How bright is your star shining? If you’re looking to improve your Star Rating with the Centers for Medicare & Medicaid Services, you’ve come to the right place. Your Star Rating isn’t just a once-a-year focus, it’s a year-round effort. We asked our team of experts for their tips to improve your ratings. Here’s what…
CMS will test a new primary care model in eight states with the hopes of improving patient care and increasing value-based opportunities for primary care organizations. The Making Care Primary (MCP) model aims to enhance care management and care coordination, provide primary care physicians with tools to form partnerships with healthcare specialists, and utilize community-based…
A new primary care-focused payment model demonstration could create new partnership opportunities for hospice and palliative care providers. The U.S. Centers for Medicare & Medicaid Services (CMS) has unveiled the Making Care Primary (MC) model, which will launch in July 2024 in eight states — Colorado, Massachusetts, Minnesota, New Jersey, New Mexico, New York, North…
Improving health equity in the US will require redesigning value-based payment using a set of coordinated strategies to promote equity alongside clinical, quality, and cost-efficiency outcomes. In part 1 of this article, we articulated the rationale and need for these equity-aligned design changes, and we laid out tools for tackling three design considerations in value-based…
Phase 1 enrollment in the Medicare Shared Savings Program (MSSP) for 2024 is currently underway, and recent reforms hold promise in attracting new providers into accountable care. However, experts say there’s still work for the Centers for Medicare & Medicaid Services (CMS) to do. Aisha Pittman, the senior vice president of government affairs at the…
Download Slides Healthcare is at a tipping point as it transitions to value-based care across government sponsored programs. In this new environment, fee-for-service mindsets and strategies won’t work. Providers who attempt to address the new affiliated operational and financial challenges with fee-for-service methodologies will face internal friction among care teams and revenue leakage. Join…
Improving health equity in the US will require changing health care payment. But despite the success of value-based payments in resetting expectations away from volume-based reimbursement toward quality and cost efficiency, these arrangements, historically, have not been designed to combat longstanding health inequities. In fact, there is growing recognition that even as value-based payment arrangements…
Long-term care providers have always played a crucial role in ensuring the health and well-being of the frail and elderly. As practitioners continue grappling with the demands of patient care and running their businesses, Accountable Care Organizations (ACOs) focused on residents of long-term care facilities offer a promising solution to enhance the quality of healthcare…
Download Slides Is your ACO preparing for APP reporting by 2025? Do your summer plans include a deep dive into data aggregation and measure requirements? Now that CMS has foreclosed the option of continuing to report through the CMS Web Interface in two years, you can’t afford to lose the lead time for APP Reporting. Begin by…
The most critical and vulnerable time in a patient’s healthcare journey is the period immediately following hospital discharge — during the transition to the home or another healthcare setting. This is because transitions of care can disrupt continuity of care, which is vital for effective management of chronic conditions or complex medical needs. The loss…