Download Slides Recorded on 6.5.18, this webinar will be informative for those considering taking risk in an ACO, specifically Track 1 ACO’s considering moving to a risk-based model in 2019. What is covered: Risk taking in the context of MACRA The move toward ACO risk: results & analysis Financial protection for your ACO View Part…
Despite the growth of commercial gain-share—also known as Accountable Care Organization (ACO)—arrangements, a lack of consistent contract structures and terms has hampered the adoption of value-based care. This is particularly true for independent physicians, only 34 percent of whom enter commercial gain-share arrangements. National payers have unanimously voiced their goal to move towards value-based arrangements….
Most physician organizations are not prepared for the move to value-based care, and 95 percent CIOs of group practices and large clinics state they do not have the information technology or staff in-house needed to transform value-based care end-to-end, according to a recent Black Book Research. This is driving many physician organizations to increasingly seek…
As the U.S. healthcare system continues on its march from volume to value-based payment, providers are experimenting with myriad new programs designed to share financial risk, assume capitation contracts, generate reimbursement for outcomes and avoid costly penalties. The basic idea: In the not-so-distant future, hospitals will no longer be paid for what they do, but…
Moving accountable care organizations (ACOs) to Medicare Shared Savings Program (MSSP) tracks with downside financial risk may not help the accountable care initiative generate savings, according to a new analysis from the Center for Healthcare Quality and Payment Reform (CHQPR). The study found that CMS spends more per beneficiary in ACOs with downside risk compared…
A group of doctors on Thursday said they have the path forward to help the CMS launch a direct provider contracting (DPC) model. America’s Physician Groups, an association of medical groups, submitted a so-called “third option” proposal, where a provider network would receive Medicare funds up front to manage their patients’ care. The suggestion came…
Successful value-based care initiatives require payers to learn which populations experience a high prevalence of chronic disease, where their organizations overspend, and how value-based contracting can solve these problems. Carefully assessing value-based care opportunities, implementing analytics strategies that can accurately identify opportunities, and monitoring success with meaningful quality measures can help payers achieve higher quality…
Last week the conversation about financial risk for providers in ACOs took on a decidedly different and more contentious tone. After months of CMS reports of ACO growth and success, while retreating on MIPS quality reporting requirements as concessions to “provider burden,” CMS signaled that they were finished waiting for providers to accept financial risk…
Leigh Williams has a metaphor she likes to use to describe the shift from fee-for-service to value-based care. It’s about fishing, in a boat on a lake. When there’s a storm forming on the horizon when the barometric pressure starts dropping, that’s when the “fish start biting like mad,” said Williams, administrator of business systems…
Creating strong networks of high-quality healthcare providers can be a major challenge for any payer looking to expand its value-based care contract portfolio. Providers aren’t the only ones accepting risk when entering into pay-for-performance arrangements since payers are also putting revenue and reputation on the line. In order to ensure that a contracting arrangement can…