The Centers for Medicare and Medicaid Services (CMS) has set an aggressive goal that by the year 2030 all Medicare beneficiaries with Parts A and B will be in a care relationship with accountability for quality and total cost of care. To accomplish this, CMS has set a further goal to increase the capability of…
Last year, CMS set an ambitious goal: to have 100% of Traditional Medicare beneficiaries and the vast majority of Medicaid beneficiaries in accountable care relationships, a type of value-based care model, by 2030. Considering more than 66 million people are enrolled in Medicare and 80 million are enrolled in Medicaid, that’s nearly half of the…
Every year. and this one is no exception, our predictions include moving closer to value-based care. And every year we find ourselves asking the same questions. Are we really moving as quickly as needed to change outcomes and lower costs? Are care models aligning with transformation? Are we really getting true buy-in from providers to…
Download Slides Join us for an insightful webinar where we explore the powerful connection between provider satisfaction and patient experience– and how deep actionable insight drives improved financial, care and operational outcomes. In today’s healthcare landscape, organizations that prioritize the well-being of their patients and clinicians see better patient outcomes, reduced burnout, and higher…
Download Slides Join us for an interactive session featuring an APP early adopter who has successfully navigated the complexities of eCQM reporting! Gain first hand insights from an established ACO colleague who has already reported for multiple performance years and learn practical tips from Patient360 experts on achieving shared savings with your eCQM reporting….
Download Slides In an era where value-based care is driving the transformation of healthcare, patient leakage remains a costly challenge, impacting revenue and care quality. Join Proficient Health and Value Based Care Exhibit Hall for an insightful panel discussion. This session will delve into strategies for reducing patient leakage, enhancing referral processes, and driving…
The focus of modern-day health care institutions is quickly evolving to prioritize the idea of value-based care, with the demand for this model anticipated to grow at a compound annual growth rate of 6.3% between 2024 and 2032. At the heart of this change is the understanding that patients require not just health care but…
Explore how a management services organization (MSO) leveraged multi-layered data to strengthen their value-based care strategy, mitigate risk, and improve patient outcomes. As we gear up for Performance Year (PY) 2025, risk-based Accountable Care Organizations (ACOs) are juggling a lot. Earlier this year, we described the delicate balancing act of reviewing PY 2023 results, performing…
Download Slides Join ATTAC Consulting Group for an insightful webinar focused on risk adjustment planning for 2025 and 2026. Our risk adjustment experts will discuss a recommended risk adjustment calendar for both years, summarize best practices for health plans and providers, and outline changes in the Office of Inspector General’s (OIG) audit procedures. Key…
From pay cuts to workforce evolutions, 2024 was a tumultuous year for physicians. Here are five pieces of good and bad news each for physicians: The bad news CMS cuts pay again Amid rising industry concern about physician reimbursement declines, CMS finalized a 2.83% physician pay cut Nov. 1. The 2025 Medicare Hospital Outpatient Prospective…