RECORDED WEBINAR: Real-world applications of AI with Retina Screening – Healthcare from the Eye™

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 Download Slides Discover how AI retinal scans are revolutionizing the early detection and management of various systemic diseases. Featuring firsthand accounts from professionals in the field, this session will cover real-world applications, challenges, and successes in integrating AI retinal screening into primary care practices to enhance healthcare processes. Learn how retina screening with AI…

Improving Participation In Value-Based Care—The CMS Innovation Center’s Data-Sharing Strategy Initiative

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Data are essential to the Centers for Medicare and Medicaid Services (CMS) Center for Medicare and Medicaid Innovation’s (CMS Innovation Center’s) mission to develop and test innovative health care payment and service delivery models. Accurate and comprehensive data can support model operations, including payment, enable the evaluation of model performance, and can be an important…

ACO REACH changes more negative than positive, says participant

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Changes announced to ACO REACH model for 2025 and 2026 will disincentivize providers from achieving meaningful improvements across the quintuple aim, according to Gary Jacobs, executive director at VillageMD’s Center for Public Policy. The VillageMD accountable care organization is a primary care physician-led ACO that has been successful in the full risk and value-based ACO…

RECORDED WEBINAR: How to Create Successful Pathways for Primary & Specialty Physicians in Value-Based Care

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 Download Slides Primary Care is a growing focus of CMS payment models in Value-Based Care.  Recognizing that many primary care physicians are resistant to ACO membership, CMS is building alternative payment strategies to induce practice adoption of Value-Based Care features like accountability, practice transformation, population health and equity.  Similar specialty models organize care around episodes and…

Is End-Stage Renal Disease Treatment Choices Model Moving the Needle?

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A recent JAMA Health Forum study found that the Centers for Medicare & Medicaid Services’ End-Stage Renal Disease Treatment Choices (ETC) alternative payment model showed no statistically significant impact on the use of home dialysis or kidney transplant rates. Healthcare Innovation recently discussed the study with Amit Kapoor, M.D., chief nephrologist at Strive Health, a…

Leveraging SDOH Coding in Accountable Care Organizations: A Strategic Approach

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Understanding the Impact of SDOH Social Determinants of Health (SDOH), the conditions in which people are born, live, work, and age, play a pivotal role in shaping health outcomes. These factors, including environmental, social, and economic circumstances, significantly influence not only individual health but also access to care and the prevalence of health disparities. The…

Pharmacists Can Play a Pivotal Role in Providing Value-Based Care

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At the National Association of Chain Drug Stores (NACDS) Total Store Expo (TSE) in Boston, Massachusetts, Anita Patel, PharmD, MS, vice president of Pharmacy Services Development at Walgreen Co., and Adam Chesler, PharmD, MBA, senior vice president of strategic initiatives at VillageMD, discussed the necessity of developing coordinated value-based care, as major issues that require…

To Unlock ACO Access To Real Savings, Start With Trusted Data

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Value-Based Care payment models are based on a clear CMS goal: lower Total Cost of Care and its counterpart, Total Per Capita Cost. But neither TCoC nor TPCC gives you the information you need to target your cost efforts. How to start? Begin by evaluating what initiatives you need to do in the five key…

Embracing SaaS: Why Healthcare Organizations Should Transition from On-Premise Solutions

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Gartner estimates “over 95% of new digital workloads will be deployed on cloud-native platforms” by 2025. This shift from on-premise solutions to a cloud-based, software-as-a-service (SaaS) model, where software is accessed via a web browser, may seem concerning to healthcare organizations for several reasons, with the primary reason being a perceived loss of control. Organizations…