Download Slides I Is your ACO prepared for a new challenge in 2023? If preparing for APP (Alternate Payment Model Performance Pathway) reporting wasn’t in your New Year’s resolutions, attend this webinar! Now that CMS has foreclosed the option of continuing to report through the CMS Web Interface in two years, you can’t afford to lose the…
Lumeris empowers health systems to deliver exceptional value-based care through technology, insurance capabilities and on-the-ground know-how. Using their highly-acclaimed model and a team that is both passionate and experienced, Lumeris helps their partners advance population health, improve provider and patient experiences, enhance financial stability, achieve market-leading results, and ultimately fulfill the promise of value-based care….
Efforts to make the healthcare system more efficient and equitable by adjusting population-based payments for social risk factors may be missing the mark, suggests a new study from Harvard and Yale. The study published in the latest edition of Health Affairsputs current risk adjustment methodologies under a microscope to find out if they truly support…
As the industry moves deeper into value-based payment models and takes accountability for the health of populations, primary care is serving as one of the highest priorities for health systems and networks alike. We are at a critical juncture where independent, affiliated and employed physicians, as well as the employers and health systems working with…
CareJourney is a leading source of provider cost and quality analytics for the healthcare industry. They support payers, value-based networks and numerous ACOs, helping them assess value-based care models, optimize provider performance, coordinate patient care and uncover market growth opportunities. CareJourney does this by consolidating and enriching Medicare FFS, Medicare Advantage and Medicare and Commercial claims…
Participating in Medicare’s Bundled Payments for Care Improvement (BPCI) initiative was associated with cost savings for medical and surgical episodes, but savings varied among hospitals and physician groups, according to a study published in JAMA Health Forum. Full Article
Medical Home Network (MHN) isn’t new to care coordination. For 14 years, the Chicago-based accountable care organization (ACO) has focused on bringing care coordination into the primary care office, using community health workers to provide whole-person care. But now, as a part of the ACO REACH Model, MHN looks forward to a future free from the…
As we head into 2023, we wanted to kick off the new year with a series of 2023 Health IT predictions. We asked the Healthcare IT Today community to submit their predictions and we received a wide ranging set of responses that we grouped into a number of themes. Check out our communities predictions below…
After finding that only six of its 50 alternative payment models (APMs) “generated statistically significant savings to Medicare and to taxpayers,” CMS and the Center for Medicare and Medicaid Innovation (CMMI) hope that 2023 will refresh its value-based care (VBC) efforts. Here are four updates to its newest VBC model — ACO REACH — as…
Social determinants of health impact people’s well-being and quality of life. These social determinants—conditions such as access to nutrition, safe and affordable housing, jobs, transportation, and access to health care—are some of the factors that lead to disparities in health and health care if they are not addressed. “Defining and assessing social determinants of health…