RECORDED WEBINAR: How Buena Vida y Salud ACO uses predictive targeting to help keep patients healthy at home

Garrett SchmittNo Comments, ,

 Download Slides Dr. Sheila M. Magoon, Family Practice provider and clinical expert, will share how her system navigates complexities of rising costs and utilization of their aging patient population. Their strategy consists of pinpointing specific sub-populations based on predicted future risks of utilization, complication, and developing chronic diseases and deploying tailored interventions that reduce…

Patient Engagement Is Essential for Achieving the Goals of Value-Based Care

Garrett Schmitt

As noted in the first article in this series, traditional value-based (VBC) care models are largely focused on economic incentives to healthcare providers and facilities. Many VBC organizations lack the infrastructure in place or scale to integrate factors that impact how patients interact with the healthcare system, engage with care providers, or adhere to treatment…

Expanded Telehealth Access: Powerful Medicare Rule Changes Impact Access, Health Equity and Risk Scores

Garrett Schmitt

Telehealth has been around for decades, but the COVID-19 pandemic thrust it into the spotlight when patients couldn’t see practitioners in-person. Suddenly, telehealth via video, audio, text, and email became a lifeline, one that’s especially beneficial for patients who have an established relationship with providers, those dealing with chronic conditions, people living in rural areas,…

7 Tips for making the most of value-based care

Garrett Schmitt

Since the Affordable Care Act was signed into law in 2010, CMS has been encouraging physician practices to move from a fee-for-service payment model to one that rewards value. It has been testing models that incentivize clinicians to provide preventive, proactive, and appropriate care that improves patient outcomes and experience and decreases unnecessary healthcare spending….

CMMI’s Innovations in Behavioral Health: Promoting Physical and Mental Well-being

Garrett Schmitt

Summary On January 18, 2024, the Center for Medicare and Medicaid Innovation (CMMI) at the Centers for Medicare and Medicaid Services (CMS) announced Innovations in Behavioral Health (IBH), a new eight-year model focused on adult Medicaid and Medicare enrollees with moderate to severe mental health conditions and substance use disorders (SUD). CMS released substantial additional…

RECORDED WEBINAR: Maximizing Healthcare Efficiency: How Deviceless Remote Patient Monitoring Saved a Physician-owned Practice $1.4 Million

Garrett SchmittNo Comments, ,

 Download Slides Provider organizations seeking to reduce cost of care and improve quality must shift to proactive and preventative care delivery models. Mankato Clinic’s leaders will describe how they deployed Deviceless Remote Patient Monitoring to engage thousands of patients across chronic and mental health conditions and catch patients before conditions exacerbated. With better patient…

Moving beyond financial incentives to engage specialists in ACOs

Garrett Schmitt

Accountable Care Organizations are struggling to find specialists to improve value-based care, although it is a top priority Centers for Medicare and Medicaid Services. Meanwhile, ACOs face considerable challenges in effectively engaging specialists, according to a recent study from the Institute for Accountable Care in the American Journal of Managed Care. The predominant influence of…

CMS to Test Mandatory 5-Year Episode-Based Alternative Payment Model

Garrett Schmitt

People with Traditional Medicare who undergo surgery may experience fragmented care, which can lead to complications and prolonged recoveries.  To address this issue, and based on lessons learned from previous episode-based payment models, the CMS Innovation Center has proposed a new mandatory 5-year, episode-based alternative payment model that would launch in 2026. The mandatory Transforming…

ACOs led by independent physicians save Medicare ‘substantially’ more money, CBO says

Garrett Schmitt

Dive Brief: Accountable care organizations led by independent physicians save Medicare more money than other types of ACOs, according to a new Congressional Budget Office review of existing research. Independent physician-led ACOs have clear financial incentives to reduce hospital care to lower spending, while hospital-led ACOs — which earn more revenue when patients are admitted…