Garrett Schmitt | VBCExhibitHall Library

RECORDED WEBINAR: 3 Steps for Network Success: Prioritize Patient Satisfaction, Optimize Referral Management & Drive Network Growth

June 24, 2021Garrett SchmittNo CommentsWebinar, webinars

Healthcare organizations struggle to identify exactly why referrals are being sent out of the network. With changing regulations, goals, payment models, and incentive plans, today’s ACOs have to be agile. During this webinar, Salient Healthcare and Proficient Health discussed the key steps that your organization needs to take in order to successfully develop and…

Integrating Data Systems To Support Value-Based Contracts

June 23, 2021Garrett SchmittNo CommentsACOs, care coordination, CCBHCs, coordination of care, information systems, integrated data, MA Plans, reimbursement models, value-based care, value-based contracting

The US health care system is increasingly moving towards value-based care to promote improved health outcomes for Americans. This can be seen across Medicare Advantage Plans (MA Plans), Accountable Care Organizations (ACOs), and Certified Community Behavioral Health Centers (CCBHC), among others. This movement also demands a transformation of reimbursement models to value-based contracting, with a…

Number of Accountable Care Organizations Declined During COVID-19

June 22, 2021Garrett SchmittNo CommentsACOs, APMs, CMMI, CMS, COVID-19, Medicare, MSSP, Value Based Reimbursement, value-based contracting

Accountable care organization (ACO) growth has hit a snag again, with the COVID-19 pandemic impacting the number of ACOs in public and private contracts, according to a new analysis. The analysis published in the Health Affairs blog found that ACO growth has plateaued over the last couple of years, starting in 2019 when CMS introduced…

Maximize Your Value-Based Care Bottom Line

June 22, 2021Garrett SchmittNo Commentsbottom line, quality measures, SDOH, value-based care, vbc, VBC models

The transition from traditional fee-for-service (FFS) payments to valuebased reimbursement models is fundamental to the future of healthcare. Rather than rely on the number of tests or procedures to inform financial reimbursement, value-based care (VBC) models incentivize providers to deliver on three components: improving the patient care experience, improving the health of populations, and reducing…

To combat readmissions and network leakage, ACOs need real-time data that supports network visibility

June 21, 2021Garrett SchmittNo CommentsACOs, CMS, Data, hospital readmissions, MSSP, network leakage, network visibility, networking, Readmissions

Nationwide, accountable care organizations report that it’s becoming more challenging to do business and the stakes are higher than ever. They are taking on more financial risk as CMS shifts Medicare Shared Savings Program ACOs into downside or two-sided risk tracks. Meanwhile, patients are aging, chronic conditions are on the rise and more specialists are…

Study Finds No Spending Difference Between Voluntary, Mandated Bundled Payment Programs

June 20, 2021Garrett SchmittNo Commentsbundled payment models, bundled payment programs, Bundled Payments, CMS, mandated bundled payment, mandatory bundled payment, mandatory models, voluntary bundled payment, voluntary models

One critique of many of the value-based program launched by CMS is that they have been voluntary. That self-selection clouds results, goes the critique, because hospitals (and physician practices) that elect to participate in a program likely have attributes going into the program that will make them successful. As a result, favorable outcomes or spending…

Social Isolation Key SDOH Impacting Health, Mortality Outcomes

June 18, 2021Garrett SchmittNo CommentsCOVID-19, isolation, JAMA, loneliness, LTC facilities, mortality, SDOH, social isolation

Social isolation, a key social determinant of health (SDOH) can have a negative effect on mental and physical health outcomes. Individuals in long-term care (LTC) facilities have higher 30-day mortality rates when the facility is in a socially isolated location, according to a study from the Journal of American Medical Association (JAMA). Since the coronavirus…

Value-based care shift hits inflection point with tech and policy advancements

June 18, 2021Garrett SchmittNo Commentscare coordination, chronic kidney disease, CKCC, CKD, CMS, Comprehensive Kidney Care Contracting, COVID-19, Data, end-stage renal disease, ESRD, ESRD Treatment Choices, ETC, Medicare, Medicare Advantage, policy, technology, value-based care, vbc

The healthcare industry in the U.S. has spent a whole generation talking about moving from a fee-for-service to a value-based model, focusing more on improved patient outcomes and early interventions rather than disease treatment. This shift has occurred gradually, sometimes purposefully, and sometimes in fits and starts, but overall, it has been slower than expected….

The Interoperability Effect: Driving Value-Based Care and Financial Health

June 18, 2021Garrett SchmittNo CommentsCOVID-19, Data, data systems, EHRs, financial health, Interoperability, technology, technology integration, technology interoperability, technology strategies, value-based care, vbc

To say that hospitals and health systems have had to do more with less in the past 18 months is the understatement of a lifetime. These organizations have faced more than their fair share of unexpected challenges – from spiking patient demand, increasing costs and lost revenue, to overworked staff, a downturn in elective procedures…

Network Leakage: The Cause & Effect

June 18, 2021Garrett SchmittNo Commentsleakage

Technology has the opportunity to create seamless communication for healthcare organizations, providing a secure and efficient method for ensuring patient, staff and provider satisfaction. It can enable better collaboration for healthcare providers and improves care coordination and delivery. But what happens when technology, such as EHRs, do not communicate with one another? The value in…