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Novel Approaches Are Essential for Enabling Patient-First Outcomes in Value Based Care Models

January 25, 2024Garrett Schmitt

American healthcare is highly inefficient. Across a variety of long-term health and treatment outcomes and patient safety metrics, the U.S. has lower performance compared with countries of similar economic status, despite spending more money per capita than its peers. In 2022, the U.S. spent an estimated $12,555 per person on healthcare — the highest among…

CVS and Wexner Medical Center collaborate on ACO

January 25, 2024Garrett Schmitt

The Ohio State University Wexner Medical Center and CVS Accountable Care, a part of CVS Health, have announced the creation of an accountable care organization for a coordinated approach to delivering care. The new CVS ACO is a Medicare Shared Savings Program Enhanced track ACO. CVS Accountable Care was formed last year as a result…

How Generative AI Can Support Value-based Care

January 25, 2024Garrett Schmitt

A 360-degree view of the patient is essential in providing clinicians, payers, and patients themselves with actionable insights that can lead to improved outcomes. Artificial intelligence (AI) is increasingly playing major roles in data digitization, prediction analytics, and decision support systems. For example: AI technologies like NLP (Natural Language Processing) and computer vision enable the…

OSU Wexner Partners With CVS Accountable Care on ACO

January 25, 2024Garrett Schmitt

The Ohio State University Wexner Medical Center is partnering with CVS Accountable Care to create an accountable care organization (ACO) to improve the quality of care for Medicare beneficiaries by Ohio State providers in central Ohio through an emphasis on preventive wellness and proactive treatment of chronic conditions. CVS Accountable Care, part of CVS Health,…

AWS to Infuse Another $20M Into Its Health Equity Program

January 25, 2024Garrett Schmitt

On Thursday, Amazon Web Services (AWS) announced plans to funnel an additional $20 million into its health equity initiative, bringing the company’s total investment in the program to $60 million. AWS launched the program in 2021, originally committing $40 million to enable and accelerate the pace of health equity-focused research and innovation. Full Article

RECORDED WEBINAR: Patient & Provider Engagement: Better Health. Better Outcomes.

January 25, 2024Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides Visit with Dr. Juan Estrada, CEO of Sanitas USA, the country’s fastest-growing provider practice, and Craig Thomas, Co-Founder and CEO of Lucerna Health, a health ecosystem integrator and engagement company. In this webinar, they discuss Next Gen Health Engagement and share their incredible journey from market entry to over 600,000 patients and…

Changing Payment Dynamics Are Forcing Home-Based Care Providers To Level Up In Value-Based Care

January 24, 2024Garrett Schmitt

Generally, staffing has taken the cake as the No. 1 issue home-based care providers are facing heading into any year. But, in 2024, changing payment dynamics have become a formidable rival to recruiting and retention concerns. When home-based care professionals were tasked with providing the “greatest challenge” facing them in the new year, 58% responded…

Experts: Substance Abuse Must Be Matched to Value-Based Payment

January 23, 2024Garrett Schmitt

Can value-based care delivery change the equation around helping Americans living with substance abuse to recover, where fee-for-service and discounted fee-for-service healthcare could not? That’s precisely what a team of policy experts are contending, in a new op-ed in the Forefront section of Health Affairs. In “Value-Based Care Can Transform The Treatment Of Patients With…

What Drove Success for ACO REACH’s Highest Performing ACOs in 2022?

January 23, 2024Garrett Schmitt

On October 23, CMS released the results and public use file for Global and Professional Direct Contracting (now known as ACO REACH)’s 2022 performance year. The program had 99 participating ACOs in 2022, of which 81 ACOs attained gross savings and 75 ACOs attained net savings (after applicable discounts, CMS shared savings, sequestration, and risk…

Bringing Value-Based Care to Rural and Underserved Communities

January 22, 2024Garrett Schmitt

Highlights: Policymakers must recognize the unique payment arrangements of safety-net providers in order to better serve rural and underserved patients through value-based care. CMS should modify its APMs through the use of waivers specific to safety-net providers or develop new ACO tracks/total cost of care models focused on rural and underserved populations. NAACOS convened members…

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