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RECORDED WEBINAR: Emergency department transitions: A path to improved patient, provider, and payer outcomes

November 18, 2025Garrett SchmittNo Commentsvbc, Webinar

 Download Slides Emergency departments (Eds) across the United States are currently grappling with significant challenges. Widespread issues in emergency care—such as overcrowding, patient boarding, and mounting financial pressures—have created a cycle of strain that leads to far-reaching consequences for hospitals, patients, and health plans. As a result, EDs are overcrowded, patients face delays in…

Skin Substitutes Provide Example of ACOs’ Role in Identifying Fraud, Waste, and Abuse

November 18, 2025Garrett SchmittFQHC, FQHCs

In October the National Association of ACOs (NAACOS) and the Institute for Accountable Care published research showing that spending on skin substitute products for wound care is projected to reach $15.4 billion by the end of 2025, a 55% increase over 2024 spending. In response to outcry from NAACOS members and other organizations and a New…

Finalized Policies in the CY 2026 Medicare Physician Fee Schedule Final Rule

November 17, 2025Garrett SchmittCoding, HCC, MVPs, Risk adjustment coding

The 2026 Medicare Physician Fee Schedule Final Rule is Here The 2026 Medicare Physician Fee Schedule (MPFS) Final Rule is out and you’re wondering what it means for you. It’s packed with finalized updates on MIPS, six new MVPs, easier ACO reporting, a new program model, and acknowledgment of the extensive feedback received on multiple…

Beyond Rising Cut Points: How to Build a 2026 STARs Adherence Strategy Now

November 15, 2025Garrett SchmittCoding, HCC, MVPs, Risk adjustment coding

You cannot control CMS raising cut points. But you can control how you respond. The 2026 requirements are clear. CMS is implementing risk-adjusted measures focused on Social Determinants of Health. The new Excellent Health Outcomes for All reward ties STAR ratings exclusively to performance among your hardest-to-engage members—Dual-Eligible, Low-Income Subsidy, and disabled populations. These changes…

Physician-level measurement needed for VBC to succeed

November 14, 2025Garrett Schmitt

Hospitals and health systems must take an abundance of measurements to succeed in value-based care. Jeanne Cohen believes healthcare leaders are overlooking the key to value-based care success: physician-level measurement. “Because physician decisions control quality and cost, visibility into that decision making is essential to VBC success,” she said. Cohen is founder and CEO of…

After Fifteen Years, is Value-Based Care Succeeding?

November 13, 2025Garrett Schmitt

With the Trump administration resetting U.S. health policy priorities and the value-based payment model ending its 15th year, the University of Pennsylvania’s Leonard Davis Institute of Health Economics (LDI) hosted a debate between two leading experts over a central question: Has value-based care earned its keep, or is it time to rethink the model? Part of…

The future of hospital care is in your living room

November 13, 2025Garrett SchmittCCM, Chronic Care, HCC

With the government shutdown thankfully behind us, health systems can get back to business with some of the innovative programs that are producing great outcomes and satisfying patients. A growing number of Americans are receiving hospital-level care without leaving their living room, thanks to advanced technology and an evolving healthcare landscape that is delivering much…

RECORDED WEBINAR: What top ACOs are prioritizing for 2026: Expert Panel featuring Palm Beach, Pearl Health & More

November 11, 2025Garrett SchmittNo CommentsACO reporting, ACOs, APP, APP measures, eCQM, vbc, Webinar

 Download Slides Join an expert panel discussion exploring what top ACOs are prioritizing for 2026. Topics include the growing role of digital health and AI in reducing total cost of care, lowering readmissions, enhancing transitional care, and leveraging actionable ADT feeds for better outcomes. Panelists:• David Klebonis, CEO, Palm Beach ACO• Beau Munoz, MD,…

Reflections on 10 Years as a Long-Term Care ACO

November 6, 2025Garrett Schmittlong-term care, NAACOS

When it launched in 2016, Long-Term Care ACO was the first ACO to focus on the population of Medicare beneficiaries who reside in long-term care nursing facilities, but now several other ACOs have entered that space. At the National Association of ACOs (NAACOS) fall meeting, Kristen Krzyzewski, chief strategy and program development officer for LTC…

Accountable Care Organizations Deliver $6.5 Billion in Medicare Savings, Boosting Value-Based Care Momentum

November 4, 2025Garrett Schmitt

The Centers for Medicare & Medicaid Services (CMS) announced record results for the Medicare Shared Savings Program (MSSP) in 2024, marking its most successful year since the program’s launch over a decade ago. The initiative generated $6.5 billion in savings, underscoring continued momentum in value-based care and cost-efficient, coordinated healthcare delivery nationwide. Record Savings and…

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