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Why Health Equity Will Be Measured In Value Based Health Care

January 25, 2021Garrett SchmittNo Comments

After the first wave of COVID-19 case numbers and deaths in Spring 2020, it was Mayor Lori Lightfoot of Chicago who broke the story of how the virus was distinctly ravaging Black and brown communities with higher hospitalizations and deaths. In Chicago, alone, Black residents were dying from COVID-19 at six times the rate of other…

ACO Participation Hits New Low as Biden Administration Takes Over

January 25, 2021Garrett SchmittNo CommentsClif Gaus, HHS, NAACOS

Accountable care organization (ACO) participation in the Medicare Shared Savings Program has hit a new low in 2021, according to new data from CMS. The data dropped by CMS this week showed that 477 ACOs are participating in Medicare’s flagship ACO program in 2021, down from 517 ACOs in 2020. The ACO participation number is…

NAACOS Warns Policymakers Over Slowing ACO Participation in the MSSP Program

January 22, 2021Garrett SchmittNo CommentsNAACOS

On Jan. 21, the leaders of NAACOS, the Washington, D.C.-based National Association of ACOs, published a press release to the association’s website referencing newly published data from the Centers for Medicare & Medicaid Services (CMS) that shows a concerning drop in participation in the Medicare Shared Savings Program (MSSP) over the past year. As the press release published Thursday…

ACO participation reaches new low as advocates press Biden for major changes

January 21, 2021Garrett SchmittNo Comments

The number of accountable care organizations participating in the Medicare Shared Savings Program this year shrank to 477, down from 561 in 2018, new data shows. The National Association of ACOs blamed several Trump administration policies for the decline and pressed for the Biden administration to boost participation. The new administration needs to “re-examine the…

Skilled Nursing Facilities Lack Enhanced Patient Data Sharing

January 19, 2021Garrett Schmitt2 Comments

Skilled nursing facilities (SNFs) reported significant deficiencies in the completeness, timeliness, and usability of patient data sharing from hospitals to SNFs, according to a study published in JAMA Network Open. This negatively impacts transitions of care. SNFs serve patients that often have high-risk or complex chronic conditions and care needs, resulting in frequent transitions between home, acute, post-acute,…

Re-thinking Alternative Care Models and Value-based Care

January 18, 2021Garrett SchmittNo CommentsCMMI

Last Wednesday, the venerable New England Journal of Medicine published “CMS Innovation Center at 10 Years — Progress and Lessons Learned” authored by Brad Smith, the Director of the Center for Medicare and Medicaid Innovation. After 10 years and $20 billion, he concluded that “value-based care will achieve its promise only if the federal government…

RECORDED WEBINAR — Achieving Shared-Savings During COVID: Implementing Complex Case Management in an IDD World

January 14, 2021Garrett SchmittNo CommentsWebinar, webinars

 DOWNLOAD SLIDES In this webinar The Alliance for Integrated Care of New York (AICNY), a New York City-based Accountable Care Organization, speaks to how they have continued to achieve shared savings, with the country’s largest intellectual and developmental disabilities (IDD) population, amongst the COVID pandemic challenges. Implementing complex case management (CCM), telemedicine, and targeted…

FLASH INTERVIEW — Vivify Health, January 2021

January 14, 2021Garrett SchmittNo Comments

 Tackle quadruple aim as an ACO with Vivify Health. Improve patient outcomes, lower your cost of care, improve care team and provider experiences and improve the patient experience with a proven solution. By utilizing Vivify Pathways platform we can to help solve these challenges by facilitating care coordination and collaboration to provide continuous care…

CMS Issues Guidance for Medicaid and CHIP Programs Regarding Social Determinants of Health

January 14, 2021Garrett SchmittNo Comments

In a letter to state health officials on January 7 (SHO# 21-001), CMS encouraged state Medicaid and CHIP programs to address and support social determinants of health (SDOH) in their programs. This represents an important breakthrough for addressing health disparities which more often affect persons of color and in poverty. SDOH is a holistic approach…

Next Generation ACOs Saved Medicare $558M in 2019

January 14, 2021Garrett SchmittNo CommentsFFS, NAACOS

Accountable care organizations (ACOs) taking on the greatest financial risk in Medicare through the Next Generation ACO Model saved the public payer over $558 million in 2019, according to partial data from CMS. CMS released the data yesterday on 37 of the 41 Next Generation ACOs participating in 2019. The data excluded savings and quality data from…

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