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Accountable Care: Not Just for the Healthiest Patients

October 15, 2025Garrett Schmitt

Complex patient populations require thoughtful and comprehensive health care, especially when it’s being delivered by accountable care organizations (ACOs) working within a complex array of reimbursement and delivery regulations. During a session of the National Association of ACOs (NAACOS) Fall 2025 Conference, speakers shared their strategies, suggestions, and policy wish lists for caring for these special populations…

RECORDED WEBINAR: Practical Person-Centered Skills for Care Managers

October 10, 2025Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides What is person-centered support? It’s not always what we think it is. Learn how to apply core person-centered thinking tools in your daily work to build stronger relationships, support informed decision-making, and create service plans that reflect what truly matters to the person. Featured Speakers: Jodi Fenner – VP of Execution and…

Will shifting dynamics force ACOs, health systems to sweeten the deal for nursing home partners?

October 9, 2025Garrett SchmittMA, skilled nursing facilities, SNF, SNFs

More than a decade after accountable care organizations launched, healthcare systems are still eager to bring more skilled nursing operators into the fold, according to several acute-care speakers at the National Association of ACOs Fall Conference being held in Washington, DC, this week. Financial incentives for nursing homes to sign on to ACOs not led…

New Partnership Model Boosts Maternal Outcomes in Medicaid ACOs

October 8, 2025Garrett SchmittNo Commentsrecruitment

Significant differences in maternal health outcomes were found in the Massachusetts Medicaid accountable care organization (ACO) program based on the ACO’s organizational structure, according to a recent investigation published in JAMA Network Open.1 The study analyzed 2 distinct models implemented by the state in 2018: model A, a partnership between a health system and a managed…

Leaders Named in Accountable Care and Value-Based Care Technology and Advisory Ecosystem

October 8, 2025Garrett SchmittNo Commentsrecruitment

WASHINGTON, October 8, 2025 (Newswire.com) – The healthcare industry’s transition toward value-based care continues to accelerate, driven by analytics, automation, and interoperability platforms purpose-built for accountable care delivery. The national survey conducted by Black Book Research identified the top-rated software, managed service, and consulting firms supporting Accountable Care Organizations (ACOs), provider networks, and risk-bearing entities. The…

Skin Substitutes: A Case For How ACOs Can Help Prevent Fraud, Waste, And Abuse

October 7, 2025Garrett Schmitt

Accountable care organizations (ACOs) were created to improve quality and reduce unnecessary costs in Medicare by aligning providers’ financial incentives with patient outcomes. A central part of that mission is helping the federal government identify and reduce waste, fraud, and abuse. Unlike traditional fee-for-service Medicare, ACOs are rewarded for delivering high-value care, which gives them…

Can AI Help Deliver CMS’s Value-Based Care Agenda?

October 3, 2025Garrett SchmittCMMI, CMS, HEDIS, NCQA

On July 16, 2025, the Centers for Medicare and Medicaid Services (CMS) released a Notice of Proposed Rule Making (NPRM) for CY 2026. The proposed rule indicates that CMS wants to accelerate risk within its programs with the expectation that doing so will drive better results. However, many entities are not ready, and the current quality…

RECORDED WEBINAR: Closing Care Gaps and the Referral Loop with Topcon Healthcare

October 3, 2025Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides Less than half of diabetics get their annual eye exam—and up to 70% never complete referrals. Join Dr. Brett Bielory to learn how AI-enabled screening and referral automation empower Health systems, Payers, ACOs, Specialists and PCPs to close gaps, improve outcomes, and boost quality scores. Speakers:Brett Bielory, MD – Glassman Eye Associates,…

What’s Standing in the Way of Healthcare Payment Reform?

October 2, 2025Garrett Schmittwomen, women in medicine

Experts believe value-based care won’t ever reach scale unless fundamental barriers are addressed — including voluntary models, misaligned payer incentives, excessive metrics and weak employer engagement. The way healthcare is paid for is one of the most powerful levers shaping the future of the industry. Reimbursement structures determine which treatments are offered, how clinicians spend…

Is medicine still a calling? Physicians weigh purpose against burnout

October 1, 2025Garrett Schmittphysician burnout

On Tuesday afternoon at the MGMA Leaders Conference 2025 in Orlando, Florida, an expert panel, moderated by Shane Jackson, MBA, president of Jackson Healthcare, wrestled with deceptively simple question: Is medicine still a calling? The question was first posed in a joint report published by the two organizations earlier this year. The panel was comprised of Tony Stajduhar, president…

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