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Healthcare Crash? Where is Houston?

February 15, 2023Garrett Schmitt

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…

CMMI releases three new models aimed at lower generic, novel drug costs

February 14, 2023Garrett SchmittACO care teams, ACO participation, CMMI, CMMS, group practice, MSSP, SDOA, SDOH, SDOHY

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 Platform Will Join CMS Incentive Program to Support Rural ACOs

February 13, 2023Garrett Schmitt

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…

Tipping point is in sight: Value-based care is driving meaningful financial results

February 10, 2023Garrett Schmitt

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…

Florida ACO achieves value-based care goals with real-time patient data platform

February 9, 2023Garrett Schmitt

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,…

Hospice CEOs: Action Needed on Staffing, Value-Based Care, Oversight

February 8, 2023Garrett Schmitt

Hospice leaders would like to see some changes in the space this year, particularly around staffing, payer relationships and regulation. Hospice executives in December 2022 shared their predictions for what would happen in the space during 2023. To follow up, a range of CEOs discussed with Hospice News what they would like to see happen…

Long-Term Care ACOs Present an Opportunity for the Most Complex Populations

February 7, 2023Garrett Schmitt

Long-term care residents are historically overlooked and require high-cost, complex healthcare services. Accountable care organizations (ACOs) present an opportunity for providers to earn shared savings while improving care quality for this population. Focusing on boosting ACO participation in the long-term care sector could help CMS achieve its goal of having 100 percent of fee-for-service lives…

Value-Based Care: What It Is, and Why It’s Needed

February 7, 2023Garrett Schmitt

What is value-based care? Value-based care ties the amount health care providers earn for their services to the results they deliver for their patients, such as the quality, equity, and cost of care. Through financial incentives and other methods, value-based care programs aim to hold providers more accountable for improving patient outcomes while also giving…

Seniors’ Mental Health and SDOH – A Family Physician’s View

February 5, 2023Garrett Schmitt

When I founded my practice, I chose the name Family Health and Wellness. My mission every day was, and still is, to ensure that patients are treated like family, and that their family members are involved in their care. Now twenty-one years later, I am privileged to have treated many of the same patients as…

Industry Voices—To pursue health equity, start with your own employees

February 3, 2023Garrett Schmitt

Health systems and hospitals provide extensive resources to improve the health of the communities they serve. Tactics like mobile health clinics, expanded office hours and partnerships that connect patients to social services advance health equity, giving everyone the opportunity to attain their highest level of well-being. But many may be overlooking or under-prioritizing health equity…

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