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Aledade’s Farzad Mostashari: It’s Clear that the ACO Model Works

October 6, 2023Garrett Schmitt

The leaders of the Bethesda, Md.-based Aledade announced on Sept. 20 the results of its network of independent primary care practices in the 2022 year of their participation in the Medicare Shared Savings Program (MSSP), following the announcement on Aug. 24 of nationwide performance in the program by officials at the Centers for Medicare &…

Understanding the New CMMI GUIDE Model

October 5, 2023Garrett Schmitt

The CMS Center for Medicare and Medicaid Innovation (CMMI) is launching a new Alternative Payment Model (APM) focused on Dementia Care: The GUIDE model. It will launch in July 2024 and run for eight years. More details will be forthcoming in the request for applications (RFAs) to be published this fall, which will open the…

Making The Promise Of Value-Based Care Meaningful To Consumers

October 5, 2023Garrett Schmitt

Over the past decade, health care providers and insurance plans have increasingly pursued value-based care models that are designed to improve patient and clinician experiences while reducing costs and improving quality to produce better population health. With more community and consumer engagement, these models have huge potential for advancing key consumer priorities, including affordability, effective…

How to prepare for ACOs’ mandatory shift to eCQM reporting

October 5, 2023Garrett Schmitt

Carol Ann Hudson is assistant vice president, quality and clinical operations, population health, at Lifepoint Health, a national health system and accountable care organization based in Brentwood, Tennessee. Hudson’s career began as a programmer writing code to build hard drives for Digital Equipment Corporation. The hard drives were used in test rockets for DEC’s space…

RECORDED WEBINAR: Don’t Let Downside Risk Get You Down: A discussion on effectively right-sizing your risk exposure, Part 2

October 5, 2023Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides ( VIEW PART 1: CLICK HERE!! ) This webinar is the second of a two-part series which examines the different types of risk provider organizations may face and different ways to mitigate its impact. The first session in the series focused on building a base of understanding, effectively demystifying the world of…

Hospice Physician John Mulder: Hospice Physicians Must Adapt to Value-Based Care

October 4, 2023Garrett Schmitt

Dr. John Mulder, chief consultant for hospice and palliative care medicine for Michigan’s Faith Hospice, was drawn to the field after witnessing his father’s difficult end-of-life experience. Having begun his practice 40 years ago in family medicine, he came to hospice in 1983 when he was asked to serve on the board of a local…

RECORDED WEBINAR: Reducing clinician burnout through AI and meaningful data

October 4, 2023Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides Who this webinar is for: • Leading Care/Case Management • Healthcare Providers • Healthcare Operations and Staffing Professionals Clinician burnout has emerged as one of the greatest healthcare challenges of our decade. A July 2023 study revealed that a staggering 32% of physicians and 47% of nurses reported experiencing burnout. In addition to…

Improving patient safety requires a commitment to health equity

October 3, 2023Garrett Schmitt

Jack Lynch describes a moment when a light bulb went on in his head. Lynch, the president and CEO of Main Line Health, recalls a conversation he had with a Black healthcare colleague working at another health system about five years ago. He asked if his colleague’s CEO thought there were racial disparities in the…

Value-based care, data collection are future focus areas for assisted living

October 2, 2023Garrett Schmitt

Assisted living is a “very important” part of the care continuum and isn’t going away, but one area of focus for the future, even among private-pay operators, should be population health management, National Center for Assisted Living Executive Director LaShuan Bethea said Sunday. “Value-based care is another way to look at population health management, and…

Mitigating Racial And Ethnic Bias And Advancing Health Equity In Clinical Algorithms: A Scoping Review

October 1, 2023Garrett Schmitt

In August 2022 the Department of Health and Human Services (HHS) issued a notice of proposed rulemaking prohibiting covered entities, which include health care providers and health plans, from discriminating against individuals when using clinical algorithms in decision making. However, HHS did not provide specific guidelines on how covered entities should prevent discrimination. We conducted…

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