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Three quarters of ACOs in direct contracting model earned savings

October 24, 2023aco

The Global and Professional Direct Contracting Model for Performance Year 2022 saved the Centers for Medicare and Medicaid Services $371.5 million and saved direct contracting entities $484.1 million, according to the agency’s first evaluation report of the model. This represents an increase from $70.4 million in savings to CMS and $46.5 million in net savings…

Investors Foresee Cost of Care Attribution, Payer Landscape As Thorniest Issues for Behavioral Health Value-Based Care

October 24, 2023aco

Value-based care has been a buzzword for decades in behavioral health, but the bulk of providers have yet to make the leap from fee-for-service to a risk-bearing or even cost-savings model. This could be changing as payers begin to prioritize value-based care contracts. In turn, this could reshape dynamics between providers and their investor partners….

RECORDED WEBINAR: All Roads Lead to Value-Based Care, Part 2: VBC Across Payers

October 24, 2023acoNo CommentsACOs, vbc, Webinar

 Download Slides The Centers for Medicare and Medicaid Services (CMS) is displaying a strong commitment to transitioning the healthcare system towards 100% value-based care (VBC) by 2030. This ambitious goal signifies a significant shift from the traditional fee-for-service model to value-based payment models. The move towards VBC is driven by the increasing recognition of…

To Advance Health Equity For Patients With Limited English Proficiency, Go Beyond Interpreter Services

October 23, 2023aco

In 2023, the US witnessed the most considerable upsurge in refugee arrivals since 2017. Notably, major urban areas such as New York City and Chicago have experienced a recent influx of asylum seekers, straining city resources to provide adequate care. This has, in turn, inflamed existing debates among policy makers regarding the extension of health…

Health care organizations urge Congress to continue APM incentives

October 19, 2023aco

A broad coalition of physician groups and health care organizations is calling on Congress to continue incentives for participating in advanced alternative payment models (APMs) that include financial risk. In a letter to leaders of the Senate and U.S. House of Representatives, 23 physician and health care associations and more than 600 health systems, hospitals,…

Broken Alignment Between Physicians, Nursing Homes Must Improve for Value-Based Care Era

October 19, 2023aco

The way physicians and nursing home organizations work together must improve, especially with value-based care continuing to grow in prominence among all care settings. More specifically, C-suite executives, nursing staff and other leaders – from both the physician group side and nursing home operator end – must have a close partnership and aligned business strategies…

RECORDED WEBINAR: Preventive Care + Equitable Care = ACCOUNTABLE CARE

October 19, 2023acoNo CommentsACOs, vbc, Webinar

 Download Slides According to the Centers for Medicare & Medicaid Services (CMS), Primary Care serves as the cornerstone of a high-performing healthcare system, playing an indispensable role in enhancing patient outcomes while reducing healthcare costs. The CMS Innovation Center has dedicated substantial resources to fortify primary care, enhance patient care quality, and tackle the…

The mental health crisis among doctors is a problem for patients

October 18, 2023aco

Twice a week, Boston-area psychiatrist Elissa Ely volunteers at a US anonymous help line for physicians in crisis. The calls she takes are often from people in deep distress — physicians having panic attacks, abusing substances or alcohol, facing divorce or alienation from family and friends. A typical call, she said, could be from “an…

RECORDED WEBINAR: The red and green flags of value-based care contracts: Uncovering key components and avoiding pitfalls for success

October 18, 2023acoNo CommentsACOs, vbc, Webinar

 Download Slides Value-based care aims to shift the focus from the quantity of services provided to the quality and outcomes of patient care. While the concept is simple, value-based care contracts are more complicated. In this webinar, we’ll review the key components of value-based care contracts and explore the pitfalls you’ll want to avoid…

A Social ACO For Medicaid Managed Care

October 17, 2023aco

Numerous studies have shown that the failure to address individuals’ housing, food, transportation, and other health-related social needs (HRSNs) can result in poorer health outcomes and increased health care costs. Elizabeth Bradley and colleagues have published several empirical research studies and a book illustrating that the underinvestment in social services relative to health care, at…

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