million Over Next Decade
• The Math of ACOs
• Lessons from a MassHealth ACO that saved $12.2M

Full Issue

Featured Articles:

• How ACOs Can Control Costs With Physician Help, In 3 Steps. Really.
• CMMI Announces New Model to Support Rural Value Transformation
• Population health programs don’t always work – 3 lessons learned from health insurer execs
• How To Ensure COVID-19 Doesn’t Delay Value-Based Care

Full Issue

Featured Articles:

• Effective Care Management by Next Generation Accountable Care Organizations
• CMS Drops Proposed Rule Impacting Quality Payment Program, MSSP ACOs
• Some Alternative Payment Models Are Improving Behavioral Health
• MEDICARE Home-Based Medical Care Can Reduce Hospitalizations and Lower Costs – But It’s Still Underutilized

Full Issue

Featured Articles:

• New bill seeks to boost participation in advanced payment models, ACOs via several reforms
• Next Gen ACOs Doing Complex Care Management Are Reducing Hospitalizations, Costs
• Telehealth made up almost half of all Medicare beneficiaries’ primary care use in April
• COVID-19, Direct Contracting, & ACOs: Where Are We Headed?

Full Issue

Featured Articles:

• Critical Considerations For Condition-Based Alternative Payment Models: A Multi-stakeholder Perspective
• Episodes Are More Than Payment Models: They’re Key To Improving Care
• Leapfrog Group: Employers rank Cigna highest, UnitedHealthcare lowest on drive for value
• Seema Verma: Early Impact Of CMS Expansion Of Medicare Telehealth During COVID-19

Full Issue

Featured Articles:

• AMGA Calls for Medicare Shared Savings Program Changes Amid COVID-19
• COVID-19: A Forcing Function for Value Based Care?
• Payer Fuses Value-Based Care, Support Payments for Small Practices
• Family doctor, employer groups join forces to replace fee-for-service

Full Issue

Featured Articles:

• Standalone ACOs Saved More Than Hybrid Medical Home Models
• Nearly 70% of ACOs Will Soon Offer Some Type of Home Visits
• Payers Continue to Expand Value-Based Contracting Despite COVID-19
• Telemedicine in the Time of Coronavirus

Full Issue

Featured Articles:

• ACOs Describe How Population Health Expertise Is Paying Off During Pandemic
• How To Start Redressing Racial Bias And Reducing Health Care Inequities
• As Hospitals Lose $50B Per Month, Home Health Providers Consider New Acquisition Opportunities

Full Issue

Featured Articles:

• ACOs Can Grow Value-Based Payment in Medicare, But Changes Needed
• The Advisory Board’s Kerns on the Longer-Term Prospects of Risk-Based Payment Models
• MaineHealth ACO execs show how they used predictive analytics to reduce ED utilization
• This Next Gen ACO relies on data investments to help track COVID-19 hot spots. Here’s how

Full Issue

Featured Articles:

• MedPAC June Report Highlights Fix to Ensure ACOs Can’t Game System
• Implicit Bias and Racial Disparities of Care: Recognizing and Addressing the Role of Implicit Bias in Vulnerable Patient Care
• ACOs Lean More on Physician Assistants, Non-Physician Providers
• COVID-19 Spotlights 3 Payer Telehealth Expansion Challenges

Full Issue

Featured Articles:

• Is Telehealth Bridging Or Widening The Health Care Gap? We Need To Find Out.
• CMS Extends Next Generation ACO Model, Offers APM Flexibilities
• A Fortunate ACO Coincidence
• Berwick Challenges ACOs to Take on Inequity, Racism

Full Issue

Featured Articles:

• CMS extends Next Generation ACO model, offers direct contracting details
• Report: The Future of ACOs After COVID-19
• Seema Verma: New CMS Payment Model Flexibilities For COVID-19
• Million Hearts: Tracking Cardiovascular Risk to Improve Population Heart Health

Full Issue

Featured Articles:

• More Physician Groups Lead Accountable Care Organizations
• One Foot In the Boat, One On the Shore: A Scenario Suddenly Made More Complex
• Telehealth Expansion During Coronavirus Pandemic Changing Physician-Patient Relationship
• ACOs seek info on Next Gen, Direct Contracting models amid COVID-19 pandemic

Full Issue

Featured Articles:

• ACOs seek clarity on future of payment models
• Accountable Care Organizations Are Increasingly Led by Physician Groups Rather Than Hospital Systems
• Can PCPs Survive COVID-19? Only If Fee-for-Service Goes
• ACOs ask Trump admin for more help to cope with coronavirus

Full Issue

Featured Articles:

• ACO Participation Did Not Lower Care Access for Vulnerable Patients
• Size Is Now A Problem That Large Hospitals And Health Systems Must Solve
• Innovative Ways that ACOs can Increase Affordable Housing in Their Communities
• Emergency CMS rule provides optimism for alternative payment models

Full Issue

Featured Articles:

• Hospital and provider groups cheer new CMS flexibility on telehealth, capacity and ACO losses
• CMS Delivers Key Win for ACOs in Emergency Rule
• The Interim ACO Rule Explained: A Pause, Not A Reprieve
• CMS removes COVID-19 inpatient treatment from ACO performance calculations

Full Issue

Featured Articles:

• ‘The genie’s out of the bottle on this one’: Seema Verma hints at the future of telehealth for CMS beneficiaries
• Telemedicine triage kiosks reduce ER visits by 11% for ACO
• Sleep Apnea Care in the Era of COVID-19
• Infrastructure, Staffing and Culture Work Together to Navigate Risk

Full Issue

Featured Articles:

• More ACOs turn to telehealth to combat COVID-19 financial crisis
• Maintaining Progress Toward Accountable Care And Payment Reform During A Pandemic, Part 2: Immediate Issues And Short-Term Actions
• Impact of COVID-19 on Accountable Care Organizations Short-Term and Long-Term
• Stretched To The Limit By COVID-19, Will Providers Get Relief From Medicare Value-Based Programs?

