CMS is gearing up for the first mandatory bundled payment program in 2026 – is your organization ready for a bundled payment future? As the U.S. healthcare system continues its shift away from fee-for-service (FFS) toward value-based care (VBC), the prevalence of advanced alternative payment models is increasing. Bundled payments are attracting significant attention as…
In its first year, Medicare’s Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) model fell short of enrolling providers that serve patients with high social risks, according to a new study published in JAMA Health Forum. Researchers of the study said that without further participation from these types of organizations, the program is…
Cardiovascular disease claims more lives than any other health condition in the U.S., with one person dying from it every 33 seconds.1 Arrhythmias, which are disruptions in the heart’s normal rhythm, represent a prevalent, yet often overlooked, aspect of cardiovascular health. These disruptions in the heart’s electrical system can cause palpitations, dizziness, fainting, or can even…
First catheters, now skin substitutes—and more areas of anomalous medical billing will continue to pop up, requiring data vigilance and collaboration on the part of accountable care organizations (ACOs), according to speakers at the National Association of ACOs (NAACOS) Spring 2025 Conference. The identification of these areas potentially signaling fraud aligns with the Trump administration’s…
Artificial intelligence (AI) and value-based care (VBC) are both regarded as transformative forces within healthcare. They have the potential to supercharge precision medicine, curb skyrocketing healthcare costs, and deliver the experience and outcomes from healthcare that patients truly want. But beyond their shared promise, they also share the common issue of struggling to gain real…
Download Slides Join TCARE and Isaac Health for a webinar showcasing their partnership in the CMS GUIDE Model, which delivers comprehensive support for both individuals with dementia and their caregivers. Isaac Health provides expert-led dementia care, including personalized treatment plans, 24/7 telehealth access, and care coordination for patients. Meanwhile, TCARE supports caregivers with evidence-based…
A new partnership aims to strengthen accountable care models in health care practices around the country. AMGA, the American Medical Group Association, and Wilmington Health announced a partnership to start the AMGA Value Care Network. It is a new strategic initiative and collaboration to “deliver scalable solutions that empower AMGA member organizations to thrive in value-based care environments.” “We…
Will the U.S. healthcare system achieve a technological breakthrough, or will another promising tool die on the vine due to medicine’s illogical financial model? That was the question I set out to answer this morning from the main stage of the 10th annual Accountable Care Symposium in Orlando, Florida—an event hosted by Wellvana, one of…
Download Slides In today’s dynamic Medicare Advantage landscape, staying competitive requires innovative strategies and proactive engagement, driven by real-time data. Join us for an insightful webinar where we’ll explore cutting-edge approaches to HEDIS and quality management, informed by real-world experiences and powered by the latest technologies.This session will provide you with actionable strategies to…
Even as most value-based payment (VBP) models fail to generate savings, public officials and industry leaders tout the ostensible success of Medicare’s accountable care organizations (ACOs). In a recent Health Affairs Forefront article, Biden Administration officials celebrated the $2.1 billion in savings in 2023 in the signature Medicare Shared Savings Program (MSSP), marking five years…