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The High Costs Of Ignoring Health Inequities

May 3, 2023aco

Most agree health disparities are a moral problem. Yet there are disagreements about how to reduce them. Some believe that in health systems, equity and efficiency are incompatible, requiring  stark and painful tradeoffs. Others, myself included, believe that achieving equitable health outcomes can, in fact, be accomplished by improving efficiency. The existing structure of the…

RECORDED WEBINAR: Access up to $5.6M from CMS to start your ACO Journey (AIP)

May 3, 2023acoNo CommentsACOs, vbc, Webinar

 Download Slides The Centers of Medicare and Medicaid Services (CMS) announced all patients will be in a care relationship with accountability for quality and total cost of care by 2030. Become an ACO today to practice before it becomes mandatory. CMS is offering up to $5.6 million in funds to help cover start up…

Interoperability a Key Factor in Referral Decisions for Post-Acute Care

April 28, 2023aco

Many referral decisions for post-acute care hinge on electronic order capability and interoperability, according to a new survey of more than 130 hospital and physician entities. Referrals are a vital part of the US healthcare system, with over a third of patients receiving specialist referrals annually. As such, obtaining a referral is a relatively common…

Increasing Specialty Care Emphasis in Value-Based Care Strategies to Improve Future Outlooks for Health Plans

April 27, 2023aco

Market strategies to drive transformation of healthcare delivery and payment towards value are at a cross-roads. In response, health plan VBC strategy success will depend on their ability to develop and deploy specialty VBC models. Industry advancements in value-based care (VBC) have resulted in a meaningful restructuring of health plan and provider organizations, processes and…

RECORDED WEBINAR: Improving Patient Outcomes with Equitable Health Journeys

April 25, 2023acoNo CommentsACOs, vbc, Webinar

 Download Slides Accountable care organizations (ACOs) leverage data and population insights to mitigate risk and improve patient health outcomes, and this starts with access to preventive care. Gap closure programs for preventive care include services such as screenings, annual visits, vaccinations, and more. However, only 8% of U.S. adults receive recommended preventive care. First…

Medicare Advantage Rate Announcement: What Stayed, What Changed, and How Will It Impact Payers and Plans?

April 21, 2023aco

On March 31, 2023, Centers for Medicare and Medicaid Services (CMS) released the annual 2024 Medicare Advantage and Part D Rate Announcement (Rate Notice), which is the final guidance on rates for Medicare Advantage in 2024. As we explained in our prior blog posts (here and here), one of the more substantial changes proposed for…

We Need to Work Across Sectors to Advance Health Equity, Global Health Leaders Say

April 20, 2023aco

Health disparities aren’t just a result of the inequities in the healthcare system, but also other socioeconomic areas including housing, nutrition and education. To tackle these challenges, the healthcare industry is going to need to work with other sectors, declared Hans Kluge, regional director for Europe at the World Health Organization. “One of the big…

When will the ER catch up with value-based care?

April 20, 2023aco

While there are endless trends to prognosticate about in the healthcare world, one that is near impossible to quarrel with is that the push to value-based care will not only continue, but accelerate. Amid all of the transformation, innovation and buzzwords in value-based care, one crucial area that is suspiciously absent is the emergency department. But…

WHO releases the largest global collection of health inequality data

April 20, 2023aco

Today, WHO is launching the Health Inequality Data Repository, the most comprehensive global collection of publicly available disaggregated data and evidence on population health and its determinants. The repository allows for tracking health inequalities across population groups and over time, by breaking down data according to group characteristics, ranging from education level to ethnicity. The…

Deriving Actionable Insights From Imperfect Price Transparency Data

April 19, 2023aco

On July 1, 2022, the Federal Price Transparency Rule (the Rule) went into effect for commercial health plans. Under these requirements, certain health insurers must disclose their in-network negotiated rates as well as their out-of-network allowed rates. The insurers are required to publicly provide this data on their websites as machine-readable files (MRFs) that follow…

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