What is FHIR? The HL7® FHIR® (Fast Healthcare Interoperability Resources) standard is the accepted standard for exchanging healthcare information, regardless of how or where the information is stored. By enabling secure access to both clinical and administrative data, FHIR ensures that healthcare providers can access the information they need to deliver optimal patient care. Developed…
Download Slides This deep dive covers everything you need to know about these measures. Are you struggling to understand Medicare Advantage quality measures and meet your MSO and/or payer requirements? This webinar will cover what you need to know and offer strategies to support you on your path to success. You’ll learn how to…
We are standing on the cusp of a new technological revolution. AI is increasingly permeating every aspect of our lives, with intelligent machines transforming the way we live and work. The potential ramifications are huge – will it lead to widespread human redundancy and a dystopian future as people’s jobs are taken over by AI…
People would be healthier if they took their medications as prescribed. Fundamentally, we all know this. Outcomes would improve. Quality of life and lifespans would increase. Total health care costs would recede, because healthier people require less health care services. Physicians and their teams could spend more time working with their patients on the next…
Accountable care organizations, or ACOs, are physician- and health system-led groups that ascertain and apply savings in healthcare delivery. These organizations often work in partnership with Medicare programs, while also providing care for private insurance patients. Each year, ACOs save patients and health systems alike millions of dollars. Ultimately, their goal is to provide excellent…
ABSTRACT Objectives: The number of commercial beneficiaries cared for by accountable care organizations (ACOs) is growing, but the literature examining their trends is nascent. Study Design: We examined commercial claims data from 2019 to 2021 to compare beneficiaries attributed to participants in Medicare Shared Savings Program ACOs with and without a major teaching hospital. Methods:…
On June 26, the Centers for Medicare & Medicaid Services (CMS) released the Notice of Funding Opportunity (NOFO) for the Transforming Maternal Health (TMaH) Model. TMaH is ten-year delivery and payment model designed to test whether effective implementation of evidence‑informed interventions, sustained by a value-based payment (VBP) model, can improve maternal outcomes and reduce Medicaid…
Amid rapid health care industry consolidation, a challenging cost environment, and increasing patient needs and expectations, only truly nimble health care organizations will survive and thrive. Medical groups focused on prepaid, value-based care are better positioned to innovate, develop, and invest in technologies to respond to patient needs and market dynamics. For example, value-based organizations…
Healthcare providers are continuing to form and invest in Accountable Care Organizations (ACOs) as a means of improving care quality and reducing costs. Some of the largest ACOs serve upwards of hundreds of thousands of patients, while, overall, 13.7 million Medicare beneficiaries are being cared for by ACOs this year, according to the Centers for…
As opportunities to provide palliative care through Accountable Care Organization (ACO) relationships continue to arise, operators will likely need to understand the varying types of reimbursement that exist in that arena. ACOs are groups of physicians, hospitals and other health care providers who come together voluntarily to give coordinated high-quality care to their Medicare patients….