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CareAllies Dominates 2024 Black Book Survey With 7th Consecutive Top Rating as Value-Based Care Advisors

February 21, 2024Garrett Schmitt

Black Book Research has revealed the leading consultants for physician practices and medical organizations, based on feedback from 1,707 VBC providers regarding advisory outcomes, and client satisfaction. A total of 56 consultant firms received crowd-sourced evaluations from polls conducted between September 2023 and February 2024. For the seventh consecutive year, CareAllies, a division of The…

ACOs want increased participation of long-term and post-acute care providers

February 21, 2024Garrett Schmitt

Accountable care organizations are calling on the feds to increase participation of long-term and post-acute care providers in ACOs and to better incorporate episodic-based payments. The recently released white paper highlights ways the ACO REACH Model and Medicare Shared Savings Program (MSSP) can be utilized to grow participation. “If CMS is to achieve its goal…

Inside Steps CMS Could Take to Increase Nursing Home Participation in ACOs

February 21, 2024Garrett Schmitt

The nursing home sector’s minimal participation in Accountable Care Organizations (ACOs) – largely because they have not found it lucrative to be in ACOs or have been sidelined within ACOs by other provider types – has resulted in a push for change. In a joint effort aimed at enhancing the integration of long-term and post-acute…

SUD Treatment Providers Embrace Alternative Payment Models, Ditch Fee-For-Service

February 20, 2024Garrett Schmitt

Fee-for-service reimbursement models have contributed to a fragmented behavioral health industry. Substance use disorder (SUD) providers are set to evolve current reimbursement models to alternative payment systems in 2024. Alternative payment models, which include risk-bearing, bundled payments and shared savings, offer a brighter future for the industry. But taking on risk and working with payers…

Value-Based Payment Models Can Improve Appropriate And Equitable Use Of Prescription Drugs

February 20, 2024Garrett Schmitt

There has been recent policy interest in improving the affordability and access of prescription medications, including efforts to reduce disparities in access for low-income and minority beneficiaries. For example, the Inflation Reduction Act (IRA) is being implemented in response to continued concerns about drugs affordability, with a focus on reducing the price of selected drugs…

RECORDED WEBINAR: 5 Ways ACOs Can Boost Cost Control through APP Quality Reporting

February 20, 2024Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides Cost control has been hard to achieve in Value-Based Care, regardless of payment models.  With lowering total cost of care (TCOC) a key Quadruple AIM goal, APP Quality Reporting opens new avenues to ACOs to amplify their opportunities to examine patient costs and create targeted interventions.  In this area we’ll highlight five…

Contract Management in a Value-Based Care Environment

February 19, 2024Garrett Schmitt

For operational efficiency, value-based initiatives need a scalable digital infrastructure that can handle multiple reimbursement models, including fee for service. Value-based care (VBC) models are designed to improve patient outcomes and reduce healthcare costs by proactively focusing on patient wellness. This preventive approach to individual and population care requires collaboration between patients, providers, payers, and…

Survey Details Barriers to Addressing SDOH of Oncology Patients

February 19, 2024Garrett Schmitt

Respondents to an American Society of Clinical Oncology survey about working with underserved populations expressed the need for a return-on-investment model to support personnel, social needs screening, and collaborating with ASCO on advocacy and policy. The ASCO Serving the Underserved Task Force was created in 2020 to address the lack of data on cancer care…

U. of Chicago Medicine Opens Center to Eliminate Cancer Inequity

February 16, 2024Garrett Schmitt

The University of Chicago Medicine Comprehensive Cancer Center has created a new center to address inequities in cancer care. The Center to Eliminate Cancer Inequity (CinEQUITY) will work to pioneer research that addresses biological, social and structural factors that adversely affect excluded or marginalized people in the Chicagoland area. The goal is to ultimately create…

‘A giant unknown’: What the alleged $2B Medicare catheter fraud scheme means for ACOs

February 15, 2024Garrett Schmitt

Seven durable medical equipment companies cost the Medicare system $2 billion in payments, the National Association of ACOs (NAACOS) told the federal government in recent months. But it’s unclear just how problematic that will be for accountable care organizations. The association’s allegations come from a review of two billing codes for Medicare claims data from…

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