Even as most value-based payment (VBP) models fail to generate savings, public officials and industry leaders tout the ostensible success of Medicare’s accountable care organizations (ACOs). In a recent Health Affairs Forefront article, Biden Administration officials celebrated the $2.1 billion in savings in 2023 in the signature Medicare Shared Savings Program (MSSP), marking five years…
Before competing in Olympic swimming, it’s important to start with basic lessons; similarly, behavioral health providers may consider taking strategic intermediate steps before becoming fully at-risk providers. The move from a fee-for-service model toward risk-based value-based care can be gradual for behavioral health providers. There are a number of alternative payment models that providers can…
Next year the State of Maryland will transition from its unique Total Cost of Care (TCOC) payment model to the CMS AHEAD (States Advancing All-Payer Health Equity Approaches and Development) model. The state’s Health Services Cost Review Commission (HSCRC) recently heard testimony from a variety of stakeholders about their hopes and concerns for AHEAD. Under a…
Only one-third of the models analyzed produced substantial savings for the federal government, according to Avalere Health. Dive Insight: The CMMI was created by the Affordable Care Act to test new payment and care delivery models in a bid to lower costs and improve quality in government healthcare programs. Most models have focused on Medicare, the…
Download Slides Fraud, waste, and abuse (FWA) cost healthcare payers billions every year, negatively impacting operational efficiencies. Is your organization ready to detect, prevent, and effectively combat these issues? Join us for this valuable session to gain actionable insights for strengthening your company’s defenses against FWA. We’ll walk you through the essential steps of…
Over the past several years, providers and technology-focused physician enablement organizations across the country have been working together to initiate the transition from traditional fee-for-service models to value-based care (VBC) arrangements. They have been adopting analytics tools and service solutions to help improve health outcomes, provide more cost-effective care and close gaps in care, all…
Download Slides Join leaders from El Centro de Corazón as they share their journey as an FQHC serving Houston’s East End community. Discover how El Centro has evolved to address the health needs of its patients, focusing on quality, innovation, and community-driven care. Hear about its implementation of deviceless remote patient monitoring which has…
The rapid expansion of the accountable care organization (ACO) program implemented by CMS in 2012 has resulted in different types of health care organizations participating in this value-based payment model.1,2 The ACO model encourages providers to coordinate patient care across the continuum and financially rewards participants through shared savings for containing costs while improving the quality…
As interest in value-based care (VBC) grows, more health systems are turning to consultants to help them transition from a traditional fee-for-service model to VBC. More health systems invest in VBC Over the last few years, interest in VBC has accelerated and is expected to continue to grow. According to a 2022 report from McKinsey…
The staggering reality that health care could soon account for one fifth of all domestic spending has put a bull’s eye on health care cost control. Is your ACO, health system, or physician organization ready to manage the coming congressional budget cuts? The only effective way to tackle Total Costs of Patient Care (TCoC) without cutting services is through a…