The Centers for Medicare & Medicaid Services (CMS) is moving forward with a major overhaul of the Medicare accountable care organization program to boost enrollment and address health equity gaps. As outlined in the final rule issued Tuesday, CMS will offer advance shared savings payments to low-revenue ACOs and allow longer periods of time for ACOs to…
Prioritizing the shift to value-based care has been at the forefront of the healthcare industry. But the road to transitioning from fee-for-service to value-based payment models is not always smooth. Convincing payers of value-based care’s feasibility is no longer the issue. The problem lies in the fact that basic healthcare operations do not support value-based…
The COVID-19 pandemic accelerated the use of connected care technologies, making them a ‘must-have’ rather than a ‘nice-to-have’ for most healthcare providers. But the rapid uptake has not been smooth, with providers facing multiple challenges related to adopting technology and ensuring access to connected care. In October, speakers at Xtelligent Healthcare Media’s 3rd Annual Connected…
At a time when everything in healthcare policy is complex and challenging, the set of announcements around the Medicare Shared Savings Program (MSSP) published on Tuesday, Nov. 1, was interesting and potentially very important. As we reported on Tuesday after the news broke, senior officials at the Centers for Medicare & Medicaid Services (CMS) announced,…
With the health care industry trending toward more value-based care models, the role of homecare and access to data becomes crucial. In this interview with Integrated Healthcare Executive, Kim Glenn, senior vice president of government health plans, HHAeXchange, sheds light on how social determinants of health (SDoH) impact homecare and their significance in value-based care….
On Tuesday, Nov. 1, the federal Centers for Medicare & Medicaid Services (CMS) issued its calendar year 2023 Physician Fee Schedule (PFS) final rule, and with it, the agency made meaningful changes to the parameters of the Medicare Shared Savings Program (MSSP), with health equity the principle around which the major changes announced were made….
Social determinants of health (SDoH)—the conditions in which people live and the systems that shape those conditions—are increasingly receiving attention. The COVID-19 pandemic, by exacerbating inequities and highlighting the prevalence of unmet basic needs,1 has accelerated efforts to address SDoH.2 State Medicaid agencies, payers, providers, vendors, community-based organizations (CBOs), and other stakeholders have taken up the…
Download Slides Providers, in the face of turbulent financial times, require proactive leadership to evolve their organization’s business model. TriHealth, a large community health system in Cincinnati, has already embarked on the journey to transitioning a significant amount of revenue from fee-for-service to fee-for-value. Leadership at TriHealth has invested in a host of value-based…
As the health care industry increasingly shifts to value-based care (VBC) and alternative payment models, its biggest challenge is inertia. Fee-for-service (FFS) and pay-for-performance (P4P) have been firmly entrenched for years, along with the associated business processes and costly legacy systems that support them. To fully realize VBC’s value, these existing processes and legacy infrastructures…
Interoperability of sex/gender EHR elements could help support research to improve population health, according to a study published in JAMIA. Researchers examined recommendations from the National Academies of Sciences, Engineering, and Medicine (NASEM) report “Measuring Sex, Gender Identity, and Sexual Orientation” and the Health Level 7 (HL7) Gender Harmony Project (GHP) product brief “Gender Harmony—Modeling…