In the wake of an important update from the Centers for Medicare & Medicaid Services (CMS) on the Medicare Shared Savings Program (MSSP), one of the nation’s leading associations representing physician groups involved in value-based contracting has released a press release focusing on the strong contribution of medical groups focused on primary care, to that…

The news coming out of the Centers for Medicare & Medicaid Services (CMS) this week was all good. What might that mean in the context of an uncertain and complex political landscape around healthcare generally and around value-based contracting more specifically? Well, to begin with, the news coming out of the federal government on Oct….

Prevention is better than cure — this age-old adage continues to guide the healthcare industry as it moves from volume-driven to value-based care models. In value-based care models, healthcare providers are paid based on the quality of care they provide, measured by clinical outcomes, patient and provider experience and the cost of care. According to…

Researchers at University of California San Diego School of Medicine found that large language models (LLMs) can accurately process hospital quality measures, achieving 90% agreement with manual reporting. By addressing the complex demands of quality measurement, the researchers believe the findings pave the way for more efficient and reliable approaches to healthcare quality reporting. The…

Senior officials at the Centers for Medicare & Medicaid Services (CMS) announced record net savings for the Medicare Shared Savings Program (MSSP) on Oct. 29—a total of more than $2.1 billion in 2023, along with $3.1 billion in performance payments for accountable care organizations (ACOs) participating in the program. The agency posted a press release…

Value-based care remains a top priority in the shifting landscape of US health care, as emphasized during a recent session at the National Association of Accountable Care Organizations (NAACOS) fall conference. The discussion brought together payers and providers to explore the challenges and opportunities in improving patient outcomes while reducing health care costs, with a…

The past couple of years have been rocky for companies looking to disrupt the traditional primary care model — with top retailers Walmart and Walgreens announcing that they’re winding down their primary care operations significantly. Others still stand, though the jury is out on whether they can master the tough unit economics that come along…