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…
Care coordination is becoming increasingly important in U.S. healthcare for a variety of reasons, including the increased use of value-based care models, the behavioral care shortage and a boom in home healthcare. The pandemic underscored the need for providers to lean into value-based care – physicians are paid according to the quality of care they…
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On February 24, 2022, the CMS Innovation Center released the details on a new payment model, ACO REACH. ACO REACH represents a series of changes made to Global and Professional Direct Contracting (“Direct Contracting”, GPDC) to respond to criticisms faced by the program. ACO REACH adds in exciting new components aimed at closing health equity…
Value-based care is a form of reimbursement that ties payments for care delivery to the quality of care provided and rewards providers for both efficiency and effectiveness. This form of reimbursement has emerged as an alternative and potential replacement for fee-for-service reimbursement, which pays providers retrospectively for services delivered based on bill charges or annual…
In October 1991, the First National People of Color Environmental Leadership Summit brought together close to 300 Black, Latino, American Indian, Pacific Islander, Asian American, and other activists of color to elevate the environmental justice movement, which aims to address the inequitable distribution of environmental risks among vulnerable populations. The movement was founded by people…
The Centers for Medicare and Medicaid Services has redesigned its Medicare Direct Contracting Model to an Accountable Care Organization model focused on health equity. The ACO Realizing Equity, Access, and Community Health (REACH) Model will replace the Global and Professional Direct Contracting (GPDC) Model at the end of the year. The new ACO REACH Model…
The Biden administration is redesigning the controversial Direct Contracting Model to add new requirements to tackle health equity and ease progressive lawmakers’ concerns over the role of private equity. The Centers for Medicare & Medicaid Services (CMS) announced Thursday that the professional and global Direct Contracting Model will transition in 2023 to the Accountable Care…
The Global and Professional Direct Contracting Model will be replaced with a more equity-focused and provider-led Accountable Care Organization Model in 2023, the Centers for Medicare and Medicaid Services said Thursday. The agency also officially will end the Geographic Direct Contracting model, which it halted last March. The redesigned model, called the ACO Realizing Equity, Access, and Community…