Improving health equity in the US will require changing health care payment. But despite the success of value-based payments in resetting expectations away from volume-based reimbursement toward quality and cost efficiency, these arrangements, historically, have not been designed to combat longstanding health inequities. In fact, there is growing recognition that even as value-based payment arrangements…
Long-term care providers have always played a crucial role in ensuring the health and well-being of the frail and elderly. As practitioners continue grappling with the demands of patient care and running their businesses, Accountable Care Organizations (ACOs) focused on residents of long-term care facilities offer a promising solution to enhance the quality of healthcare…
Download Slides Is your ACO preparing for APP reporting by 2025? Do your summer plans include a deep dive into data aggregation and measure requirements? Now that CMS has foreclosed the option of continuing to report through the CMS Web Interface in two years, you can’t afford to lose the lead time for APP Reporting. Begin by…
The most critical and vulnerable time in a patient’s healthcare journey is the period immediately following hospital discharge — during the transition to the home or another healthcare setting. This is because transitions of care can disrupt continuity of care, which is vital for effective management of chronic conditions or complex medical needs. The loss…
Download Slides With CMS making health equity a top priority, risk-based organizations must incorporate equity measurements into their ongoing risk management strategies. With a well-informed strategy, ACOs can save money by making tangible progress in enhancing health outcomes. In this session, we will discuss:– The problems and opportunities of Social Determinants of Health (SDOH)–…
This article is sponsored by Axxess. This article is based on a discussion with Fred Bentley, Managing Director for Medicare Innovation and ATI Advisory, Allison Silvers, Chief of Healthcare Transformation at the Center to Advance Palliative Care and Ryan Klaustermeier, Vice President of Professional Services at Axxess. The conversation took place on April 20, 2023…
Patient data collection is critical in how the U.S. Centers for Medicare & Medicaid Services (CMS) is developing health equity quality measures for hospices in value-based payment. The Center for Medicare & Medicaid Innovation (CMMI) in 2022 announced a “strategy refresh” that included a renewed focus on health care equity in payment model design. Among…
Paralleling many conversations across the current socio-political landscape, life sciences have been striving to fix the lack of diversity in clinical trials. This has taken a few different angles ranging from access to representative results. While these conversations have been ongoing, two recent updates prompted more urgent action: Medicaid became responsible for the costs of…
Tackling value-based care is crucial with the upcoming 2030 mandate by CMS. But it can be challenging for providers to deliver equitable care while hitting value-based care goals. Still, providers don’t have much of a choice since value-based care is replacing fee-for-service as the method of reimbursement in the industry. To get a look at…
Large retailers – like CVS Health (NYSE: CVS) and Walgreens Boots Alliance (Nasdaq: WBA) – that have invested heavily in home-based care aren’t just hoping for a boon from those capabilities. They’re banking on it. CVS Health has reworked its business model to capitalize off of the shift from fee for service to value-based payment…