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…
Understanding the Impact of SDOH Social Determinants of Health (SDOH), the conditions in which people are born, live, work, and age, play a pivotal role in shaping health outcomes. These factors, including environmental, social, and economic circumstances, significantly influence not only individual health but also access to care and the prevalence of health disparities. The…
At the National Association of Chain Drug Stores (NACDS) Total Store Expo (TSE) in Boston, Massachusetts, Anita Patel, PharmD, MS, vice president of Pharmacy Services Development at Walgreen Co., and Adam Chesler, PharmD, MBA, senior vice president of strategic initiatives at VillageMD, discussed the necessity of developing coordinated value-based care, as major issues that require…
While value-based payment models seem great in theory, research shows that many primary care providers aren’t partaking in these models. Over the last 14 years, the Centers for Medicare and Medicaid Services (CMS), as well as several states, have introduced value-based care models directed at primary care. The goal is to move away from the…
Value-Based Care payment models are based on a clear CMS goal: lower Total Cost of Care and its counterpart, Total Per Capita Cost. But neither TCoC nor TPCC gives you the information you need to target your cost efforts. How to start? Begin by evaluating what initiatives you need to do in the five key…