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RECORDED WEBINAR: Three Ways ACOs Can Magnify Results with Artificial Intelligence

December 14, 2023Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides Artificial Intelligence is flowing into every aspect of services and products, and nowhere is its potential greater than in health care. AI has already made rapid progress possible in improving diagnostics, and person-based precision treatments are on the horizon. So, too, is AI-enabled Value-Based Care solutions that better identify and target patients…

Study identifies barriers to SDoH screening in primary care

December 14, 2023Garrett SchmittAWV, Preventive Medicine, Primary Care, SDOH

Researchers from the University of South Carolina School of Medicine and Arnold School of Public Health recently conducted a study to determine what factors may interfere with patients completing SDoH screenings with their primary care providers. Though more and more health systems have recognized the impacts of nonclinical factors, such as food, housing, and transportation,…

RECORDED WEBINAR: Beyond the CMS star rating: Bridging the gap between acute and post-acute providers

December 13, 2023Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides There are hundreds of quality measures used to profile post-acute providers, but how do hospitals and their post-acute partners know which of those measures are most relevant? With the onset of COVID-19, Mount Sinai Health System quickly recognized the need for more comprehensive insights and a data-driven approach to partnering with post-acute…

Report: AI, value-based care are growing sectors in digital health but lack large-scale adoption

December 12, 2023Garrett Schmitt

AI in healthcare and value-based care enablement are top developing trends in healthcare, but lack scalability so far, while big box retailers as providers and data interoperability have shown a high volume of activity in 2023, and are scaling with long-term trajectories. Rock Health’s report, which utilized data to determine the sequence of developments in…

How Your ACO Can Optimize APP Reporting Using Medicare CQMs

December 12, 2023Garrett Schmitt

ACOs just gained a reprieve from implementing all-patient APP quality reporting in 2024. A provision in CMS’s Physician Fee Schedule Final Rule, which goes into effect on January 1, 2024, enables ACOs to report on Medicare patients only, based on CMS provision of eligible patient lists for three APP measures. If your ACO decides to…

Humana, Optum Health Execs Describe Building Health Equity Infrastructure

December 11, 2023Garrett Schmitt

During last week’s Primary Care Transformation Summit, Amy Nguyen-Howell, M.D., M.B.A., chief of the Office for Provider Advancement at Optum Health, and Nwando Olayiwola, M.D., M.P.H., chief health equity officer and senior vice president at Humana, detailed the data infrastructure they are building in their respective organizations to support health equity initiatives. As Humana’s first…

RECORDED WEBINAR: How Providers and Health Plans Can Collaborate to Maximize Revenue and Quality

December 7, 2023Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides In this webinar, we’ll discuss the critical role providers play in the success of improved health outcomes, Star ratings, HEDIS measures and risk adjustment. We’ll dive into:  – What provider organizations should know about the latest trends in Star ratings, HEDIS measures and risk adjustment – Risk adjustment claw-back exposure for health…

RECORDED WEBINAR: How Providers and Health Plans Can Collaborate to Maximize Revenue and Quality

December 7, 2023Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides In this webinar, we’ll discuss the critical role providers play in the success of improved health outcomes, Star ratings, HEDIS measures and risk adjustment. We’ll dive into:  – What provider organizations should know about the latest trends in Star ratings, HEDIS measures and risk adjustment – Risk adjustment claw-back exposure for health…

2024 Outlook for Health Equity Health equity leaders may play an increasingly critical role

December 6, 2023Garrett Schmitt

Over the past year, we have had in-depth health-equity conversations with many health care and life sciences executives, and we have participated in quite a few conference panels on the subject. Based on our conversations, it’s clear that health equity continues to be seen as a business strategy. We have also heard that being a…

CVS’ plan to catch Aetna up to its value-based care competitors

December 6, 2023Garrett Schmitt

Aetna is a “little bit behind” its peers in value-based care, but it can get ahead by leveraging the rest of the CVS Health business, Aetna President Brian Kane said. At CVS Health’s 2023 investor conference on Dec. 5, Mr. Kane said the company is “under-penetrated” in value-based relationships in Medicare Advantage but plans to…

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