The Centers for Medicare & Medicaid Services (CMS) 2025 Physician Fee Schedule (PFS) Final Rule brings notable updates to the Quality Payment Program (QPP), which will impact eligible clinicians, groups, virtual groups, subgroups, and APM entities. Whether you’re participating through MIPS, MVPs, or an ACO, these changes offer opportunities to streamline reporting, leverage new scoring…
The first regional event of Institute for Value-Based Medicine,® {IVBM), held in Boston, Massachusetts, in September 2024, brought together top minds from the top cancer centers in Massachusetts and Connecticut to examine the fine line between wanting to take value-based cancer care to the next level and considering how to bring advancements in precision medicine…
NextGen Healthcare, a leading provider of innovative, cloud-based healthcare technology solutions, today announced that its clients participating in the Medicare Shared Savings Program (MSSP) leveraged its NextGen® Population Health solution to achieve a cumulative $102 million in total Medicare savings last year. The MSSP incentivizes hospitals, physician associations, and other healthcare facilities to form accountable…
Darrin Menard, M.D., medical director of the Louisiana Medicare Shared Savings Program (MSSP) Enhanced ACO, recently described how his accountable care organization has evolved to become more successful in the program. Menard, a practicing family medicine physician in Scott, Louisiana, was speaking at a Primary Care Collaborative event focused on their new report, “Primary Care:…
Oncology practices that participated in two-sided risk in the latter half of the Oncology Care Model (OCM) were the main driver of payment reductions in the model, according to an evaluation prepared for the Center for Medicare & Medicaid Innovation. In February 2015, the Centers for Medicare & Medicaid Services (CMS) invited oncology physician group…
Carle Health, a vertically integrated health system, and Lumeris, a leading value-based care enablement company, today announced a strategic partnership to improve healthcare delivery and patient outcomes through value-based care for communities in Central Illinois. The partnership will transform care delivery for Medicare populations by integrating Lumeris’ comprehensive technology solutions and population health management tools…
Interwell Health, a value-based kidney care management company, is proud to announce the launch of Acumen Rounder, the first and only nephrology rounding application that tightly integrates with Epic. The application works seamlessly with Acumen Epic Connect, the most adopted nephrology-specific electronic health record (EHR). Acumen Rounder supports nephrologists and care teams in managing patient…
On Tuesday, Nov. 19, President-elect Donald Trump announced that he would nominate Mehmet Oz, M.D., to be the next Administrator of the Centers for Medicare & Medicaid Services (CMS). POLITICO’s Ben Leonard wrote on Tuesday afternoon that “President-elect Donald Trump has chosen Mehmet Oz, the celebrity physician and TV personality known as Dr. Oz, to…
Health insurance plans are seeing continued growth in the adoption of value-based care arrangements and shared risk arrangements, according to the 2024 annual survey by the Health Care Payment Learning & Action Network (HCPLAN). The HCPLAN is a group of public and private healthcare leaders dedicated to providing thought leadership, strategic direction, and ongoing support…
The recent CMS results for the Medicare Shared Savings Program (MSSP) showed record-breaking savings—over $2.1 billion in 2023. Yet, not all ACOs achieved these gains. So, what separates the high performers from those that struggle to meet savings goals? The answer lies in strategic focus, effective coordination, and the intelligent use of data. This blog…