In time, value-based care will come to hospices, and they must be ready, according to Kent Anderson, CEO of Ohio’s Hospice. In this environment, scale will be key, as will a need to better understand the needs and objectives of referral partners, Anderson told Hospice News. He also leads Metta Health, a revenue cycle management…
Hard to resist the opportunity to go to a user conference that includes attending the F1 Miami race in Miami which also became the theme for the conference. The Garage’s recent user conference did just that as they leveraged some of the learnings from F1 racing to illustrate how they’re racing to enable value based…
Experts wrapped up the National Association of Accountable Care Organizations (NAACOS) Spring 2026 Meeting in Baltimore, Maryland, last week by highlighting the growing shift of artificial intelligence (AI) from experimental to operational across clinical workflows. CMS Leader Details Health Tech Ecosystem Strategy in Fireside Chat Following the lunch break on the conference’s final day, Aisha…
Download Slides The CMS GUIDE Model is bringing unprecedented visibility to the costs and unmet needs of persons living with dementia — and for ACOs, it’s revealing both a significant spend exposure and a significant strategic opportunity. The organizations moving fastest are recognizing what traditional care management models have overlooked: dementia is the one…
Download Slides This webinar is for ACO and other healthcare leaders who have a growing concern that unscrupulous actors may be taking advantage of them and their patients. You will learn how HarmonyCares and their partner, HDAI, were able to identify and address serious issues in woundcare claims submitted by a small group of…
With the release of the 2027 Medicare Advantage (MA) advance notice in January 2026, the Centers for Medicare and Medicaid Services (CMS) demonstrated they were willing to implement a bold agenda that defied public and market expectations. Looking ahead, Director of Medicare and Deputy Administrator of CMS Chris Klomp has made it clear that he wants to…
It’s a new world for ACOs, especially those just immersing in aggregated patient data. Once a rarity for ACOs to look beyond claims data for population health and analytics, ACOs are now finding themselves at the center of a data need surge. The transition from easy, manual quality reporting for a sample of ACO patients…
CARLSBAD, Calif. and SPRINGFIELD, Ore., April 21, 2026 /PRNewswire/ — Ceresti Health, a national leader in tech-enabled dementia management, and PacificSource, an independent, not-for-profit community health plan serving the Northwest, today announce first year cost savings attributable to Ceresti’s dementia management program. Medicare Advantage plans are facing one of the most challenging financial environments in years as flat payment…
CMS opens applications for new LEAD model In December, CMS announced a new Medicare accountable care organization (ACO) model called LEAD. The LEAD model replaces the ACO REACH model, which was originally introduced in 2022 and will end in December 2026. LEAD, which will begin Jan. 1, 2027, is a voluntary, 10‑year model designed to…
Historically, policy makers have faced challenges implementing accountable care in rural communities. Rural facilities and delivery organizations can face financial challenges, workforce shortages, and financial volatility. Facility closures and limited clinician availability can constrain access and choice and lead to long patient travel distances. These factors make rural accountable care especially sensitive to infrastructure gaps. In turn, rural…