RECORDED WEBINAR: Beyond GUIDE: How data-driven strategies are paving the path for better dementia care

Garrett SchmittNo Comments, , , ,

 Download Slides This summer, CMS will launch its eight-year Guiding an Improved Dementia Experience (GUIDE) model where Medicare patients living with dementia and their family caregivers will be able to access comprehensive care and wraparound support services for free. This new payment model supercharges organizations like Remo Health to deliver accessible, affordable, quality dementia &…

ACOs Need A Strategic Map For Cost Control

Garrett Schmitt

For ACOs to remain relevant and viable under risk payment models, they must step up now to generate more cost savings for Medicare patient care. Medicare’s budget cuts are once again under consideration as political pressure mounts to lower governmental spending. CMS is expanding risk through Medicare value-based payment models, such as the new ACO…

Catalyst for Payment Reform, URAC to Develop Value-Based Payment Accreditation

Garrett Schmitt

Catalyst for Payment Reform (CPR), an independent, nonprofit coalition of employers and other healthcare purchasers, and accreditation organization URAC are working to develop an accreditation program for value-based payment programs that will be available in 2025. Most payers have implemented some form of value-based payment for healthcare providers. These models influence payment and care delivery…

Advancing Health Equity Through Value-Based Care: CMS Innovation Center Update

Garrett Schmitt

Since 2021, the Centers for Medicare and Medicaid Services’ (CMS’s) Center for Medicare and Medicaid Innovation (Innovation Center) has been guided by a renewed vision to build “a health system that achieves equitable outcomes through high-quality, affordable, and person-centered care.” Health equity is one of the five strategic objectives that guide this vision. The Innovation…

Catalyst for Payment Reform, URAC to Develop Value-Based Payment Accreditation

Garrett Schmitt

Catalyst for Payment Reform (CPR), an independent, nonprofit coalition of employers and other healthcare purchasers, and accreditation organization URAC are working to develop an accreditation program for value-based payment programs that will be available in 2025. Most payers have implemented some form of value-based payment for healthcare providers. These models influence payment and care delivery…

RECORDED WEBINAR: How the CMS National Quality Strategy Can Guide You on Your Value-Based Care Journey, Part One

Garrett SchmittNo Comments, ,

 Download Slides To remain competitive, ACOs, Medical Groups, and Physician Networks must control costs, while simultaneously delivering excellent care. Creating a long-term transformation strategy that harmonizes primary and speciality services into whole-person care that fulfills these objectives can be a daunting task, particularly at the beginning of your value-based care journey. However, there’s no need to…

NQF Study: Improvement on Two Quality Measures Could Save 144,000 Lives

Garrett Schmitt

A study from the National Quality Forum (NQF) estimates that approximately 144,000 lives could be saved over 10 years by improving just two key areas of quality: colorectal cancer screening and blood pressure control. The study, published in Health Affairs Scholar, used national data to estimate the impact of improved performance on two specific quality…

How Can Bundled Payments Be Incorporated Into ACOs?

Garrett Schmitt

A new report says that capturing participant experiences in both the Bundled Payments for Care Improvement (BPCI) Advanced Model and ACO models can help inform how bundled payments might be incorporated into ACOs in the future. In Model Year 4, the BPCI Advanced Model, which began in 2018 and is scheduled to conclude in 2025,…

CMMI Refines and Extends Enhancing Oncology Model

Garrett Schmitt

On May 30, the Centers for Medicare & Medicaid Services announced the opening of a second round of applications to join the Enhancing Oncology Model (EOM) in July 2025. The application portal to apply will open in July 2024. EOM is a voluntary payment model intended to transform care for cancer patients. EOM aims to…

The Vital Role of Hospitals in Tackling Health Inequities

Garrett Schmitt

Many people face health challenges due to unmet social needs, such as food insecurity, unstable housing, or lack of transportation. These social factors, or health-related social needs, can reduce a person’s wellbeing, and make it difficult to manage chronic conditions, recover from illness or maintain overall good health. Rural and urban hospitals and health systems…