In a fifteen-minute visit, there’s already a lot happening. I’m listening to the patient, reviewing their history, asking questions, examining them, and trying to figure out what’s actually going on under the surface: the difference between what they’re telling me and what’s happening. Then I have to decide what needs to happen next. That’s the…
Download Slides CMS has introduced a proposed Rule that provides a huge push for accountable care expansion, especially through adjustments to the ACO Program. Examine the breadth and scope of the features in this webinar presented by Roji Health Intelligence. Don’t miss the nuances of the proposed rule in simultaneously cutting off mechanisms that…
Managing chronic diseases remains a significant challenge in U.S. healthcare, both in terms of the total cost of care and poor patient outcomes. The Centers for Disease Control and Prevention (CDC) estimates that 90% of the nation’s $5.3 trillion annual healthcare expenditures go toward preventing, treating, and managing chronic disease (including both physical and mental health chronic…
As we head towards the Fall, ACOs are looking to improve shared savings through better acuity capture, improving HCC capture—without unreasonable time demands on already-overworked providers. This requires a targeted, data-driven approach, especially as the window begins to close. We use our privileged access to Medicare’s full claims database to identify how well every ACO…
For patients, healthcare affordability is about more than the price of an individual service. It is also about whether the healthcare system meets their needs. Does the system help them find the right care at the right time to better treat or manage their conditions — or does it leave them to navigate a maze…
Download Slides A practical webinar on turning value-based care (VBC) goals into an executable care coordination roadmap. VBC success depends on more than understanding the model. Organizations need a practical way to define the problem, align stakeholders, build the right roadmap, and measure progress. Many healthcare organizations have the right strategic goals but struggle…
Essential to any high-performing health system is coordination of primary care with other medical care and social services that patients receive. When primary care practices, specialists, hospitals, and social service providers work in harmony, patient outcomes are optimized. Half of Americans have multiple chronic conditions, such as heart disease, cancer, stroke, and diabetes. For these patients, their…
Participation in mandatory value-based payment programs is tied to higher annual administrative costs for hospitals, according to a comparative study published in JAMA Health Forum. The analysis reviewed Medicare cost report data for different types of hospitals that did and did not participate in three mandatory programs initiated by the Centers for Medicare and Medicaid…
Healthcare continues to feel pressure: financially, operationally, politically, and culturally. Patients are more frustrated than ever with the cost of care and confusing billing practices. Clinicians are stretched to their limits with ever-increasing responsibilities. Payers are on the defense to justify their decisions. Trust has frayed between all parties. One particularly dark spot is the…
Beginning Jan. 1, 2027, the Centers for Medicare & Medicaid Services (CMS) will launch the Long-term Enhanced ACO Design (LEAD) Model, a 10-year accountable care organization (ACO) initiative that succeeds ACO REACH. Unlike earlier ACO models, LEAD is built to draw in a broader range of practices, including smaller, independent and rural physician groups that have…