In an annual survey of Medicaid managed care plans, data sharing challenges and provider readiness or willingness to participate in alternative payment models continue to be significant barriers, The Institute for Medicaid Innovation’s (IMI) annual Medicaid managed care survey is an effort to collect robust, longitudinal data on Medicaid managed care organizations (MCOs) across the…
Providers across the nation are continuing their work to make value-based care at scale a reality. One of the most recent examples of this comes from Emory Healthcare in Atlanta — on Monday, the health system announced a partnership with Dallas-based startup Guidehealth designed to help value-based primary care reach more than 350,000 patients across…
The Medicare program is approaching a “tipping point” on its journey to move all beneficiaries into value-based care arrangements, but policymakers, health systems and insurers need to do more to convince reluctant providers to get involved, a panel of experts said Thursday. The Centers for Medicare & Medicaid Services in 2021 set a goal of…
What You Should Know: – State of Franklin Healthcare Associates (SOFHA), the largest employee-owned, physician-led multi-specialty primary care group in the nation, has announced a new partnership with Lumeris, a leading value-based care enablement company, to improve healthcare delivery and outcomes in Northeast Tennessee and Southwest Virginia communities beginning in 2025. – By combining SOFHA’s exceptional provider…
Remote physiological monitoring (RPM) and chronic care management (CCM) are well-established programs with years of operational and billing experience in many practices. These billable activities have allowed health care providers to offer more comprehensive care to Medicare beneficiaries outside of their traditional in-person doctor’s visits. Because the U.S. Centers for Medicare & Medicaid Services (CMS)…
Download Slides The future is bright for value-based care, but we also need to be aware of the often overlooked challenges that can make or break your organization’s success. Join Credo Chief Commercial Officer Brigham Hamlin for a round table discussion with several leading healthcare executives. They’ll discuss the challenges and opportunities that are…
Accountable Care Organizations in the Centers for Medicare and Medicaid Services’ ACO Reach program achieved $1.54 billion in gross savings and $694.6 million in net savings in 2023, CMS has announced. The National Association of ACOs (NAACOS) has responded by advocating for an extension of the federal program. Net savings to ACOs were $948.4 million…
Formerly U.S. Medical Management, the home-based care company HarmonyCare raised $200 million in June. On Wednesday, it touted its success in the Accountable Care Organization (ACO) “REACH” Model, the successor to the The Global and Professional Direct Contracting Models (GPDC). Put forth by the Centers for Medicare & Medicaid Services (CMS), ACO REACH gives private…
Formerly U.S. Medical Management, the home-based care company HarmonyCare raised $200 million in June. On Wednesday, it touted its success in the Accountable Care Organization (ACO) “REACH” Model, the successor to the The Global and Professional Direct Contracting Models (GPDC). Put forth by the Centers for Medicare & Medicaid Services (CMS), ACO REACH gives private…
As healthcare reimbursement models shift towards value-based care (VBC), chief financial officers (CFOs) are increasingly at the forefront of managing the financial implications of these changes. Not only are CFOs instrumental in assessing and mitigating the risks associated with new contracting models, but they are also responsible for ensuring that their organizations can thrive in…