What You Should Know: – Independent research reveals family physicians with 75% revenue derived from value-based payment models decrease burnout symptoms, according to a new study from Elation Health, and American Academy of Family Physicians (AAFP) Innovation Lab. – The goal of the study, conducted by surveying 10 primary care practices of varying sizes, was to…
The Centers for Medicare & Medicaid Services (CMS) introduced the Risk Adjustment Factor (RAF) model in 2004, which was designed to estimate future healthcare costs for patients. RAF scores are a critical component of value-based care, as they help predict healthcare resource utilization while adjusting for quality and costs for patients. With the introduction of the v28 HCC…
The Global and Professional Direct Contracting Model for Performance Year 2022 saved the Centers for Medicare and Medicaid Services $371.5 million and saved direct contracting entities $484.1 million, according to the agency’s first evaluation report of the model. This represents an increase from $70.4 million in savings to CMS and $46.5 million in net savings…
Value-based care has been a buzzword for decades in behavioral health, but the bulk of providers have yet to make the leap from fee-for-service to a risk-bearing or even cost-savings model. This could be changing as payers begin to prioritize value-based care contracts. In turn, this could reshape dynamics between providers and their investor partners….
Download Slides The Centers for Medicare and Medicaid Services (CMS) is displaying a strong commitment to transitioning the healthcare system towards 100% value-based care (VBC) by 2030. This ambitious goal signifies a significant shift from the traditional fee-for-service model to value-based payment models. The move towards VBC is driven by the increasing recognition of…
In 2023, the US witnessed the most considerable upsurge in refugee arrivals since 2017. Notably, major urban areas such as New York City and Chicago have experienced a recent influx of asylum seekers, straining city resources to provide adequate care. This has, in turn, inflamed existing debates among policy makers regarding the extension of health…
A broad coalition of physician groups and health care organizations is calling on Congress to continue incentives for participating in advanced alternative payment models (APMs) that include financial risk. In a letter to leaders of the Senate and U.S. House of Representatives, 23 physician and health care associations and more than 600 health systems, hospitals,…
The way physicians and nursing home organizations work together must improve, especially with value-based care continuing to grow in prominence among all care settings. More specifically, C-suite executives, nursing staff and other leaders – from both the physician group side and nursing home operator end – must have a close partnership and aligned business strategies…
Download Slides According to the Centers for Medicare & Medicaid Services (CMS), Primary Care serves as the cornerstone of a high-performing healthcare system, playing an indispensable role in enhancing patient outcomes while reducing healthcare costs. The CMS Innovation Center has dedicated substantial resources to fortify primary care, enhance patient care quality, and tackle the…
Twice a week, Boston-area psychiatrist Elissa Ely volunteers at a US anonymous help line for physicians in crisis. The calls she takes are often from people in deep distress — physicians having panic attacks, abusing substances or alcohol, facing divorce or alienation from family and friends. A typical call, she said, could be from “an…