This week I saw the above heading on a promotional email from Healthjump. I clicked on a link to their live virtual exhibit room and was very impressed by the overall experience and my interaction with the team. Further, I thought this was exactly the message that should be sent from the ACO ExhibitHall (ACOEH) to all those exhibitors…
Today, as we confront a viral threat that is challenging our health system, its capacity, and how care is financed, it seems appropriate to review some fundamentals. Health care reform has been speeding down a particular track, changing how health care is covered, paid, delivered, and organized. These reforms may seem to be about health…
In response to questions from stakeholders, CMS published a calendar March 9 of key dates for the Medicare Direct Contracting Model. CMS’ Innovation Center unveiled the Direct Contracting Model in April 2019 as part of an initiative that includes several new payment options for healthcare organizations. Directing Contracting includes two payment model options aimed at reducing expenditures and improving…
Despite the popularity of accountable care organizations, leaders are still more concerned about maintaining the strength of the bottom line. One-quarter of provider organizations have revenue tied to value-based payments (VBP), according to a survey commissioned by DataGen and conducted by Sage Growth Partners that was released Tuesday morning. The majority of providers plan to enter into…
While specialists have argued that they don’t have enough opportunities to participate in value-based payment models, new federal research suggests that isn’t the case. Specialists have significant chances to be part of alternative payment models and accountable care organizations, according to the Medicare Payment Advisory Commission, which held its monthly meeting Thursday and Friday. But ACOs determine the role…
Humana is bringing its value-based care know-how together with its aptitude for tackling social determinants among its Medicare Advantage (MA) members. The insurance giant announced it’s launching a new value-based care model to support providers in identifying and addressing several social concerns. The program will cover “enhanced” care coordination for patient screenings, documentation of assessment findings and linking patients to resources….
Alternative payment models (APM) primarily run by Medicare have generally produced modest savings and quality improvements. However, popular APMs including accountable care organization (ACO) and bundled payment models have high drop-out rates, which may indicate a problem with downside risk, according to a new review article in Health Affairs. The article reviewed 40 APMs operated by the CMS…
What if your best route to viability was the high-risk path you feared the most, because that failure might destroy you? That’s the question Accountable Care Organizations (ACOs) have been asking this week—whether to participate in Medicare’s new Direct Contracting (DC) initiative. With a shift in payments from Fee for Service (paid per-provider service), to…
Residents of western New York will have access to the region’s first behavioral healthcare provider group with a value-based reimbursement arrangement, BlueCross BlueShield of Western New York announced in a statement emailed to journalists. BlueCross BlueShield entered into the value-based reimbursement arrangement with Value Network. The provider group has over 100 providers in behavioral healthcare…
In this webinar, Ms. Theresa Hush discusses the following followed by a Q&A session: How the Value-Based Market is shaping up to compete between Medicare Advantage, ACOs, Primary Care First practices and Direct Contracting Groups What represents “true competition” for ACOs, versus disadvantages? · What brand or other competitive advantages does Direct Contracting have…