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The Importance of Interoperability in Medical Record Retrieval

March 28, 2024Garrett Schmitt

In the digital age, the healthcare industry is increasingly reliant on technology to streamline operations, enhance patient care, and improve outcomes. A critical aspect of this technological evolution is the interoperability of healthcare systems, particularly for medical record retrieval.  Interoperability, the ability of different information systems, devices, and applications to access, exchange, integrate, and cooperatively…

Health system C-suites eye value-based care roles

March 26, 2024Garrett Schmitt

Healthcare is in flux. Hospitals across the nation report clinician shortages and tight margins, and insurers are pushing more care into the lower cost settings. Forward-looking hospital leaders are feeling the pinch and getting serious about value-based care, which means promoting leaders who can embrace this value transition and innovate for the future. “I anticipate…

How extending virtual options can drive value-based care

March 26, 2024Garrett Schmitt

One way Northern Health, a major provider in Melbourne’s north, is creating value for its patients and community, is by enabling its clinicians to offer virtual options. THE PROBLEM It began during the pandemic. As with the rest of the industry, the organisation too had to accelerate its digital transformation by embracing digital tools for…

Industry Voices—Strengthening long-term care providers’ role in value-based care

March 22, 2024Garrett Schmitt

Long-term and post-acute care (LTPAC) providers play a vital role in our health system. As one of the most complex patient populations, LTPAC patients are a considerable driver of Medicare costs. According to the Medicare Payment Advisory Commission, Medicare spent nearly $57 billion on post-acute care—around 15% of total spending. Forty percent of inpatient hospital discharges…

RECORDED WEBINAR: Value-based Care is a Team Sport: How Providers Can Operationalize Risk Adjustment Initiatives

March 21, 2024Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides Join us for an insightful webinar exploring the power of collaboration between providers and health plans to achieve accurate risk-adjusted compensation. While providers and health plans may have different perspectives, there are numerous synergies and opportunities to use data analytics and drive value for patients. We’ll delve into how providers can develop…

Cautious optimism: The future of generative AI in health care

March 20, 2024Garrett Schmitt

Generative artificial intelligence (AI) is the most pivotal pragmatic change in how physicians interact with patients since the advent of the electronic health record (EHR). As health care grapples with a tremendous amount of provider burnout—and the resulting mass exit from the field—it is exciting to consider how generative AI could help restore the patient…

VALUE-BASED CARE New ACO Primary Flex Model Could Increase Hospice, Palliative Care Access

March 20, 2024Garrett Schmitt

The Centers for Medicare & Medicaid Innovation (CMMI) has unveiled a new primary care-oriented Accountable Care Organization (ACO) payment model that holds opportunities for hospices. This demonstration reflects a push by the U.S. Centers for Medicare & Medicaid Services (CMS) to reduce fragmentation in the health care system by strengthening primary care as a hub…

Stakeholders Praise CMS’ ACO Primary Care Flex Model

March 19, 2024Garrett Schmitt

A new voluntary model announced March 19 by the CMS Innovation Center seeks to empower primary care providers in smaller accountable care organizations (ACOs) to treat people with Medicare using team-based, person-centered proactive care. The announcement drew praise from primary care groups participating in the Medicare Shared Savings Program. The ACO Primary Care Flex Model…

CMS unveils person-centered primary care model but excludes high-revenue ACOs

March 19, 2024Garrett Schmitt

The Centers for Medicare & Medicaid Services (CMS) has announced the ACO Primary Care Flex Model (ACO PC Flex Model), allowing eligible accountable care organizations to treat people with with Medicare using person-centered proactive care. The model will give a one-time advanced shared savings payment and monthly prospective primary care payments to ACOs. In theory,…

CMS’ ACO Primary Care Flex Model Could Offer Home-Based Care Providers Risk-Based Opportunity

March 19, 2024Garrett Schmitt

The Centers for Medicare & Medicaid Services (CMS) announced a new voluntary model Tuesday – centered around primary care providers – that could offer home-based care providers more opportunity to dive into risk-based care. Dubbed the ACO Primary Care Flex Model (ACO PC Flex Model), it will provide one-time advanced shared savings payments and monthly…

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