Radiologist participation in accountable care organizations (ACOs) is on the rise, a move that could signal an increase in specialty care available to patients. From 2013 to 2018, not only did the number of radiologists participating in ACOs increase more than three-fold overall, but their participation also increased in small-to-medium sized groups, said a team…
CMS won’t extend the Next Generation ACO Model through 2022 but will allow participants to apply for the standard track of its Global and Professional Direct Contracting Model, the agency said in a letter to Next Gens on Friday. The American Hospital Association, National Association of Accountable Care Organizations and other provider groups had lobbied…
For ACOs and DCEs, modeling and evaluating your network for advanced risk models is the key to successfully reducing costs and optimizing your organization’s revenue. Effectively evaluating risk before you take it on requires unparalleled market intelligence and data transparency. But how can ACOs and DCEs optimize their networks and identify the best primary…
Health plans in the United States are increasingly shifting away from traditional fee-for-service (FFS) reimbursement toward value-based care (VBC) models, which incent the quality of care as opposed to quantity. Although the promise of high-quality, cost-effective care is alluring, the adoption of and engagement in these programs has proven challenging for both plans and providers…
If Hollywood can revive old movies or create sequels about stories from years ago, like 1986’s Top Gun, then I can revive some old topics that are still relevant today. Back in 2017, Amy Kotch wrote a Salient Healthcare blog on Patient Engagement. While she certainly highlighted a few key points, such as the value…
High-quality primary care implementation requires significant healthcare payment reform, expanded telehealth capabilities, and team-based care, according to a recent report from the National Academies of Sciences, Engineering, and Medicine. According to the report, 85 deaths per day are associated with the declining workforce in primary care. Compensation in primary care is typically lower than that of specialty…
Patients and physicians like telehealth and want it to continue after the pandemic comes to an end, according to one of the largest studies to examine the mode of practice during COVID-19. But there’s work to be done to make the most of the technology going forward. The AMA collaborated with the COVID-19 Healthcare Coalition—comprised…
The move to value-based care—where payment for volume of services is being supplanted by payment for outcomes of care—has proceeded with remarkable speed since the Affordable Care Act (ACA) went into law a mere ten years ago. Payment for outcomes increasingly focuses on holding providers of healthcare responsible for total costs of care. Accountable Care…
The conversation about transitioning the American healthcare system from fee for service (FFS) to value-based care (aka, pay for performance) has been going on for more than 15 years. Still, it felt like time travel to come across a Health Affairs book review from 2006 by the late Princeton Professor Uwe Reinhardt that could have been written…
Some believe that an ACO’s leadership structure predicts its success. They point to differing savings results for physician-led versus hospital-led ACO shared savings models (MSSPs) to make their case. In particular, they make the argument that future Value-Based Care (VBC) policies should benefit the growth of successful physician-led ACOs, protecting them from policies that force…