As healthcare stakeholders continue to look for new ways to navigate the value-based care environment, could hospital associations partnering with statewide Medicare accountable care organizations (ACOs) be a business model that evolves into continued success? According to Caravan Health, a company that helps community health systems build accountable care and population health programs, the answer is…
Download Slides Learning Objectives for this session: Define ACO, Facility and patient benchmark How HCC Coding impacts the benchmark How to compare current spend to current benchmark at ACO, Facility and patient level Common HCC Coding issuesIn this webinar we will cover the following topics: Visit Health Endeavors
Health care spending is projected to grow to 19.4 percent of gross domestic product (GDP) by 2027, and big gaps in quality and access to care persist. This has motivated payers and providers to implement alternative payment models (APMs) to enable higher-value care. There is bipartisan agreement, reflected in the Medicare Access and CHIP Reauthorization Act (MACRA)…
Accountable care organizations (ACOs) are fairly split on whether or not to exit the Medicare Shared Savings Program (MSSP) under new rules that require downside financial risk adoption sooner, a new survey shows. Forty-seven percent of the ACOs surveyed by Leavitt Partners in collaboration with the National Association of ACOs (NAACOS) said they were not at all…
A collection of some of the top policy groups with a stake in alternative payment models (APMs) are calling for the Centers for Medicare and Medicaid Services to improve transparency around its new Center for Medicare & Medicaid Innovation (CMMI) payment models. Those groups—which also include the National Association of Accountable Care Organizations (NAACOs), the Association of American Medical…
A healthcare storm is brewing between CMS and Medicare Shared Savings Program providers who have not engaged with the agency’s value-based care efforts, an essential step in readying for the new “Pathways to Success” initiative. Just like stubborn homeowners who don’t heed the hurricane-evacuation orders of emergency officials, healthcare providers who have not yet aligned…
Prioritizing value-based care principles and patient engagement outcomes will help integrate the pharmacist as a key member of the patient care team, according to a new report from the Pharmacy Quality Alliance (PQA). Pharmacists are some of the most central healthcare figures in patients’ lives, according to PQA CEO Laura Cranston, RPh. “Pharmacists are the clinicians most…
A handful of accountable care organizations are moving to cover an entire state, but not everyone thinks bigger is better when it comes to population health management. Caravan Health, a company that works with ACOs, last week announced the launch of its second statewide program, this time in Florida. In the model, any of the…
Better health usually isn’t the result of higher-quality health care. Factors outside the current health care system, social determinants like income, education, employment, food security, housing, and social inclusion, generally make a bigger difference — especially in disadvantaged communities. We need to rethink how health care organizations can help their patients stay healthy and out of the…
In an effort to build scale and drive greater savings, providers in some regions are banding together in statewide Medicare accountable care organizations (ACOs). Hospital associations in Mississippi and Florida have teamed up with Caravan Health, a company that builds ACOs, to make this a reality. Mississippi’s ACO, the first such statewide Medicare ACO in the…