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How value-based care helped our independent practice survive 2020

April 26, 2021Garrett SchmittNo CommentsCollaboration, COVID-19, independent practice, quality care, Shared Savings, Specialists, Telehealth, vbc, virtual care

When the COVID-19 pandemic began to disrupt daily life in the U.S., many medical practices were left scrambling. Patient volumes plunged immediately, non-urgent care was postponed, and no one was sure exactly how long the shutdowns and mitigation precautions would last. By late April, 97% of practices reported a negative financial impact from the pandemic,…

Knowing SDOH is Good Medicine

April 26, 2021Garrett SchmittNo Commentscare plans, SDOH

Specialists tend to be valued primarily for their medical expertise, so when a physician takes time to get to know a patient, the doctor is usually praised for having a good bedside manner. But growing evidence shows that knowing about a patient’s life is also crucial to quality of care. For cardiologists, familiarity with those…

It doesn’t have to be ‘either/or’ with value-based payment

April 26, 2021Garrett SchmittNo CommentsCapitated Payments, FFS

Population health and fee-for-service are not a rigid dichotomy. Treating them as such misses a major opportunity for healthcare executives looking to advance strategies to protect fee-for-service payments and volumes from eroding while preparing for the eventuality of a greater share of revenue coming from risk. I should know. At my organization, I am the…

NAACOS Recognizes Three ACOs for Care Improvement Efforts

April 23, 2021Garrett SchmittNo CommentsNAACOS

At its Spring 2021 Conference, the National Association of Accountable Care Organizations (NAACOS) recognized three ACOs for their outstanding work to improve patient care in their communities. NAACOS said the three inaugural winners exemplify how ACOs across the country are improving care by addressing food insecurity, making house calls to reduce preventable emergency department visits,…

FLASH INTERVIEW — Accountable Care Learning Collaborative (ACLC)

April 23, 2021Garrett SchmittNo Comments

 The Accountable Care Learning Collaborative (ACLC) is a non-profit organization focused on accelerating industry readiness for success in value. In our collaborative forums, members contribute their understanding and experience in the real world of value-based care implementation and this information is distilled into functional resources for the entire industry. With its competency-based framework for…

Preparing for the Future of Population Health 4.0

April 22, 2021Garrett SchmittNo Comments

Public Health 1.0 identifies the initiation and growth in both knowledge and tools for medicine and public health. Public Health 2.0 characterizes the development of our traditional public health systems within both local and the federal government. Public Health 3.0 encapsulates the involvement of multiple sectors including other governmental agencies, community-based organizations, and the private…

Value-based care at ‘critical juncture,’ new CMMI chief says

April 20, 2021Garrett SchmittNo CommentsACA, CMMI, HHS

Dive Brief: The Biden administration has paused or pulled some models testing value-based payments in healthcare, but the new director of the CMS agency overseeing model testing said the slowdown doesn’t equate to waning motivation for its mission. Elizabeth Fowler, who took the reins at the Center for Medicare and Medicaid Innovation a few months ago, said…

How Fowler Plans to Refresh CMMI’s Value-Based Care Vision

April 20, 2021Garrett SchmittNo CommentsACA, alternative payment models, Biden, CHART, CMMI, COVID-19, Fowler, Global and Professional Direct Contracting Model, health equity, NAACOS, Risk, vbc

The healthcare system is at a critical point in its transition to value-based care a decade after implementation of the Affordable Care Act and its Center for Medicare and Medicaid Innovation (CMMI), according to CMMI’s newly minted director Liz Fowler, PhD, JD. “The goal [of the ACA] was to create a system that rewards better…

CMMI Chief Fowler: Value-Based Care at a Crossroads

April 20, 2021Garrett SchmittNo CommentsACOs, Biden, CMMI, CMS, Fowler, Geographic Direct Contracting, hospice, Medicare Advantage, Medicare Care Choices Model, MSSP, NAACOS, Primary Care First, Seriously Ill Population, vbc

The Center for Medicare & Medicaid Innovation (CMMI) remains committed to moving the health care system towards value-based care in the early years of the Biden Administration, though the center’s leadership is doing some soul-searching on how best to pursue its mission, according to CMMI’s new director Liz Fowler. Fowler made her first public remarks…

Pause to Alternative Payment Models Gives Some Providers a ‘Golden Ticket,’ Leaves Others Behind

April 20, 2021Garrett SchmittNo Commentsalternative payment models, Biden, CMMI, CMS, DCEs, Global and Professional Direct Contracting Model, Medicare

The Global and Professional Direct Contracting Model — a Center for Medicare & Medicaid Innovation (CMMI) creation — has been put on pause. The holdup is just another example of CMMI pumping the brakes on an alternative payment model in the days since the Biden administration took over the executive branch. Broadly, the Global and…

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