The Centers for Medicare & Medicaid Services (CMS) has announced the ACO Primary Care Flex Model (ACO PC Flex Model), allowing eligible accountable care organizations to treat people with with Medicare using person-centered proactive care. The model will give a one-time advanced shared savings payment and monthly prospective primary care payments to ACOs. In theory,…
The Centers for Medicare & Medicaid Services (CMS) announced a new voluntary model Tuesday – centered around primary care providers – that could offer home-based care providers more opportunity to dive into risk-based care. Dubbed the ACO Primary Care Flex Model (ACO PC Flex Model), it will provide one-time advanced shared savings payments and monthly…
Thyme Care, a value-based care enabler focused on oncology, has formally launched a dedicated platform for oncology practice partners. Thyme Care Oncology Partners (TCOP), which has long been in the making, currently consists of more than 400 oncologists across 25 states. Together, Thyme and its partner practices will design and implement value-based initiatives for patients…
A 2023 Medical Economics® report found that over the course of their careers, 92% of physicians have experienced burnout. In addition, 62% of providers currently feel burned out. The American Medical Association officially defines burnout as including a reduced sense of personal achievement, emotional exhaustion and a sense of depersonalization, having less empathy toward patients…
Medicare is responsible for more than one in five dollars spent on health care in the United States. Given its size and mission, Medicare programs and policies have a major role in transitioning the health care system away from fee-for-service payment, which incentivizes the quantity of care, and toward value-based payment, which incentivizes higher-quality care…
During a fireside chat style discussion at HIMSS24 on Wednesday, “Achieving Equity through Coordinated Healthcare,” experts discussed how exchanging health information can bridge gaps in health equity and the innovations transforming healthcare access. Michael Jackson, VP and global head of industries at DocuSign. moderated a discussion with Luis Belen, CEO of the National Health IT…
Summary Value-based care (VBC) models have existed for fifteen years but have not made meaningful changes to health care delivery or spending in the United States. The COVID-19 pandemic and ensuing financial strain on hospital systems have made it evident that more dramatic and rapid change is required. The time has come for primary care…
Policy makers and health care leaders are well aware that despite spending twice as much per capita on health care, the US leads amongst high-income countries in early mortality. Within the US, health disparities are widening and pervasive, with variations in life expectancy present across geographic scales (neighborhoods, counties, and states) and across racial and…
With the recent announcements of two new innovation models, the Centers for Medicare & Medicaid Services (CMS) is recognizing the role of digitally enabled care in improving access and outcomes. The Transforming Maternal Health (TMaH) model will issue cooperative agreements to up to 15 state Medicaid agencies to participate in a ten-year payment and care…
Over the past decade, the health care industry has shifted to value-based care, albeit on an incremental basis. These efforts deserve praise and are the result of intentional, hard work. Based on observations from the consulting team at FORVIS, we found that this shift is variable in maturity across key value-based areas. That is, organizations…