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Effective Care Management by Next Generation Accountable Care Organizations

July 14, 2020Garrett SchmittNo Comments

ABSTRACT Objectives: The objectives of this study were to estimate the utilization and spending impact of a standardized complex care management program implemented at 5 Next Generation accountable care organizations (NGACOs) and to identify reproducible program features that influenced program effectiveness. Study Design: In 2016 and 2017, high-risk Medicare beneficiaries aligned to 5 geographically diverse NGACOs were…

AMGA Calls for Medicare Shared Savings Program Changes Amid COVID-19

July 14, 2020Garrett SchmittNo CommentsAMGA, NAACOS, Seema Verma

CMS should keep the 2021 application cycle for the Medicare Shared Savings Program (MSSP) open and implement other changes to the program to protect providers from excessive costs incurred during the pandemic, the American Medical Group Association (AMGA) recently urged. “CMS has instituted a number of changes to support providers and their patients during the…

RECORDED WEBINAR — 2020 Redirected: A Fireside Chat with ACO Leaders on the Impact, the Comeback & the Future for Accountable Care Organizations

July 9, 2020Garrett SchmittNo CommentsWebinar, webinars

 DOWNLOAD SLIDES COVID-19 has impacted our country like we’ve never experienced and the healthcare industry has been at the center of it all. Join Proficient Health and ACO leaders to discuss the challenges, changes, and most importantly what’s to come in the remainder of 2020. Topics to be discussed: The pandemic’s affect on the…

Standalone ACOs Saved More Than Hybrid Medical Home Models

July 9, 2020Garrett SchmittNo Comments

Accountable care organizations (ACOs) and patient-centered medical homes (PCMHs) both saved money compared to standard care, but combining the alternative payment and care delivery models did not lead to double the savings, according to a new study from the University of Toledo. The study recently published in the American Journal of Managed Care found that standalone ACOs and standalone…

COVID-19: A Forcing Function for Value Based Care?

July 7, 2020Garrett SchmittNo Comments

COVID-19 is alive and well in the U.S. In the last six days alone, COVID cases have increased by over 386,000. We never got over the first wave and here we go again with a dramatic rise in new cases in the majority of states across the country. The previous surge, targeting the mid-Atlantic, Northeast…

Nearly 70% of ACOs Will Soon Offer Some Type of Home Visits

July 5, 2020Garrett SchmittNo CommentsNAACOS

More than half of all accountable care organizations (ACOs) deliver home-based care to their patients, while an additional 17% have new home visit programs in the works. That’s according to a recent survey of National Association of ACOs (NAACOS) members, conducted in conjunction with the Institute for Accountable Care (IAC) and West Health Institute. Washington,…

Telemedicine in the Time of Coronavirus

July 1, 2020Garrett SchmittNo Comments

Within weeks, COVID-19 has transformed our practice of palliative care and clinical medicine as we know it. Telemedicine has emerged as a critical technology to bring medical care to patients while attempting to reduce the transmission of COVID-19 among patients, families, and clinicians. It is also increasingly necessary to preserve scarce resources like personal protective…

How To Start Redressing Racial Bias And Reducing Health Care Inequities

July 1, 2020Garrett SchmittNo Comments

In recent weeks there have been many cries for the health care system to finally address racial inequities. Now is the moment to harness that energy toward a process of substantive change. Value-Based Health Care is not achievable without addressing racial inequities that drive costs and poor outcomes: patient disengagement, higher risk factors, greater admissions,…

Payers Continue to Expand Value-Based Contracting Despite COVID-19

June 30, 2020Garrett SchmittNo Comments

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) will financially support local independent primary care practices as they transition to value-based care during the coronavirus pandemic, the payer announced. The payer will offer payments to providers who enter into value-based contracts based on capitated payment models. “Collaborating with the primary care community has…

As Hospitals Lose $50B Per Month, Home Health Providers Consider New Acquisition Opportunities

June 28, 2020Garrett SchmittNo Comments

Across the U.S., hospital systems are bleeding money. The coronavirus is largely to blame, with most of the country suspending elective procedures and non-essential hospital services for the majority of spring. The American Hospital Association (AHA), for example, estimates that COVID-19’s financial impact to hospitals and health systems over the four-month period from March 1 to June…

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