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…
Download Slides With CMS making health equity a top priority, risk-based organizations must incorporate equity measurements into their ongoing risk management strategies. With a well-informed strategy, ACOs can save money by making tangible progress in enhancing health outcomes. In this session, we will discuss:– The problems and opportunities of Social Determinants of Health (SDOH)–…
This article is sponsored by Axxess. This article is based on a discussion with Fred Bentley, Managing Director for Medicare Innovation and ATI Advisory, Allison Silvers, Chief of Healthcare Transformation at the Center to Advance Palliative Care and Ryan Klaustermeier, Vice President of Professional Services at Axxess. The conversation took place on April 20, 2023…
Patient data collection is critical in how the U.S. Centers for Medicare & Medicaid Services (CMS) is developing health equity quality measures for hospices in value-based payment. The Center for Medicare & Medicaid Innovation (CMMI) in 2022 announced a “strategy refresh” that included a renewed focus on health care equity in payment model design. Among…