Finalized 2025 Medicare Physician Fee Schedule advances CCM and value-based care with new advanced primary care management codes

Garrett Schmitt

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)…

RECORDED WEBINAR: Clinical Blind Spots: Solving for What’s Around the Corner in Value-Based Care

Garrett SchmittNo Comments, ,

 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…

NAACOS pushes ACO REACH extension after $1.54B in savings

Garrett Schmitt

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…

Navigating risk and revenue growth: A CFO’s guide to value-based contracts

Garrett Schmitt

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…

Health Care Leaders Highlight Collaborative, Patient-Focused Strategies for Advancing Value-Based Care

Garrett Schmitt

Health care leaders emphasized the need for collaboration, data standardization, and an iterative, patient-centric approach to advance value-based care (VBC) during a panel discussion at the Council for Affordable Quality Healthcare (CAQH) Connect 2024 in Washington, DC. The discussion, titled “Value Based Care: The Next Evolution,” included panelists Todd Couts, MS, deputy director of the…

Providence’s ACO saved Medicare $137M in 1 year — here’s how

Garrett Schmitt

Among the nation’s 453 ACOs, Providence’s Health Connect Partners generated the highest shared savings for Medicare in 2023 with $137 million saved through its senior program. After accounting for shared savings and losses, 132 ACOs collectively generated nearly $695 million in net savings, according to CMS and the National Association of ACOs. In 2023, Medicare…

Palliative Care, ACO Collaborations Fuel ‘Historic Savings’ in MSSP Program

Garrett Schmitt

Palliative care providers that form collaborative partnerships with Accountable Care Organizations (ACOs) may be lending to a landmark downward trend in health care spending in the value-based payment landscape. The U.S. Centers for Medicare & Medicaid Services (CMS) recently announced that its Medicare Shared Savings Program (MSSP) yielded more than $2.1 billion net savings in…

CMS Reports on Performance Improvements by ACO REACH Participants

Garrett Schmitt

In 2023, the 132 participants in the ACO REACH model generated $1.6 billion in gross savings and $695 million in net savings after accounting for shared savings and losses, according to the Centers for Medicare & Medicaid Services. NAACOS, the National Association of Accountable Care Organizations, congratulated the ACO REACH participants, while urging CMS to…