RECORDED WEBINAR: How the CMS National Quality Strategy Can Guide You on Your Value-Based Care Journey, Part Two

Garrett SchmittNo Comments, ,

 Download Slides To remain competitive, ACOs, Medical Groups, and Physician Networks must control costs, while simultaneously delivering excellent care. Creating a long-term transformation strategy that harmonizes primary and speciality services into whole-person care that fulfills these objectives can be a daunting task, particularly at the beginning of your value-based care journey. However, there’s no need to…

The Opportunity for Palliative Care in ACO Flex

Garrett Schmitt

On Jan. 1, 2025, the U.S. Center for Medicare & Medicaid Services’ (CMS) Innovation Center will begin implementing a payment model for primary care known as the Accountable Care Organizations (ACOs) Primary Care Flex Model under the Medicare Shared Savings Program (MSSP). The ACO Flex Model is a voluntary initiative to improve funding and other…

Risks of delaying your value-based care journey – what you need to know now

Garrett Schmitt

Providers, health systems, and health plans across the country continue to be engaged in conversations about value-based care – and often the focus remains on the burdens and challenges of making the shift. Across the industry, we hear about the difficulties of transitioning from fee-for-service to value-based care, and those concerns are valid. However, we…

HHS finalizes info blocking disincentives for hospitals, clinician groups and ACOs

Garrett Schmitt

The Department of Health and Human Services (HHS) is locking in its enforcement strategy to keep healthcare providers from blocking access to electronic health information. On Monday morning the department released its final rule (PDF) outlining disincentives for eligible hospitals or critical access hospitals, clinician groups and accountable care organizations (ACOs) found to have committed…

The state of value-based care

Garrett Schmitt

Medicare, Medicaid and private insurance are increasingly encouraging health care practices to participate in value-based care models such as Managed Care Organizations, Accountable Care Organizations and Medicare Advantage. The industry’s perspective is that paying some providers prospectively based on outcomes – rather than retrospectively based on each service provided – tends to better support patient…

CCM as a Glidepath into Value-based Care

Garrett Schmitt

Last month, the CDC reported that 90 percent of our annual $4.5 trillion in healthcare spending is devoted to people with chronic and mental health conditions. And we know that 70 percent of Medicare beneficiaries, for example, suffer from two or more chronic conditions. These are staggering numbers we can’t turn away from, and a…

Can Providers Scale Value-Based Care Sustainably?

Garrett Schmitt

In the healthcare world, everyone wants to achieve better outcomes at lower costs. But this is much easier said than done, pointed out Dr. Patrick Runnels, chief medical officer at Cleveland-based University Hospitals. “We’ve been pursuing better outcomes at a lower cost without changing the fee-for-service expectations, which means we’re adding a bunch of stuff…

5 Key Takeaways from AHIP 2024

Garrett Schmitt

The annual AHIP (America’s Health Insurance Plans) conference is always a cornerstone event in the healthcare industry, bringing together leaders, innovators, and policy makers. This year’s AHIP 2024 was no exception, offering a wealth of knowledge and insights. Here are the top five takeaways that will shape the future of healthcare. 1. Emphasis on Value-Based…