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…
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 focused on accountable care organizations (ACOs) to…
What is a “quality” physician? Depending on the stakeholder, there will likely be a different answer. A clinician’s response would vary depending on their specialty, training, and practice setting. At the same time, a patient would place greater value in bedside manner and shared decision making. A payer might tell you it is a clinician…
With strengthened provider data sharing employed to combat the COVID-19 pandemic and new interoperability standards applied, 95% of all survey respondents in Q1 2022 expect an increase in related data expenses for health systems and integration problems with vendors. Less than 4% of all respondents foresee any governmental incentives for providers that actively participate in the information-blocking rule fixes in the next…