Garrett Schmitt | VBCExhibitHall Library

Chief Medical Officer’s Guide: Tracking Provider Performance, Reducing Low-value Care, and Improving Healthcare Accessibility

October 22, 2021Garrett SchmittNo CommentsChief Medical Officer, Chief Medical Officer's Guide, CMO, healthcare accessibility, provider performance, quality of care, value of care

The role of chief medical officer (CMO) is ever-evolving, with crucial responsibilities added year-over-year, including guiding organizational strategy, managing gaps in care infrastructure, overseeing technology acquisition and implementation, and streamlining process improvement, among others. This guide presents solutions to CMO’s top-of- mind issues using CareJourney’s platform of clinically relevant analytics derived from one of the…

Next Generation ACO Model Has Saved Medicare $667M, So Far

October 21, 2021Garrett SchmittNo CommentsACO, ACOs, alternative payment models, APMs, CMS, Medicare, Medicare savings, Next Gen, Next Generation, Next Generation ACOs, Next Generation model

The Next Generation Accountable Care Organization (ACO) Model has saved Medicare millions of dollars over the past four performance years. But with one more year to go due to the COVID-19 pandemic, the Model is actually operating at a loss. Next Generation ACOs have saved Medicare nearly $667 million thanks to reductions in Parts A…

BMA: Medicare Advantage Offers Lower Costs, Better Benefits Than FFS

October 21, 2021Garrett SchmittNo Commentsfee-for-service, FFS, Medicare, Medicare Advantage

Medicare Advantage plans offer members additional benefits and require less spending from the federal government compared to fee-for-service (FFS) Medicare, according to a report commissioned by Better Medicare Alliance’s Center for Innovation in Medicare Advantage. The management consulting company Milliman conducted the report by analyzing FFS Medicare and Medicare Advantage cost, enrollment, and benefit data from CMS…

RECORDED WEBINAR: CCM & PCM: Netting Higher Patient Outcomes and Increased Financial Incentives

October 20, 2021Garrett SchmittNo CommentsCCM, Chronic Care, Chronic Care Management, financial incentives, patient outcomes, PCM, Principal Care Management, value-based care, vbc

Download Slides Salient Healthcare will discuss the importance of Chronic Care Management (CCM) and Principal Care Management (PCM) initiatives. In this webinar you’ll learn: – How properly utilizing CCM and PCM services can benefit patients, providers, and value-based organizations – How to implement improvements in your CCM/PCM workflow – How to quickly analyze your…

New ACO Playbook: How To Supercharge Your ACO

October 20, 2021Garrett SchmittNo Commentsaccountable care, ACO, ACO Growth, ACO Performance Pathways, ACO success, ACOs, APP, Data, data sufficiency, Episodes of Care, patients, physicians

Throughout the last decade of ACO development, many have struggled to identify what actually makes ACOs successful. Analyses have been fraught with conflicting conclusions. Studies have tagged type of ownership (hospital-based vs. physician-led), geographic region or urban-rural factors, primary-care-only versus specialty participation, ACO payment model type, patient volume, and operations strategies as links to success…

Analysis: How COVID-19 Vaccination Rates Vary Across Different Communities

October 20, 2021Garrett SchmittNo CommentsBiden administration, BioNTech, CMS, community health, Coronavirus, COVID, COVID-19, COVID-19 pandemic, COVID-19 vaccine, EUA, FDA, Janssen, Johnson & Johnson, Medicare, Moderna, Pfizer, Pfizer-BioNTech

The year of 2020 was dominated by the news of how COVID-19 spread around the world, and how life has been changed by the disruption of this pandemic. We have witnessed the journeys of battling the disease, dedication and sacrifices by the front-line heroes, and the emotional roller coaster of wondering when this pandemic would…

Downside Risk Pays Off: 4 Best Practices for High ACO Performance

October 19, 2021Garrett SchmittNo CommentsACO performance, ACO success, ACOs, CMS, Data, data aggregation, Downside Risk, Medicare, Medicare Shared Savings Program, MSSP, Patient Engagement, performance monitoring, population stratification, Risk

The Medicare Shared Savings Program, the accountable care organization (ACO) model that served 10.6 million seniors in 2020, collectively saved Medicare $4.1 billion last year, and $1.9 billion after accounting for shared savings payments, according to the National Association of ACOs and as recently published in Healthcare Finance. 513 ACOs participated in the Shared Savings Program in 2020, down…

Who is Generation C and how will healthcare adapt to meet their expectations?

October 17, 2021Garrett SchmittNo Commentsconsumers, Coronavirus, COVID, COVID-19, COVID-19 pandemic, Generation C, Generation Covid, pandemic, patient access, Patient Engagement, patient experience, patients, payments

While the term “Gen C” was first introduced circa 2012 by futurist Brian Solis as a way of describing a generation of connected consumers defined not by their age, geography, or income but by their hyper-connected, mobile-first mentality, it’s increasingly being used to describe post-pandemic-born babies. It’s also been applied to the mindset and expectations…

Key Characteristics for Successful Downside Risk Contracting

October 15, 2021Garrett SchmittNo Commentscontracting, downside risk contracting, healthcare payers, KLAS, Payers, Population Health, Population Health Management, Risk, risk contracting, risk management, value-baed reimbursement, value-based care, value-based contracting, VBR

Organizations that do strong vendor relationships, invest in the organization, and are willing to take on commercial risk will be poised to take on downside risk financial contracts. Through working with population health management vendors, KLAS released a recent report identifying which of their customers are most advanced in adopting downside risk contracts. In the…

What is person centered care?

October 14, 2021Garrett SchmittNo CommentsCost Reduction, customized care, health outcomes, person centered care, person-centered, SDOH, social determinants of health

Person-centered care is a framework that healthcare payers and providers use to ensure care plans address the full spectrum of health-related needs that members face, including medical, behavioral, and social determinants of health (SDOH). In contrast to other models of care, a person-centered approach to care recognizes that each member deserves a care plan that…