The performance of Medicare Accountable Care Organizations has been mixed. When ACOs were first launched, the goal was to save costs and improve quality, with the Centers for Medicare and Medicaid Services offering two models with two distinct levels of risk. Now, data shows that while cost savings do, in fact, occur under both models, quality decreases….
Two years into the global COVID-19 phenomenon, it’s become very clear that patient care organizations in the United States have taken a big financial hit from the pandemic. Not only has caring for COVID-19 patients turned out to be extremely expensive, the pandemic has also scrambled hospital operations in particular, as numerous nurses, physicians, and…
On February 24th, the Centers for Medicare & Medicaid Services (CMS) revealed the highly-anticipated fate of the Innovation Center’s (CMMI) Direct Contracting model options, announcing a redesign of the Global Professional Direct Contracting (GPDC) Model and the permanent cancellation of the Geographic Direct Contracting (“Geo”) Model. The revamped and rebranded GPDC model—now called Accountable Care…
The Patient Protection and Affordable Care Act placed a greater emphasis on models of reimbursing physicians and hospitals that hold them accountable for both quality and cost of care, an approach commonly referred to as value-based purchasing (VBP). The accountable care model is a particular VBP approach that has expanded rapidly. Within a Medicare Shared…
The types of social determinants of health that medical providers may identify in their patients vary, meaning it will take numerous social determinants of health interventions to support patient wellness. But with these hospital- or clinic-based social service referrals being somewhat in their nascency, not every organization has a solution for every social determinant of…
In today’s post-acute care landscape, growth and success will look different for everyone. Market conditions, resources and budgets, company goals – each of these plays a role in determining the go-to-market strategy for your organization. And to truly understand and define these areas, you need to first start by looking at the market intelligence and…
Download Slides The number of increasing at-risk contract lives combined with decreasing nursing availability is leading to the perfect storm. Topics of discussion: Identify the clinical and financial importance of managing the rising-risk portion of your population and best practices for building these cohorts Describe how to sustainably operationalize care management teams…
A VBCExhibitHall Exclusive — contributed by Allison Brennon, SVP of Government Affairs at the NATIONAL ASSOCIATION OF ACOS (NAACOs) NAACOS Launches ACO REACH Coalition to Prepare Providers Those working in healthcare policy and payment reform are used to navigating political changes and challenges. However, many didn’t anticipate the strength of recent attacks on the Direct…
Achieving true healthcare interoperability across the care continuum is a top priority for providers, payers, and other key industry stakeholders. Seamless, comprehensive data sharing is particularly important for healthcare organizations looking to earn incentive payments through the CMS Promoting Interoperability (PI) Program, formerly known as meaningful use. The adoption and use of health data standards forms…
A session at the Association of Community Cancer Centers (ACCC) 48th Annual Meeting and Cancer Center Business Summit brought together industry experts to discuss innovations and obstacles in precision medicine and value-based payment in oncology. The panel participants included Alexis Finkelberg Bortniker, JD, Partner, Foley & Lardner; Ira Klein, MD, MBA, FACP, Vice President, Medical…