Full Issue

Featured Articles:

• MedPAC Urges CMS to Drop Pandemic-Skewed 2020 ACO Benchmarks
• Maintaining Progress Toward Accountable Care And Payment Reform During A Pandemic, Part 1: Utilization And Financial Impact
• Survey Predicts Massive Defection from MSSP; NAACOS Calls for Hold-Harmless on COVID-19-Related Losses
• Could coronavirus derail the decades-long shift to value-based care?

Full Issue

Featured Articles:

• Accountable Care And Population Health In Time Of Pandemic
• CMS sends $51B in advance payments to hospitals
• Telehealth plays big role in coronavirus cure | Commentary
• The Transition from Reimagining to Recreating Health Care Is Now

Full Issue

Featured Articles:

• COVID-19 Health Policy Updates
• What providers need to know about CMS’ recent changes to Medicare quality payment programs
• Bridging the EHR Divide. Helping ACOs and CINs Overcome Communication Challenges
• Benchmarking ACO Network Utilization: Lessons Learned in Network Design and Performance

Full Issue

Featured Articles:

• Analysis: COVID-19 could raise Medicare spending by as much as $115B over next year
• Change Needed to Make ONC Interoperability Rule Work for ACOs
• Virtual is the New Normal For ACOs and Healthcare
• Postacute Care Preparedness for COVID-19: Thinking Ahead

Full Issue

Featured Articles:

• ACOs vulnerable to penalties, no savings in light of coronavirus
• A Letter to ACOs: An Update on NAACOS’s advocacy on COVID-19
• ACOs seek flexibility from CMS to mitigate losses due to coronavirus
• ACOs Concerned Coronavirus to Impact Shared Savings, Losses

Full Issue

Featured Articles:

• CMS releases Key Dates for Direct Contracting Payment Models for Direct Contracting Payment Models
• MedPAC: There’s Room For Specialists in ACOs, But No Savings
• “HIMSS20 Has Been Canceled, but We Haven’t!”
• 25% of Provider Organization Revenues Tied To Value-Based Payments

Full Issue

Featured Articles:

• ACO Path To Viability: Direct Contracting May Be The Opportunity
• Alternative Payment Models Save, But Drop-Out Rate Still a Concern
• Implementing Value-Based Reimbursement in Behavioral Healthcare
• Humana launches value-based program aimed at the social determinants of health

Full Issue

Featured Articles:

• Understanding the Direct Contracting (DC) Payment Model
• The Impact of ED Optimization on ACOs
• NAACOS wants more details, changes to direct contracting payments
• Out-of-Network Primary Care Linked to Higher ACO Costs

Full Issue

Featured Articles:

• CMS needs to provide more support to small, physician-led ACOs or risk drop-outs: report
• ACOs Lack Data On Patient Social Needs, Community Partners
• Want to Increase Docs’ ACO Participation? Start With an ‘Upside Only’ Arrangement
• Are ACOs Successful in Integrating Social Services with Medical Care?

Full Issue

Featured Articles:

• CMS needs to provide more support to small, physician-led ACOs or risk drop-outs: report
• ACOs Lack Data On Patient Social Needs, Community Partners
• CMS Loosens Restrictions on Telehealth for Certain Shared-Risk ACOs
• Researchers: Significant Return on Investment Found in Use of Community Health Workers

Full Issue

Featured Articles:

• ACOs Warn Future of Next Gen Program Appears Bleak
• Upstream With A Small Paddle: How ACOs Are Working Against The Current To Meet Patients’ Social Needs
• How ACOs are Integrating Social Determinants of Health in Practice
• AMGA: Advancing Value-Based Care Hinges on Claims Data Access

Full Issue

Featured Articles:

• Is Medicare Direct Contracting the right fit for your organization?
• 5 Population Health Management Challenges Facing ACOs
• Patient Engagement Key in Consumer-Centric Healthcare Models
• What’s Behind the Huge Analytics Disconnect in Healthcare? Evidence of a Lag in Leveraging Data Is Mounting

Full Issue

Featured Articles:

• 37% of ACOs are taking on downside risk
• Is volume the key to value-based care success?
• 95% of post-acute care providers will be subject to new payment models in 2020, 2021, analysis shows
• Can Hospitals Still Lead Health Care Under Risk?

Full Issue

Featured Articles:

• Number Of ACOs Taking Downside Risk Doubles Under ‘Pathways To Success’
• Performance Year 2020 Medicare Shared Savings Program Accountable Care Organizations
• Next Gen ACOs aren’t lowering hospital spending: 5 things to know
• Industry Voices-Building it right from the beginning: Measuring the impact of SDOH interventions

Full Issue

Featured Articles:

• Program meant to curb repeat hospital stays fails big test
• Can Value-Based Payment Improve Health Care and Lower Costs?
• How Are ACOs Prioritizing Palliative Care And Other Serious Illness Strategies?
• CMS releases MIPS results for 2018: 5 things to know

Full Issue

Featured Articles:

• In response to providers, CMS offers further specifics about direct contracting
• NAACOS launches new task force to help doctors with new CMS payment models
• Population health management: The key to value-based care

Full Issue