Changes announced to ACO REACH model for 2025 and 2026 will disincentivize providers from achieving meaningful improvements across the quintuple aim, according to Gary Jacobs, executive director at VillageMD’s Center for Public Policy. The VillageMD accountable care organization is a primary care physician-led ACO that has been successful in the full risk and value-based ACO…
Download Slides Primary Care is a growing focus of CMS payment models in Value-Based Care. Recognizing that many primary care physicians are resistant to ACO membership, CMS is building alternative payment strategies to induce practice adoption of Value-Based Care features like accountability, practice transformation, population health and equity. Similar specialty models organize care around episodes and…
A recent JAMA Health Forum study found that the Centers for Medicare & Medicaid Services’ End-Stage Renal Disease Treatment Choices (ETC) alternative payment model showed no statistically significant impact on the use of home dialysis or kidney transplant rates. Healthcare Innovation recently discussed the study with Amit Kapoor, M.D., chief nephrologist at Strive Health, a…
Understanding the Impact of SDOH Social Determinants of Health (SDOH), the conditions in which people are born, live, work, and age, play a pivotal role in shaping health outcomes. These factors, including environmental, social, and economic circumstances, significantly influence not only individual health but also access to care and the prevalence of health disparities. The…
At the National Association of Chain Drug Stores (NACDS) Total Store Expo (TSE) in Boston, Massachusetts, Anita Patel, PharmD, MS, vice president of Pharmacy Services Development at Walgreen Co., and Adam Chesler, PharmD, MBA, senior vice president of strategic initiatives at VillageMD, discussed the necessity of developing coordinated value-based care, as major issues that require…
While value-based payment models seem great in theory, research shows that many primary care providers aren’t partaking in these models. Over the last 14 years, the Centers for Medicare and Medicaid Services (CMS), as well as several states, have introduced value-based care models directed at primary care. The goal is to move away from the…
Value-Based Care payment models are based on a clear CMS goal: lower Total Cost of Care and its counterpart, Total Per Capita Cost. But neither TCoC nor TPCC gives you the information you need to target your cost efforts. How to start? Begin by evaluating what initiatives you need to do in the five key…
Gartner estimates “over 95% of new digital workloads will be deployed on cloud-native platforms” by 2025. This shift from on-premise solutions to a cloud-based, software-as-a-service (SaaS) model, where software is accessed via a web browser, may seem concerning to healthcare organizations for several reasons, with the primary reason being a perceived loss of control. Organizations…
DataLink provides flexible data-driven solutions that help value-based care providers, payers, and organizations improve quality performance, optimize risk accuracy, and reduce costs. With intelligent insights, automated workflows, and advanced interoperability technology, DataLink simplifies value-based care so that providers can focus on what matters most: delivering the best health outcomes. Data-Link is widely recognized for…
Health care costs in the United States are rising every year, leading to poorer patient outcomes, high out-of-pocket payments, and a consolidated market. One factor driving this rise is how siloed our health care system is. Not only are patients being forced to pay high out-of-pocket costs, but independent physicians are also feeling the pressure,…