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How Emory’s New Partnership Seeks to Scale Value-Based Care Across Georgia

November 18, 2024Garrett Schmitt

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…

‘Friction,’ risks limit nursing home value-based participation, but CMS remains committed to the transition

November 15, 2024Garrett Schmitt

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…

SOFHA and Lumeris Partner to Enhance Value-Based Care in Tennessee and Virginia

November 15, 2024Garrett Schmitt

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…

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

November 15, 2024Garrett 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

November 14, 2024Garrett SchmittNo CommentsACOs, vbc, Webinar

 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

November 13, 2024Garrett 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…

Home-Based Care Provider HarmonyCares Thrives In ACO REACH’s First Performance Year

November 13, 2024Garrett Schmitt

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…

Home-Based Care Provider HarmonyCares Thrives In ACO REACH’s First Performance Year

November 13, 2024Garrett Schmitt

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…

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

November 12, 2024Garrett 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

November 12, 2024Garrett 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…

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