Across hospitals and health systems, COOs remain focused on improving patient access. As many organizations face growing demand and a need for additional capacity, they are implementing various strategies, including expanding their ambulatory networks and launching telehealth programs. How have their efforts to track access — such as new dashboards and top operational key performance indicators— evolved in 2025?…
Las Vegas – After years of hype and hope for value-based care, Dr. Chris DeRienzo sees growing momentum. The chief physician executive of the American Hospital Association, DeRiezno says that he’s optimistic about the prospects of value-based care. Health systems are going to have to find ways to keep people healthier, and ensure hospitals have the…
From primary care to hospital systems, many sectors have embraced the transition to value-based care (VBC), showing improvements in health care costs, patient satisfaction and outcomes. Yet one critical segment has been slower to adapt: in-home care. Despite playing an increasingly central role in care delivery – particularly for aging populations and individuals managing chronic…
CMS has clarified that only select Medicare claims will be held amid the ongoing federal government shutdown, walking back an earlier notice that suggested a broader payment pause. “In light of the continuing government shutdown, CMS will continue to process and pay held claims in a timely manner with the exception of select claims for…
Download Slides This engaging session we will discuss known areas of error, fraud, waste, and abuse in value-based care. Recent regulatory scrutiny Bad practices that lead to overpayment Examples in data mining, chart review, and leading queries SPEAKERS: – Amanda Brown – VP of Revenue Integrity– Colleen Gianatasio – VP of Compliance – Ray Evans…
Dive Insight: Healthcare organizations are looking at AI tools that could boost profit margins as providers and payers navigate an increasingly challenging financial landscape, according to the Klas and Bain report, which surveyed nearly 230 industry executives. Many providers still face workforce challenges that worsened during the COVID-19 pandemic, while bracing for a heightened number of uninsured patients due to Medicaid…
Complex patient populations require thoughtful and comprehensive health care, especially when it’s being delivered by accountable care organizations (ACOs) working within a complex array of reimbursement and delivery regulations. During a session of the National Association of ACOs (NAACOS) Fall 2025 Conference, speakers shared their strategies, suggestions, and policy wish lists for caring for these special populations…
Download Slides What is person-centered support? It’s not always what we think it is. Learn how to apply core person-centered thinking tools in your daily work to build stronger relationships, support informed decision-making, and create service plans that reflect what truly matters to the person. Featured Speakers: Jodi Fenner – VP of Execution and…
More than a decade after accountable care organizations launched, healthcare systems are still eager to bring more skilled nursing operators into the fold, according to several acute-care speakers at the National Association of ACOs Fall Conference being held in Washington, DC, this week. Financial incentives for nursing homes to sign on to ACOs not led…
Significant differences in maternal health outcomes were found in the Massachusetts Medicaid accountable care organization (ACO) program based on the ACO’s organizational structure, according to a recent investigation published in JAMA Network Open.1 The study analyzed 2 distinct models implemented by the state in 2018: model A, a partnership between a health system and a managed…