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RECORDED WEBINAR: 2022 Technology Revolution Using Innovation to Drive Quality in Value Based Care Organizations

December 14, 2021Garrett SchmittNo CommentsWebinar

Dr. Rodger Israel, Chief Medical Officer of WakeMed Key Community Care, joins Proficient Health to discuss current and future trends of technology and quality. It’s no surprise that technology is a driver to improve communication and patient care but there is often a strong resistance. Dr. Israel will discuss top priorities, trends, data and analytics,…

Why value-based administration is key to value-based care

December 9, 2021Garrett Schmittvalue-based care, vbc

After years of uneven adoption, value-based care (VBC) is gaining momentum as providers and payers seek to improve patient outcomes while gaining control of runaway healthcare spending in the U.S. An overwhelming 94% of health system executives expect value-based contracts to continue growing in coming years. Making VBC work, however, requires the ability of healthcare…

Value-Based Care Driving Efforts to Improve Patient Access

December 7, 2021Garrett Schmittpatient access

Value-based care is one of the key drivers of health system efforts to improve patient access to medical services, according to survey research from the Center for Connected Medicine (CCM). The Pittsburgh-based CCM’s “Top of Mind for Top Health Systems 2022” research report examines patient access solutions and strategies being considered and deployed at health…

6 Critical Points to Consider When Evaluating Healthcare Data

December 6, 2021Garrett Schmitthealth data, healthcare data, patient data

Healthcare payers, providers, and other value-based care organizations face challenging questions as they work to improve treatment performance and cost. How healthy are patient cohorts and panels in a particular market? What treatments are the most effective for the most prevalent conditions in a population? How widespread are preventative screenings and vaccinations? Answering these questions…

How Precision Medicine and Genetic Testing Will Drive Value-based Care

November 23, 2021Garrett Schmitt

The shift to value-based care (VBC) in the U.S. has been slow in coming, in large part because providers have continued to cling to the traditional “fee for service” (FFS) healthcare model that historically has worked well for them (if not always for the patient). Plus, it’s how they’ve always done business. But the inefficiencies…

Value-Based Care: What Is Next for Post-Acute Care Management?

February 18, 2021Garrett Schmitt

I started 2021 with a new job and a new perspective to add my variety of experiences in the population health community as I joined Olio as the Vice President of Sales. For those not familiar with Olio, it is a software solution that makes it simple for hospital systems, physicians and payers to actively…

Prospective or Retrospective ACO Attribution Matters for Seriously Ill Patients

December 8, 2020Garrett Schmitt

ABSTRACT Objectives: Since 2019, the Medicare Shared Savings Program (MSSP) has allowed accountable care organizations (ACOs) to choose either retrospectively or prospectively attributed ACO populations. To understand how ACOs’ choice of attribution method affects incentives for care among seriously ill Medicare beneficiaries, this study compares beneficiary characteristics and Medicare per capita expenditures between prospective and…

Analytics, precision medicine key to value-based care, but health systems struggle with funding: KLAS survey

November 18, 2019Garrett Schmitt

Limited funding and lack of reimbursement from payers are the top hurdles to patient engagement technologies, analytics and precision medicine, according to a survey of chief information officers. Healthcare providers plan to ramp up investments in telemedicine, patient portals and data aggregation capabilities but continue to struggle with how to fund these investments, a survey report from…

Following Medicare’s ACO Program Overhaul, Most ACOs Stay—But Physician-Led ACOs Leave At A Higher Rate

March 15, 2019Garrett Schmitt

Accountable care organizations (ACOs) have become a major payment and delivery reform since they were introduced as a key component of the Affordable Care Act. Currently, there are more than 1,000 ACOs covering about 33 million lives across all payers—numbers that have steadily increased over time. The ACO model continues to evolve, but it seems…

CMS Announcement: Relaxation of Mandatory Stop-Loss for At-Risk and NextGen ACOs

March 19, 2018Garrett SchmittNo CommentsReinsurance, Stop-Loss

Beginning in 2019, CMS will allow At-Risk ACOs, including Track 1+ and NextGen ACOs, to buy Stop-Loss independent from CMS’ own mandatory Stop-Loss. So what does this mean to your At-Risk ACO and your bottom-line and profits? This new CMS policy allows ACOs to buy stop-loss protection apart from CMS and its truncated (built in…

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