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Jefferson Health’s strategy to optimize value-based care

May 7, 2025acoCCM, Chronic Care, HCC

Philadelphia-based Jefferson Health — now a 32-hospital system after the 2024 acquisition of Lehigh Valley Health Network — is prioritizing integration and financial sustainability post-transaction. Joseph Cacchione, MD, who has been CEO for the last two and a half years, said the health system — which also includes a nearly 400,000-member health plan and a…

Value-based payment, oncology and primary care — how can it all work together?

May 7, 2025aco

A value-based payment model can drive collaboration between primary care physicians and oncologists to provide the best possible care for patients, said a former leader at the U.S. Centers for Medicare & Medicaid Services. Elizabeth Fowler, JD, PhD, was a keynote speaker on May 6 at the 2025 NCCN Policy Summit: Primary Care and Oncology Collaboration…

RECORDED WEBINAR: Conquering Readmissions: Proven Strategies and the Power of Digital Health in Value-Based Models

May 7, 2025acoNo CommentsACO reporting, ACOs, APP, APP measures, eCQM, vbc, Webinar

 Download Slides Hospital readmissions represent a significant challenge and cost burden for Value-Based Care Organizations. This webinar will delve into practical and effective strategies specifically designed to minimize avoidable readmissions. We will emphasize the crucial role of proactive transition of care, the strategic integration of virtual care technologies, and robust patient engagement strategies in…

RECORDED WEBINAR: Best Value-Based Care Strategies PT 1: Strategically Managing Your VBC Program w/ MA/ACO & Changes in Payment Models

May 6, 2025acoNo CommentsACO reporting, ACOs, APP, APP measures, eCQM, vbc, Webinar

 Download Slides Best Value-Based Care Strategies for A Cost-Focused Future Provider strategies for Value-Based Care participation will be significantly different under the new federal administration’s cost cutting agenda. Along with changes in Medicare Advantage’s position in the new CMS vision of Value-Based Care, there are fewer payment models and hints of other changes to come….

How CMS’ Recent Capitation Rate Increase Could Accelerate Value-Based Care, MA in Senior Living

May 5, 2025aco

Senior living operators with value-based offerings are getting a boost from a nearly doubled Medicare Advantage (MA) capitation rate in 2026. The Centers for Medicare & Medicaid Services (CMS) previously announced a 5.06% increase in MA capitation rates, higher than what some analysts expected, including Macquarie Senior Healthcare Equities Research Analyst Tao Qiu. A capitation rate is a fixed…

RECORDED WEBINAR: Impact of diabetic retinopathy screening program in a multi-site primary care practice – Healthcare from the Eye™

April 30, 2025acoNo CommentsACOs, vbc, Webinar

 Download Slides Discover how AI-powered retinal screening is transforming diabetic eye care and improving value-based quality scores. In this session, learn how an Accountable Care Organization (ACO) committed to value-based care, leveraged AI-driven solutions to enhance diabetic retinopathy (DR) screening in primary care settings. Hear firsthand insights from experts on the real-world implementation, workflow…

RECORDED WEBINAR: Elara Caring’s innovative approach to improving patient care coordination

April 29, 2025acoNo Commentsvbc, Webinar

 Download Slides   Join us for a one-hour webinar on Tuesday, April 29, featuring Kayla Power, RN, BSN, ElaraConnect Director of Patient Care Coordination at Elara Caring, as she explores how Elara Caring is improving patient visibility for their home health agencies. You’ll also hear how Elara Caring accessed an expanded provider network to…

Long-Term Spending of Accountable Care Organizations in the Medicare Shared Savings Program

April 28, 2025acoCCM, Chronic Care, HCC

Question  Did spending for patients attributed to accountable care organizations (ACOs) differ from other patients enrolled in Medicare in the first decade of the Medicare Shared Savings Program (MSSP)? Findings  In this difference-in-differences study of more than 8 million patients, ACO formation was associated with a mean differential reduction of $142 (1.2%) in annual per-patient spending over…

Value-Based Care Gets Real

April 28, 2025aco

Adoption of value-based care (VBC) programs has continued to expand. For example, the share of healthcare payments from risk-bearing VBC programs where providers could lose revenue if they did not meet quality or cost goals reached 28.5% in 2023, up from 12.5% in 2019. Despite this steady growth, the Centers for Medicare and Medicaid Services (CMS) will…

ACO REACH Falls Short In Serving Vulnerable Populations Compared To Medicare Overall

April 28, 2025aco

The Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) program is designed to provide value-based care access, including home-based care, to underserved communities. New research shows that in its inaugural year, the program fell short of its aims. REACH beneficiaries have lower levels of social risk compared to the overall Medicare population,…

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