In 2024, the Centers for Medicare and Medicaid Services (CMS) implemented important changes to how spending targets, known as benchmarks, are set in the Medicare Shared Savings Program (MSSP) for accountable care organizations (ACOs) entering new five-year agreement periods. Among these, CMS introduced an Accountable Care Prospective Trend (ACPT) into the formula for updating MSSP…
The Centers for Medicare & Medicaid Services (CMS) revealed several updates to the ACO REACH program in 2026, though the model’s long-term future remains unclear. The CMS said it is making changes to the model based on preliminary data on 2023 performance, which found that standard accountable care organizations saved $197.5 million in aggregate that…
The Center for Medicare & Medicaid Innovation (“CMMI”) has announced a new strategy for establishing payment systems that incentivize healthier lives through a focus on three key pillars: (1) promoting evidence-based prevention; (2) empowering patients to achieve their health goals; and (3) driving choice and competition. This strategy includes several positives for providers participating (or…
Challenges to the Biden-era parity rule, reductions to key behavioral health-focused agencies and looming Medicaid cuts are changing the game for how behavioral health providers operate. Still, the preventative care push coming from the top is building a new race for behavioral health professionals to run, experts told Behavioral Health Business during a March VALUE event. “Whether the funding comes or not, is…
Download Slides Today’s healthcare requires more proactive and precise population health management and data is the key to unlocking earlier insights—and earlier action. But no single data source tells the whole story. This webinar explores how to blend comprehensive 3rd party data with 1st party data to uncover actionable opportunities across your population. We…
Value-based healthcare programs have been found to mostly be adopted in wealthy countries and in smaller parts of health systems, according to new data published in JAMA Health Forum. Health systems around the world are facing growing pressure from rising costs, aging populations, staffing shortages and long-standing health inequities. At the same time, patients and communities…
In the health care industry, the conversation around value-based care (VBC) has been abuzz for a while now. The idea is simple: pay for outcomes, not for services, and shift our mindset from volume to value as we reduce unnecessary care, improve outcomes and bend the cost curve. However, when we talk about VBC, we often overlook a…
Medicaid programs offer a unique venue for behavioral health providers to push the industry toward greater adoption of value-based care. Often, leaders across the industry note that they see the most receptiveness and make the most progress on payment innovation in their alliances within the realm of Medicaid. Still, there is palpable frustration at the lack of…
From new tech to value-based care, leaders of Anthem Memory Care, Juniper Communities and Northbridge Companies see a need to alter the senior living model and innovate for the industry’s next residents. Senior living companies are innovating by implementing new tech into their operating models while also enhancing them with new value-based care payment sources….
Sixty-four percent of healthcare organizations say they expect higher revenue this year from value-based care arrangements as compared to last year, finds a new report from Innovacer and the National Association of Accountable ACOs. Based on a nationwide survey of 168 healthcare leaders across 142 organizations, the results mark a sharp increase in confidence despite ongoing structural and operational…