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Risky Business: ACO checklist for 2020 includes embracing new payment models and physician re-engagement

January 3, 2020Garrett SchmittNo CommentsMA, medical advantage, pathways, Pathways to Success

The term accountable care organization (ACO) dates back to at least 2006. The Affordable Care Act then made ACOs a fast-growing trend thanks to the Centers for Medicare and Medicaid Services (CMS) launching its Shared Savings Program in 2012. Since then, ACOs have been at the forefront of the value-based care model transition, taking incremental steps…

In response to providers, CMS offers further specifics about direct contracting

January 2, 2020Garrett SchmittNo CommentsCMS, DCEs, direct contracting, Medicare, providers

Medicare has clarified that providers cannot participate in both accountable care organizations (ACOs) and coming direct-contracting arrangements after 2020. The clarification — and others — came amid early provider feedback on the model, which is slated to start this spring. Providers sought a range of clarifications on the Direct Contracting model from staff of the Centers for…

Patient Engagement Technology Looms Large for 2020 Health Trends

December 27, 2019Garrett SchmittNo Comments

Patient engagement technology will be the name of the game in 2020, as more healthcare providers look toward new and innovative tools to learn more about their patients and address the shift toward consumerism in healthcare. While patient communication, access to care, and satisfaction all defined 2019, healthcare experts are expecting the industry to take…

The Year in Policy and Payment: A Look at One Critical Alternative Payment Issue

December 23, 2019Garrett SchmittNo CommentsAdvanced APM, APM, APMs

This week, I’m looking back at the year 2019, in two parts. In this blog, I’ll look at policy; in my second blog in this series, I’ll look at “everything else”—fully recognizing, of course, that policy and “everything else” are completely interconnected; but I needed to divide up this year in review conceptually, so that’s…

MA value-based plan enrollment tripling for 2020

December 20, 2019Garrett SchmittNo CommentsMA, medical advantage

Dive Brief: The number of Medicare Advantage members enrolled in plans with value-based payment designs more than tripled from 2019 to 2020, CMS said Thursday. Approximately 1.2 million beneficiaries joined plans in the Value-Based Insurance Design Model for coverage next year offered by 14 MA organizations across 30 states and Puerto Rico. That’s up from…

More payers jump into value-based Medicare Advantage plans in 2020

December 19, 2019Garrett SchmittNo Comments

More private payers will participate in Medicare Advantage’s voluntary value-based insurance design (VBID) next year, the Centers for Medicare and Medicaid Services reported on Thursday. The number of participating organizations will increase from 10 to 14, and the number of beneficiaries will more than double, from 440,000 in 2019 to 1.2 million in 2020. Coverage…

Bottom Line: Can Consumers Survive Value-Based Health Care?

December 18, 2019Garrett SchmittNo Comments

As 2019 nears its close, health care has reached a crossroads. Value-Based Health Care was intended to clarify consumer choices and motivate providers to offer high value services that improved outcomes, as well as to improve patient access to those services. But has that goal been realized? Has anything really changed? Or are health care…

Value-Based Healthcare Network For Self-Insured Employers Launches In Florida

December 18, 2019Garrett SchmittNo CommentsFLAACOs, Self-insured employer

St. Johns, FL, December 18, 2019 –(PR.com)– ValueH Association LLC., the parent company of Florida Association of ACOs (FLAACOs), proudly announced the official launch of its ValueH High Performing Network (ValueH Network). Through collaboration and partnerships with Accountable Care Organizations (ACOs) and other like-minded networks, the ValueH Network will deliver the superior transformation of health…

Population health management: The key to value-based care

December 16, 2019Garrett SchmittNo CommentsACA, Affordable Care Act, Population Health

The Affordable Care Act was passed in 2010 with the goals of controlling healthcare costs and decreasing the number of people without health insurance. While progress has been made to expand coverage (the percentage of uninsured Americans dropped from 17% in 2003 to 12% in 2018), overall expenditures continue to rise. In the United States today, healthcare…

Using Health IT to Support Discharge Planning, Post-Acute Care

December 16, 2019Garrett SchmittNo Comments

When a patient is admitted to the hospital, much attention is paid to the quality of care she receives throughout the care encounter. Less is made of what happens after the patient leaves the hospital and the discharge planning that goes into accessing post-acute care. But it’s that discharge planning process that could make all…

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