Accountable care organizations (ACOs) are a significant innovation in health care delivery and payment. ACOs, formed by various health care providers, including acute care hospitals, expanded through commercial health plans and Medicaid agencies even before Medicare ACOs grew under the Affordable Care Act. CMS launched the Medicare Shared Savings Program (MSSP) and Pioneer ACOs in…
Download Slides Analytics only create impact when they lead to action — but many healthcare organizations struggle to translate dashboards into true change. The problem isn’t the data. It’s the lack of operational pathways to bring insights into the day-to-day work of clinicians, managers, and leaders. In this session, hear how CareJourney and Arcadia…
The August 1st CMS enrollment deadline is less than 60 days away, and the decisions you make in the coming weeks will shape your organization’s performance trajectory for the year ahead. Many primary care and ACO leaders are navigating challenging realities: ongoing losses with no clear path to shared savings, mounting operational complexity, or strategic…
Download Slides Medication reconciliation is critical for successful care transitions, especially for high-risk patients with chronic conditions and complex medication regimens. These populations are responsible for the majority of hospital admissions and readmissions, at rates much higher than the general population. In large part these are due to the difficulty for care teams to…
Albany Med Health System, a nonprofit health system serving northeastern New York and western New England, has entered a strategic partnership with Honest Health to advance its value-based care capabilities. The collaboration, announced in April, will equip Albany, N.Y.-based Albany Med’s advanced practice providers, nurses and more than 800 physicians with real-time insights, predictive analytics and population…
The Centers for Medicare & Medicaid Services (CMS) recently announced updates to the Accountable Care Organization (ACO) “REACH” Model, which provides private home-focused health care providers with an opportunity to participate in risk-sharing agreements with traditional Medicare. The new updates are essentially “tweaks” based on learnings acquired through the first two years of the program’s…
Download Slides Do you know the business impact patient referrals have on your bottom line or value-based outcomes? More importantly, what are you doing to ensure referrals are supporting your VBC and FFS initiatives? What if your organization was able to effectively leverage referral automation and data within your EHR to reduce Leakage by…
Poorly managed and uncontrolled chronic diseases are the leading cause of death and disability in the United States, and represent a growing national crisis. Five of the top 10 causes of death – heart disease, cancer, diabetes, obesity, and hypertension – are chronic conditions, or closely linked to preventable and treatable chronic conditions. The prevalence of these…
A new study in Health Affairs Scholar suggests that value-based care (VBC) models, when paired with strong practice support, may help primary care practices keep their doors open to more Traditional Medicare patients — even as access shrinks nationwide. Analyzing Medicare claims from 2019 to 2023, researchers found that primary care physicians (PCPs) who adopted a full-risk, multipayer VBC model in…
Value-based care, independent and rural physicians, and lifestyle choices all will have a role in Making America Healthy Again, according to Medicare’s top leaders. Mehmet Oz, MD, MBA, administrator for the U.S. Centers for Medicare & Medicaid Services (CMS), presented the agency’s plan with CMS Deputy Administrator Abe Sutton, JD, director of the CMS Innovation Center, and Gita Deo,MPH,…