Value-based care has gotten a lot of attention in the health care industry over the past 10 years, but the truth is, it has not succeeded in what it was intended to do at scale. In fact, research shows that value-based care models have not lowered costs or improved patient outcomes at scale. Individual contributions…
In the ever-evolving healthcare landscape, primary care practices and federally qualified health centers are facing a significant shift as the Centers for Medicare & Medicaid Services (CMS) continues to push towards its goal that all Medicare Beneficiaries be under a value-based contract by 2030. Moreover, providers are faced with constant challenges in maintaining sustainable practices…
The Centers for Medicare and Medicaid Services (CMS) remains committed to episode-based payment models as part of its multidimensional strategy to advance accountable care. Its most recent bundled payment program, Bundled Payments for Care Improvement (BPCI) Advanced, has been extended through 2025. In 2023, CMS announced plans to develop a new mandatory model that builds…
Amidst the evolving landscape of Texas healthcare, ValueH, the parent organization behind the highly successful Florida Association of ACOs (FLAACOs), proudly introduces its latest initiative: the Texas Association of Accountable Care Organizations (TXAACOs). This strategic venture responds to the growing need for localized advocacy and collaborative networking within Texas’s healthcare ecosystem. With a kick-off event…
Download Slides ACOs have struggled with lowering costs, and having the data to use smart strategies. Examine your options and possible data strategies for targeting a key area of cost avoidance: avoidable utilization and other expenses. In this webinar we’ll review the types of data that ACOs have available to them for targeting avoidable costs, and which…
2024 marks the third year of progress on the Center for Medicare and Medicaid Innovation (Innovation Center) strategic refresh, and one of its aims is to have 100 percent of Traditional Medicare beneficiaries and the vast majority of Medicaid beneficiaries in accountable care relationships by 2030. Accountable care means that a doctor, group of health…
Download Slides Join ReferralPoint’s Robert Harris and Matt Cheatham and learn how to leverage data and automation to reduce leakage and admin costs, enhance patient and provider satisfaction, and close the referral loop to meet value-based care contractual requirements. Visit the ReferralPoint Exhibit Booth
The annual RISE National Conference offers an opportunity for mid- to senior-level executives from managed care organizations (MCOs) to come together, share insights and perspectives, and learn about the trends and technologies shaping the healthcare industry. Here are some of the key insights we learned at RISE National 2024. OIG: MCOs Must Do Better RISE…
Data are key to understanding how value-based care has helped highlight quality benefits of hospice. The U.S. Centers for Medicare & Medicaid Services (CMS) is sunsetting the hospice component of the value-based insurance design (VBID) as of Dec. 31. Commonly called the hospice carve-in, the program in 2021 began testing the coverage of hospice through…
The momentum of value-based care is poised to accelerate. The Centers for Medicare and Medicaid Services has outlined an ambitious objective: to transition all traditional Medicare beneficiaries into a VBC arrangement by 2030 – a notable increase from the mere 7% recorded in 2021 by Bain research. As more health plans, providers and members enter…