I was the editor of a healthcare business magazine for 11 years. I was in charge of hiring and firing our editorial staff of reporters, editors and designers. My performance measures for new hires were pretty simple: get to work on time, work hard, do a good job, don’t cause any trouble and leave on…
A research article by a team of researchers has found that the development of accountable care organizations—particularly of the ACOs participating in the Medicare Shared Savings Program (MSSP) has not in itself advanced the development of work on the social determinants of health (SDOH). That’s the conclusion of an article published in the July issue…
The COVID pandemic that overwhelmed our healthcare industry and laid bare the vulnerability of our systems is relatively well contained today. Now that we’ve moved beyond crisis mode, where is U.S. healthcare headed as a system? My hope is that we will return our attention to the health system’s transition from fee-for-service to value-based care…
According to a new report from the National Academies of Sciences, Engineering, and Medicine, the United States has made little progress in the last twenty years in closing gaps that remain in healthcare equity. Racial and ethnic lines continue to be drawn in the quality and availability of care in this country, despite the United…
Download Slides ACO’s face many challenges but pacing with the annual changes proposed by CMS Quality Initiatives doesn’t need to be burdensome. During this 1-hour session, MRO’s experts highlight 4 key components of the proposed CMS enhancements to the Medicare Shared Savings program (MSSP) and provides guidance for MSSP ACOs to meet the new…
Download Slides Discover how AI retinal scans are revolutionizing the early detection and management of various systemic diseases. Featuring firsthand accounts from professionals in the field, this session will cover real-world applications, challenges, and successes in integrating AI retinal screening into primary care practices to enhance healthcare processes. Learn how retina screening with AI…
Data are essential to the Centers for Medicare and Medicaid Services (CMS) Center for Medicare and Medicaid Innovation’s (CMS Innovation Center’s) mission to develop and test innovative health care payment and service delivery models. Accurate and comprehensive data can support model operations, including payment, enable the evaluation of model performance, and can be an important…
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…