Roji Health Intelligence® guides organized health care systems and their providers on the path to Value-Based Health Care. We help our clients earn a reputation for delivering measurable clinical excellence at reasonable cost, with customized services via our ONC-certified technology platform, Roji Health Intelligence Clinical Data Registry (CDR). Our pioneering Roji ACO+ Network: Select…
When you think of the saying “leave no stone unturned”, what comes to mind? Maybe something of value was lost, and you were fervently trying to find it or perhaps a loved one was going through an illness, and you were doing all you could to search for a cure. Well, interestingly the saying is…
Value-Based Reimbursement—once focused on incentives and shared savings—now more often means capitation. Whether adopting Medicare Alternative Payment Models (APMs) or contracting with health plans, physician groups and health systems have signaled greater willingness to adopt these new Risk payment models with their guaranteed payments for attributed patients. But here’s the problem: If you don’t have good data…
Community Care Cooperative’s (C3’s) unique accountable care organization (ACO) model enables population health management to overcome the social determinants of health needs of their patients. Christina Severin, MPH, president and chief executive officer of C3 discussed her organization’s population health strategy and the role social determinants of health play in that strategy in a recent…
Broad consensus has long existed among public- and private-sector leaders in US healthcare that improvements in healthcare affordability will require, among other changes, a shift away from fee-for-service (FFS) payments to alternative payment models that reward quality and efficiency. The alternative payment model that has gained broadest adoption over the past ten years is the…
The nationwide association dedicated to promoting the interests of the accountable care organizations (ACOs) operating across the U.S. healthcare system has sponsored research that validates the association’s contention that legislation recently introduced into Congress around ACOs and other alternative payment models (APMs), will save the Medicare program hundreds of millions of dollars a year. The…
A few years ago, Massachusetts renewed its Medicaid Section 1115 waiver and transformed MassHealth, the state’s Medicaid program, from an MCO to an ACO. Community Care Cooperative (C3), a federally qualified health center (FQHC)-owned ACO based in Boston, analyzed the opportunity to start an ACO and avoid being members of larger organizations where they would likely not have a primary care-led…
Earlier this week, the Centers for Medicare & Medicaid Services (CMS) announced a new model designed to test approaches to supporting rural providers and communities in their efforts to transform their care delivery systems to promote accessible, high-value care. The new Innovation Center (CMMI) initiative, called the Community Health Access and Rural Transformation (CHART) Model,…
Health care has been drained emotionally and financially by the COVID-19 pandemic. Yet, in a surprising twist, that trauma has accelerated providers’ willingness to adopt financial Risk. You may be one of many providers who have suddenly realized the value of predictable revenues like capitation. Receiving continual payments for attributed patients is appealing, especially when…
The Centers for Medicare and Medicaid Innovation on Tuesday unveiled a new alternative payment model for rural providers. The Community Health Access and Rural Transformation—CHART—model will give rural communities money upfront to change how they pay for and deliver care to Medicare beneficiaries. It will also provide them with operational and regulatory relief, as well as technical…