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Celebrating Ten Years in Value-Based Care: Reflections and Foresights

January 9, 2025Garrett SchmittCoding, HCC, Risk adjustment coding

In October 2024, the Task Force turned 10 years old. In recognition of this anniversary, the Task Force released a two-part paper reflecting on the past 10 years of health care transformation and envisioning a path forward for the coming decade. The Task Force’s original vision and guiding principles remain sound today, providing a strong…

The Role of Coding and Billing Compliance in Reducing Errors and Optimizing Revenue in ACOs

January 9, 2025Garrett SchmittCoding, HCC, Risk adjustment coding

Accountable Care Organizations (ACOs) are designed to streamline patient care while optimizing healthcare costs and improving outcomes. However, one key aspect that many ACOs grapple with is ensuring accurate and compliant coding and billing practices. Coding and billing compliance are essential in preventing costly errors, minimizing revenue leakage, and maintaining regulatory adherence, which is vital…

Climate Resilience And The Promise Of Value-Based Care

January 8, 2025Garrett Schmitt

The US health care system generates as much as 9 percent of the country’s total greenhouse gas emissions. Greenhouse gas emissions linked to the sector have also risen by 6 percent from 2010 to 2018, exceeding one ton per capita, the highest among industrialized nations. Significantly, the US health sector accounts for 27 percent of the global health-sector climate footprint,…

Navigating Value-Based Care in 2025: Three Challenges Ahead

January 6, 2025Garrett Schmitt

The stakes are high in healthcare with rising demands for transparency and quality, challenging the traditional fee-for-service (FFS) model like never before. This environment is ripe with opportunities to deliver value-based care (VBC). For nearly two decades, healthcare systems have shifted from FFS to VBC, aiming to reduce costs while improving patient health. This transition…

ACOs Saved Billions in 2023: Can They Sustain This Beyond 2025?

January 5, 2025Garrett Schmitt

Accountable Care Organizations (ACOs) have made great strides in enhancing patient care and reducing costs, saving $3.1 billion in 2023. The recently released report based on ACO performance in 2023 (PY2023) provides valuable insights into where ACOs are excelling. On this episode Dan sits down with Sarah Kachur PharmD, MBA, BCACP, Executive Director of Strategy…

Mastering the shift to value-based care: 3 strategies for organization-wide success

December 26, 2024Garrett Schmitt

As health care organizations progress on their value-based care journeys, clinicians and other staff members are discovering just how uniquely difficult the transition can be. The main challenges they face include an increased administrative burden, data overload and resource-intensive processes for both risk adjustment and quality performance, all of which can take a serious toll…

How Alignment with Sound Physicians’ ACO Improved Patient Care and Outcomes

December 26, 2024Garrett Schmitt

The power of an accountable care organization (ACO) isn’t simply in the care provided or the savings realized — it’s also in stakeholders who recognize they’re part of a greater good. Michael Camacho, President of Accountable Care for Sound Physicians, was recently reminded of that by one of his board members who also happens to…

What We Measure Matters: Centering Lived Experience in Developing Behavioral Health Quality Measures

December 26, 2024Garrett Schmitt

In 2023, 23 percent of adults in the U.S. reported experiencing a mental illness, totaling more than 58 million Americans. Of those 58 million, 46 percent reported not receiving treatment. During the same period, 17 percent of adults across the nation reported experiencing substance use disorder, yet three out of four did not receive treatment….

Enhancing Design And Implementation Of ACO REACH’s Equity-Focused And Beneficiary Engagement Design Elements

December 26, 2024Garrett Schmitt

This article is the latest in the Health Affairs Forefront series, Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure patient-centered, cost-efficient care under the umbrella of accountable care. Additional articles will be published throughout 2024. Readers are encouraged to review the Call for Submissionsfor this series….

Trends 2025: Healthcare leaders are focusing on patient access, AI and Medicare Advantage

December 26, 2024Garrett Schmitt

Healthcare organizations are setting their priorities for 2025, with 52.8% of hospital and health system leaders identifying patient access, throughput and capacity as their top focus. According to a report from Vizient and its subsidiary Kaufman Hall, strategies aimed at delivering value-driven experiences are seen as critical to enhancing patient loyalty and maximizing impact, according…

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