Healthcare has been moving to a more digital, streamlined patient experience from registration through clinical care and final bill payment. The transition from manual, retroactive processes to digital experiences that help with clinician and consumer engagement has been slow for many organizations. Consumers have demanded more options, including more self-service options, less complicated medical bills, increased engagement…
To date, 48 states plus the District of Columbia have implemented value-based care initiatives in one form or another. Driven by both efficiency and outcome, value-based care (VBC) models rely heavily on healthcare data from payors, providers, and patients in order to optimize performance. As more healthcare systems accept VBC models as the way of…
Medicare ACO savings hit a record high, with accountable care organizations collectively saving Medicare $4.1 billion in 2020, according to a new report. The total savings, along with the $1.9 billion in net savings after accounting for shared savings payments, made 2020 the best year yet for the Medicare Shared Savings Program, report author National Association…
The fast-spreading Delta variant is the dominant strain of a virus many had hoped would be eradicated by now. COVID-19’s Delta variant was first identified in India in December of 2020. Now Delta accounts for 97 percent of new infections in the United States, according to data from the Centers for Disease Control (CDC). The growing impact of Delta…
Your ACO’s most significant costs may seem obvious. CMS and most ACOs have put an enormous emphasis on reducing utilization of hospital facilities and nursing home care to control costs. But your real key to cost reduction is knowing what drives avoidable admissions and stays in the first place. And with 50-60 percent of costs…
As Congress starts drafting a massive $3.5 trillion infrastructure package, a collection of provider groups is making a case for value-based care legislation to be included. Twelve hospital and physician groups wrote a letter to key House and Senate committee leaders Tuesday asking for the Value in Health Care Act to be included in the package. The…
The transition from treating patients at a provider’s site to delivering care in the home and community requires two things: an ability to incorporate social determinants of health (SDOH) into the care coordination process and the inclusion of value-based care (VBC) and community-based organizations (CBOs) as compensated care delivery partners in VBC networks. For health…
Accountable care organizations saved Medicare $4.1 billion in 2020 and nearly $2 billion after taking out shared savings, according to new federal data. The data, announced Wednesday by the National Association for Accountable Care Organizations (NAACOS), are an improvement over the $2.6 billion in shared savings they generated in 2019 and $1.9 billion after taking…
The Medicare Shared Savings Program collectively saved Medicare $4.1 billion last year and $1.9 billion after accounting for shared savings payments. It is the highest annual savings to date for the accountable care organization model that served 10.6 million seniors in 2020. The accountable care organizations had an average quality score of 97.8% and 60…
On Wednesday, Aug 25, leaders at the Washington, D.C.-based NAACOS—the National Association of ACOs—trumpeted the progress of accountable care organizations in saving money for the Medicare program, one day after joining eleven fellow national healthcare associations in pleading with members of Congress to include legislation supporting alternative payment model acceleration in upcoming federal legislation. On…