In October 2021, the Center for Medicare and Medicaid Innovation (CMMI) announced a goal of having every Medicare beneficiary and the majority of Medicaid beneficiaries covered by some type of alternative payment model (APM) by 2030. CMMI considers APMs to be any arrangements whereby providers are held accountable for the quality and costs of care,…
The Pharmacy Quality Alliance (PQA) has issued a new resource guide to help pharmacists navigate certain social determinants of health that might crop up when a patient visits the pharmacy. Particularly, the resource guide details 20 real-world programs that help address social determinants of health that affect patients’ abilities to access or manage their medications….
The usage of multiple electronic health record (EHR) systems is a common occurrence among accountable care organizations (ACOs). This paper summarizes the results of a survey on EHR usage within ACOs and discusses some of the issues this may present in reporting quality measures, including that: Just 9% of surveyed ACOs use a single EHR…
Accountable care organization (ACO) success depends in part on a broad network of health information exchange (HIE) partners to effectively coordinate care. Our study illustrates that although ACO participation broadens HIE networks, the effects accrue differently across markets with varying levels of ACO penetration. ACO hospitals in high–ACO penetration markets increase their HIE network breadth…
The adoption of electronic health records and creation of health information networks have spurred greater health data exchange between providers. While plenty of work must be done to ensure providers can share patient data to better inform clinical decision-making, even more effort is required to bring payers and patients into the national conversation about access…
The lawmakers claim direct contracting is a Trump-era privatization tactic that has removed millions of seniors from Traditional Medicare without their knowledge or consent. More than 50 lawmakers led by US Representative Pramila Jayapa urged the Biden administration to discontinue the Medicare Direct Contracting (DC) program and transition Medicare beneficiaries into the Traditional Medicare model. In a letter written to HHS…
As we reported on Wednesday, Jan. 12, “The top officials at the federal Centers for Medicare and Medicaid Services (CMS) on Tuesday, Jan. 11, made a major public statement regarding the goal of moving the healthcare system towards health equity, and a major component of that statement focused on leveraging Medicare’s value-based programs, particularly those…
In November 2021, the Centers for Medicare & Medicaid Services (CMS) announced a strategy to achieve near-universal participation in value-based payment models by 2030. Core to this strategy is the goal that every beneficiary should be in a clinical care relationship that has accountability for quality and total cost of care. Achieving this goal will…
Download Slides Trella’s VP of Product Management, Rebecca Molesworth, and Solution Engineer Joshua Price will cover the steps your ACO needs to take to piece together an optimal post-acute care network, including: • Understanding which PAC destinations currently treat your members/beneficiaries • Comparing cost and quality metrics for specific patient characteristics • Developing a preferred…
An increased public recognition of the need for behavioral health treatment is one of the top trends in behavioral health care for 2022, an expert says. Jason Washburn, PhD, MA, is a professor of psychiatry and behavioral sciences at Northwestern University Feinberg School of Medicine as well as a member of the board of advisors…