With all the recent buzz around generative artificial intelligence (AI) related to ChatGPT, it’s reasonable to have mixed reactions to emerging technologies. However, many AI technologies — including optical character recognition, natural language processing and machine learning — are widely established and proven highly reliable in driving healthcare innovation for payers, providers and patients. AI…
Download Slides You still have time to succeed in Traditional MIPS before it is phased out, but for that success to be meaningful, you need a forward-thinking strategy. Learn how to develop and deploy a Traditional MIPS strategy that earns incentives (and avoids penalties) now, and springboards you to future success as an APM…
The Accountable Care Organization Realizing Equity, Access, and Community Health Model (ACO REACH Model) Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey was developed by the Centers for Medicare & Medicaid Services (CMS). The ACO REACH Model is a redesigned and expanded version of the Global and Professional Direct Contracting (GPDC) Model. The new name and design of the survey…
The physician payment system instituted under the Medicare Access and CHIP Reauthorization Act (MACRA) has brought some positive results but still needs to be improved, witnesses said Thursday at a House of Representatives hearing. “Despite the good intentions of policymakers, MACRA has not solved the issues with how Medicare pays doctors,” Joe Albanese, policy analyst…
Download Slides Join ATTAC Consulting Group’s Risk Adjustment experts for an insightful webinar as we delve into the ongoing scrutiny by the OIG and its impact on ACOs, CINs, payers and providers. Our expert panel will discuss:– The implications of OIG Risk Adjustment audits for the value-based care community– Strategies for risk-bearing organizations to…
As a concept, everyone believes that a patient should be at the center of care, supported by shared decision-making. Patients and their clinicians review the best available evidence, review the options, look at costs and benefits, and together decide how to proceed.1 In reality, in a shift from fee for service to bundled health care…
Payers should consider program design intensity when implementing value-based purchasing contracts, as higher-intensity programs can lead to better care quality and greater spending reductions, a systematic review published in Health Affairs found. Value-based purchasing programs can incorporate both financial and non-financial features. Financial aspects include bonuses, penalties, and financial risk-sharing arrangements. Non-financial aspects aim to…
Since the adoption of the 2023 Final Rule requiring ACOs to adopt Alternate Payment Model Performance Pathway (APP) quality reporting by performance year 2025, many ACOs have been scrambling to understand how to make the leap. There’s a huge difference between the old method of quality reporting using the CMS Interface to report on a…
Most people need some level of healthcare at the end of life. In fact, 25% of all Medicare spending occurs during patients’ last years, and research shows roughly 70% of adults prefer less aggressive treatments during their final days. Still, few people have frank discussions about the medical services they’d like to receive before the…
Identifying and tackling social determinants of health (SDOH) are crucial aspects of any health equity strategy. But establishing how best to capture patients’ SDOH needs and develop interventions in the clinical setting remains a significant challenge for many healthcare organizations. The United States Department of Health and Human Services (HHS) defines SDOH as “the conditions in the…