Everyone who’s reeling from 2020 is hoping for light in 2021. Health care, especially—systems, hospitals, clinical practices and their providers—wants the pain to stop. What might lie ahead for health care next year? Here’s what we’re thinking about the near future, and what you should watch for in 2021. 1. Health care providers will be…
In this webinar, Trella’s presenters cover the main takeaways from recently conducted market research with ACO leaders, including: Top priorities for ACOs The increasing importance of post-acute care partnerships Tools needed to effectively build and manage a top-performing network Speakers: Rebecca Molesworth– VP, Product Management, Trella Health Kirsten Reed– Product Marketing Director, Trella Health…
If there were ever any doubts about the seriousness of CMS’ commitment to transitioning the nation’s healthcare system from one based on volume-based to value-based compensation models, those doubts were squashed by a recent CMS blog post and bulletin, announcing the implementation of very significant temporary “flexibilities and adjustments” to various valued-based care (VBC) programs…
Healthcare data sharing is central to a successful value-based care strategy, according to Jamie Reedy, MD, MPH, chief of population health for Summit CityMD. “If the physicians and care teams don’t know their quality scores, or they don’t know if they’re actually getting the right patients in for care, or they don’t know that their patients…
The Affordable Care Act in 2010 established an innovation center within CMS and facilitated the testing of various payment reform models focused on improving patient care and population health without increasing costs and lowering them where possible. As part of these efforts, CMS rolled out the Medicare Shared Savings Program (MSSP) in 2012, which allowed eligible…
Since 2019, the Medicare Shared Savings Program (MSSP) has allowed accountable care organizations (ACOs) in the Basic or Enhanced tracks to choose either retrospectively or prospectively attributed ACO patient populations. Seriously ill patients with high needs, costs, and functional limitations have a high risk of death and may benefit from ACO care management strategies. Little is…
As health care moves into the digital age, patient experience measurement—a cornerstone of today’s value-based health care movement—also must become digital. The results could mean a dramatic leap forward in how, and how well, the voice of the patient is heard. Twenty-five years ago, the Agency for Healthcare Research and Quality (AHRQ) launched the Consumer Assessment…
Team-based, coordinated care is critical to the ACO model. As patients move between primary care physicians, specialists, hospitals, and other healthcare providers it is difficult to maintain a comprehensive patient record. Avoiding duplicative or unnecessary care and identifying gaps in care are particular challenges for practices that use disparate EHRs. Listen to learn how…
CMS’ Center for Medicare and Medicaid Innovation on Thursday unveiled its highly anticipated Geographic Direct Contracting Model. The model—dubbed “Geo”—aims to improve health outcomes and lower healthcare costs for Medicare’s fee-for-service beneficiaries across entire geographic regions by encouraging participants to work together to improve care coordination and care management. So-called direct-contracting entities, the Innovation Center’s…
In a mere 2,165 pages, CMS has solidified the provisions of the 2021 Physician Fee Schedule and Quality Payment Program (QPP) Final Rule. The Final Rule strongly resembles the Proposed Rule, and the implications, particularly for ACOs, are staggering. Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs) and the Alternate Payment Model (APP) Pathway The most…