It’s been a decade since the launch of accountable care organizations, but many are still struggling to realize their original goal: providing high-quality care while lowering, or at least slowing the rise of, the nation’s health care spending. That was the message Michael Chernew, PhD, and Jay Crosson, MD, the current and immediate past presidents,…
Enjoin delivers our ACO clients complete solutions to support the capture of patient complexity, accurate Risk Adjustment Factor (RAF) scores and capture of Hierarchical Condition category (HCCs). With physician-led education, program development, Pre-visit Planning, and our CDocT web-based module, we ensure evidenced-based care is accurately reflected through precise documentation and coding. With over 30…
With the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), CMS did away with the Sustainable Growth Rate model. Now, they are able to reward high-value, high-quality Medicare clinicians with payment increases, while at the same time reducing payments to those clinicians who aren’t meeting performance standards. CMS intentionally wanted to make sure that…
Citing the ongoing COVID-19 public health emergency, 10 leading healthcare organizations are urging CMS not to move forward with changes to how accountable care organizations and other alternative payment models are assessed on quality in the Medicare Shared Savings Program and the merit-based incentive payment system. The proposed changes are in the 2021 proposed physician fee schedule….
In mid-September, CMS released 2019 results from its Medicare Shared Savings Program ACOs, with participants generating a record $1.2 billion in total net savings for the program. Becker’s reached out to executives from ACOs that earned some of the most shared savings in 2019 to share what strategies and best practices they believe led to their positive results….
Accountable care organizations had a record year, according to the latest performance data for the Medicare Shared Savings Program. CMS recently announced that organizations participating in the program – which are otherwise known as ACOs – saved Medicare nearly $1.2 billion in 2019 while maintaining a high level of care quality as measured by longstanding program metrics….
HealthEC offers a KLAS-recognized, end-to-end population health management platform designed to help ACOs succeed with value-based care. Our HealthEC CareConnect® generates personalized, clinically-proven plans that enable teams, including community-based resources, to deliver patient-centric care. Advisory services are also available to guide our ACO partners in defining their strategic goals as they transition from volume…
By integrated home sleep testing and apnea care management Sharp Community Medical Group (SCMG) has reduced high cost utilization by over 90% during the past decade. Learn how your ACO can find meaningful savings by integrating a virtual sleep management program. Download Slides
With CMS recently releasing MSSP 2019 performance results and the lingering pandemic, ACOs across the country are evaluating and shifting their priorities. Our organization would like to get a better handle on the issue at large and how it continues to affect ACOs this year and in the future. Proficient Health is conducting market research…
ACOs have largely sidestepped the cost transparency dispute raging between Medicare and medical providers, especially hospitals, due to CMS rules requiring providers to give consumers coverage-based cost estimates. If you’re an ACO, you probably assume that cost transparency is not your problem. So you probably won’t like to hear that your ACO should be helping…