Healthcare quality reporting is evolving, and accountable care organizations (ACOs) are at the forefront of this change. In 2025, ACOs will be required to shift from traditional quality reporting via the CMS Web Interface to electronic clinical quality measures (eCQMs), marking a significant transition in their reporting process. This transformation aims to enhance patient care…
Unmet caregiver needs are a top issue to address in developing end-of-life care models encircling the Medicare landscape. Among top priorities in current and future payment models is to improve care for those with serious and terminal illnesses, which includes caregiver support, according to Purva Rawal, chief strategy officer for the Center for Medicare and…
Download Slides Referral management is vital to the success of a value-based care organization, however managing referrals across disparate EMRs is difficult. Many organizations still rely on manual and outdated processes to manage these workflows. Poor referral management affects cost, quality of care, and patient and staff experience. Join us for an expert panel…
As hospices prepare for Medicare Advantage, more nonprofits are finding that creating partnerships or entering affiliations will better position themselves for payer negotiations. Nonprofit hospice affiliations have surged in 2022 and 2023. This is in addition to the creation of several regional collaborative networks and the formation of new Accountable Care Organizations (ACOs). The gradual…
Only 21% of primary care physicians feel they are fairly compensated, according to a new report released by Pearl Health, a tech company that helps independent physician practices participate in value-based care models. For the report, the company collected survey responses from 202 primary care physicians from July 11 to October 9. Recent data shows…
Download Slides Join Thomas Martin, Senior Director of Data Insights at WellSky and Devin Woodley, Vice President of Managed Care Contracting at VNS Health, as they explore the characteristics of successful home health agencies and how performance measures such as quality ratings, response times, and readmission rates influence referral decisions. In this session, Devin…
As they gain experience with alternative payment models, how can healthcare executives do a better job of partnering with community-based organizations (CBOs) to address patients’ health-related social needs and decide what is meaningful to measure? A panel of innovators at the Health Care Payer Learning & Action Network (LAN) Summit in Washington, D.C., described their…
Providers face monetary disincentives for violating information blocking, under a proposed rule released today by the Department of Health and Human Services. The proposed rule, with 60-day comment period, would establish disincentives for healthcare providers found by the HHS Office of Inspector General (OIG) to have committed information blocking. This is when a provider knowingly and…
Value-based care is often discussed in the context of oncology, where care does not come cheap and its associated toxicities—both financial and clinical—can have a substantial impact on patient quality of life. But efficient collaboration among primary care providers, oncologists, and other care team members is crucial to ensure patients with cancer receive the best…
Recent data indicate that the US is still lagging behind peer countries on maternal health and well-being, with comparatively worsened maternal mortality, preterm birth, chronic disease burden, and unaffordable health care costs among birthing people. Related inequities in severe maternal morbidity, preterm birth, neonatal intensive care unit (NICU) admission, and postpartum readmission only tell part…