The Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) Model reduced Medicare payments and hospitalizations among beneficiaries with ESRD, suggesting that specialty-oriented accountable care organization (ACO) models may offer more benefits than primary care-based ACO models, according to a Health Affairs study sent to journalists. CMS launched the CEC Model in October 2015 as the first specialty-oriented ACO. The model…
The Medicare Payment Advisory Commission (MedPAC) proposed streamlining Medicare alternative payment models (APMs), along with policy options for tackling pricey Part B drugs, in its June report to Congress Wednesday. In the June 2021 report, MedPAC called for reducing the number of Medicare APMs so that models running concurrently could work better together. The 2022…
Download Slides As value-based care (VBC) models become increasingly the norm, providers are challenged with maintaining short-term revenue in fee-for-service (FFS) while making the appropriate investments to reduce avoidable utilization. The good news is that FFS programs such as chronic care management, and technologies such as remote patient monitoring are also beneficial to…
Jack Resneck, Jr., MD, a dermatologist from San Rafael, California, was inaugurated here Tuesday as the 177th president of the American Medical Association (AMA). Resneck began his inaugural address by admitting that initially he had had some trepidation about taking the position, given “so much pain and despair in the last 2 years, in the…
Algorithms play a significant role in our daily lives — they unlock our phones, tell us which movies to watch and dictate the content we see on social media. These calculations are also frequently used by healthcare providers to inform diagnosis and treatment plans, so it’s important to remember that algorithms are only as good…
The Institute For Advancing Health Value is focused on accelerating the transition to health value. When you join us, you’ll gain the strategies & practical tools needed to drive value-based care initiatives. Visit the The Institute for Advancing Health Value Exhibit Booth
Caregiver training is a valuable tool for employee retention and satisfaction. But it is also a critical factor in improving care delivery. This can lead to other positive outcomes such as increased client satisfaction and a strong reputation. Organizations that understand the connection between training and quality care will not only serve their staff, but…
Now that you’ve made the decision to start your path to Alternative Payment Models (APMs), what’s the first thing you need to consider? Hint: APM revenue calculation does not top the list. Obviously, APM revenue generation vis-à-vis traditional Fee-for-Service is critical. But those calculations assume constancy of two essential “assets”—clinicians and patients. Your competition is…
Download Slides Implementing a successful value-based care arrangement can be challenging, particularly when working with ACOs and affiliated provider networks. Organizations need to understand how to measure and impact performance management, while supporting their provider network with the resources they need to succeed. In this session, we will follow the evolution of the…
Primary care physicians (PCPs) and other physicians continue to migrate away from the traditional fee-for-service (FFS) reimbursement model toward value-based and risk-bearing care models that reward better outcomes and reduced healthcare costs. Value-based care (VBC) contracts are projected by McKinsey to cover nearly 65 million Americans, or 22% of insured lives, by 2025, up from…