For PY 2024, the process ACOs use for making their annual model, track, and participant selections should be modified to include several recently announced regulatory changes. Foremost among them is a new multimillion dollar decision: Whether to early renew to take advantage of the MSSP methodology changes defined in the 2023 Medicare Physician Fee Schedule…
Accountable care organizations have demonstrated success in improving quality of care for patients, including underserved and vulnerable individuals, while saving $13.3 billion in gross savings and $4.7 billion in net savings to Medicare in the past decade. The Centers for Medicare and Medicaid has set a goal of having all beneficiaries in accountable care models…
On February 1, 2023, CMS released the Medicare Advantage (MA) Advance Notice which is a document used to give notice to MA plans about upcoming changes to the model for the following performance year. MA plans are given a period of time in which they may submit comments on the proposed changes. In early April…
Download Slides While the shift from volume to value is underway, a second shift to health equity is beginning. Driven by CMS, many organizations are preparing to address health equity and social determinants of health across the enterprise, many for the very first time. Although ACO REACH and the Enhanced Oncology Model are among…
With the current administration of President Joe Biden, the U.S. Centers for Medicare & Medicaid Services (CMS) continue to make health equity a key aspect of value-based care. Studies are increasingly detailing how the conditions in which people are born, grow, live, work, and age – what are known as the social determinants of health…
I typically start a new year feeling more positive about what we can achieve in healthcare, only to reach December feeling that progress hasn’t occurred. Then in January, I look at what the influencers, pundits, and soothsayers have to say about the coming year and think, are we on the same planet? So, let us…
The Biden administration rolled out three new payment models intended to lower drug costs, including new Medicare coverage options for drugs cleared under accelerated approval. The release of the three models on Tuesday is in response to an executive order President Biden delivered last year calling for the federal government to search for ways to…
Value-based care platform Signify Health announced plans to participate in the CMS Advance Investment Payments (AIP) incentive program to support providers in rural and underserved communities. Rural populations have a shorter life expectancy than urban populations and face more barriers to healthcare access. More than 600 rural hospitals are at risk of closing, while 136…
After several years of virtual JPMorgan Healthcare Conferences, the 41st annual event was back in person and in full swing. Thousands of attendees came together in San Francisco to close deals, find partners, announce big wins, and give us a preview of what’s to come in 2023 and beyond. Seventeen major health systems from across…
Achieving value-based care goals remains a difficult challenge for many providers who also are trying hard to provide equitable care. Pathways Health Partners, an accountable care organization that works with more than 280 providers across multiple clinical specialties, works with organizations to address these issues. THE PROBLEM “Ensuring access to patient records in real time,…