The coronavirus pandemic afflicted the US healthcare industry at a time when it was already experiencing rising rates of chronic disease, doctor burnout, and staff shortages—but it especially took a toll on some of the most vulnerable, at- risk communities across the country. Widening health disparities are leading healthcare payers and providers to broaden the…
By all accounts, Covid-19 has amplified the discussion around critical health disparities and inequities that have plagued the United States and its most vulnerable patient populations for generations. The past year has exposed how disease does in fact discriminate, and that socioeconomic challenges exacerbate the symptoms of illness. As a result, the healthcare industry has…
Now that the Biden administration is putting a new team in charge of CMS, advocates for accountable care organizations (ACOs) are preparing to push for changes that they say will bolster CMS’ ACO programs and make risk sharing more palatable. The National Association of ACOs (NAACOS) says that ACOs have worked as intended to slow…
A group of leading healthcare industry groups are calling on HHS to provide more full-risk accountable care organization (ACO) model options, including an extension of the popular Next Generation ACO Model. “We are writing to urge HHS to extend this model through 2022 and create a permanent full risk ACO option based on Next Gen…
Fourteen healthcare organizations wrote a letter to HHS urging it to extend the Next Generation Accountable Care Organization model through 2022 instead of letting it expire at the end of 2021. The groups also urged HHS to establish a permanent full-risk ACO option based on the Next Generation Accountable Care Organization model. Full Article
A lot has happened in health care since 2012, when final rules permitted provider-organized ACOs to be the driving force of Value-Based Care under the 2010 Affordable Care Act (ACA). As we pass the ACA’s eleventh anniversary, a dwindling number of Medicare Shared Savings Program (MSSP) ACOs are entering a new phase marked by higher…
The movement to community-based care had momentum even prior to the pandemic, but never has the opportunity for change been more primed than present day. At Chapters Health System, this change was really an expansion of the mission we’ve always served. With the successful launch of our most recent program, Assurity High-Needs DCE, Chapters Health…
CareJourney is a leading provider of cost-effective, clinically relevant analytics for value-based networks and currently supports leading ACOs across the US in achieving their shared savings goals. We do this by combining claims data with other openly available data sets and research-based, open algorithms. Whether you are just starting on your value-based journey or…
The goal of the value movement is to incentivize providers to move away from the traditional fee-for-service model and provide coordinated care for patients with an eye toward improving quality and reducing cost. One key mechanism to achieve this goal is accountable care organization (ACO) models that—because they are offered along a continuum of varying…
The goal of the value movement is to incentivize providers to move away from the traditional fee-for-service model and provide coordinated care for patients with an eye toward improving quality and reducing cost. One key mechanism to achieve this goal is accountable care organization (ACO) models that—because they are offered along a continuum of varying…