RECORDED WEBINAR: Leveraging real-time data to optimize placements, maximize reimbursements, and improve collaboration

Garrett SchmittNo Comments, ,

 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…

How Can APM Participants Better Engage Community-Based Organizations?

Garrett Schmitt

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…

Information blocking could affect provider payment, MIPS and MSSP participation

Garrett Schmitt

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…

Collaboration Is Key to Execute Value-Based Care for Patients With Cancer

Garrett Schmitt

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…

Five Steps To A Maternity Value-Based Payment Demonstration That Advances Racial Equity

Garrett Schmitt

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…

Family Physicians with Value-Based Payment Models Relieve Burnout

Garrett Schmitt

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…

How Will CMS’S V28 HCC Model Impact RAF Scores?

Garrett SchmittNo Comments, ,

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…

Three quarters of ACOs in direct contracting model earned savings

Garrett Schmitt

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…

Investors Foresee Cost of Care Attribution, Payer Landscape As Thorniest Issues for Behavioral Health Value-Based Care

Garrett Schmitt

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….

RECORDED WEBINAR: All Roads Lead to Value-Based Care, Part 2: VBC Across Payers

Garrett SchmittNo Comments, ,

 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…