Join Salient Healthcare and Pinnacle Healthcare Consulting to explore how the intersection of consulting and technology can move an Accountable Care Organization forward. Topics to be covered: Why the current climate is making it hard for ACOs to survive How consulting services can make a significant impact on lowering costs The role of technology…
New bipartisan legislation aims to create more accountable care organizations by boosting the percentage of shared savings for new entrants and making a series of other reforms. The Value in Health Care Act introduced on July 24 proposes several changes to Medicare’s alternative payment models. It would boost payments for not only ACOs but also extend…
Often in healthcare, it’s very important to be able to document information and insights that experts and leaders already knew before the research was done. That certainly seems to apply in this instance, in which a study has been published in the July issue of the American Journal of Managed Care that confirms that complex care management…
U.S. employers ranked Cigna the highest and UnitedHealthcare the lowest for its efforts to drive value-based healthcare, according to a new survey from The Leapfrog Group. For its survey, Leapfrog asked executives that administer and fund benefits for its workforce to rate their plan on responsiveness to employer priorities, transparency, payment reform and value strategy. More than…
The care management provided by accountable care organizations (ACOs) participating in Medicare’s Next Generation ACO program is proving highly effective, according to a study published in the July issue of the American Journal of Managed Care (AJMC), with care management resulting in a 21-percent reduction in hospitalizations and a 22-percent reduction in costs. The article, entitled “Effective…
For many health systems and groups, episodes are esoteric. Providers often think of them only in context of risk-based payment models like bundled payments and capitation. Navigating Value-Based Health Care contracts, providers analyze and model performance under Fee-for-Service and episode-based payments to decide their course of action. Or, if already in Value-Based reimbursement, they use them as…
Reaching the critical mass of participants in alternative payment models (APMs) necessary to move our health care system away from fee-for-service will require a significant increase in specialist participation. Currently, the two most common approaches to payment reform struggle to do this, despite their distinct approaches. Primary care–based models such as accountable care organizations (ACOs) lack clear…
During the Coronavirus pandemic, the Centers for Medicare and Medicaid Services (CMS) has taken unprecedented action to expand telehealth for Medicare beneficiaries. Since people were advised to stay at home to reduce risk of exposure of COVID-19, there was an urgency to increase access to telehealth services to help people who need routine care and…
Blue Cross Blue Shield of Massachusetts (Blue Cross) announced a new value-based payment model that offers small practices financial support through a global payment, upside risk incentives, and an immediate support payment. “Many independent primary care physicians want to practice medicine in a way that’s more patient-centered and less focused on tests and procedures, but they have…
A national primary-care physician association and an employer group have teamed up to develop a care model that aims to shift away from fee-for-service reimbursement. The American Academy of Family Physicians and National Alliance of Healthcare Purchaser Coalitions plan to leverage regional employer coalitions and physician networks to form a national primary-care model based on…