We Have A National Strategy For Accountable Care, So What’s Next?

June 30, 2022acoaccountable care, ACOs

A trio of publications from the Centers for Medicare and Medicaid Services (CMS) leadership this year has clarified and advanced the federal strategic vision for value-based care. In January, leaders reinforced their commitment to value-based care with the goal that “100 percent of people with Original Medicare will be in a care relationship with accountability…

Medicare Shared Savings ACO participation grows slightly for 2022

January 26, 2022acoaccountable care, ACOs, Medicare, Medicare Shared Savings Program, MSSP

More Medicare beneficiaries will receive care from providers in Medicare Shared Savings Program accountable care organizations this year, but the number is still lower than it was in 2020, new data show. Nearly 1 in 5 Medicare enrollees will be treated by Shared Savings Program ACO providers this year, a slight increase from 2021 but lower…

Integra ACO To Launch Home Care Programs Using Advanced Remote Monitoring Technology

January 6, 2022acoaccountable care, accountable care organizations, ACO, ACOs

Yet another benefit of the pandemic’s telehealth expansion is more hospital-at-home (HAH) and remote patient monitoring (RPM) programs. Integra Community Care Network, the accountable care organization (ACO) for Care New England Health System, is launching both in partnership with tech company Biofourmis. And with the Centers for Medicare & Medicaid Services (CMS) expanding HAH waiver…

Medicare Direct Contracting Demo Garners Critics and Defenders

January 4, 2022acoaccountable care, accountable care organizations, ACOs, direct contracting, Medicare

As the Biden administration continues to move Medicare reimbursement from volume-based payment to payments based on value, officials are expanding those efforts to include providers who care for “traditional” Medicare patients and currently bill under a fee-for-service system. The new Direct Contracting program, a demonstration program that began under the Trump administration, allows “a broad…

FLAACOS 2021 VBC PANEL SURVEY: A Summary of ACOExhibitHall.com Advisory Board Responses

December 2, 2021Garrett SchmittNo Commentsaccountable care, ACO, ACO infrastructure, ACOEH, advisory board, alternative payment models, APMs, CMMI, COVID-19, FLAACOs, Global and Professional Direct Contracting Model, Medicare Advantage, SDOH, social determinants of health, Survey, value-based care, value-based contracting, value-based infrastructure, vbc

On November 4, 2021, the Executive VP of the ACO ExhibitHall.com (ACOEH), John Schmitt, Ph.D., MBA, served as Panel Moderator of the FLAACOS 2021 Conference session titled “How to successfully transition from fee-for-service medicine to value-based care”. He was joined by Dr. Brent Staton, CEO of CCHI (ACO), as well as Rachel Corbitt, Executive Director,…

Benchmark Report Sneak Peek: 2022 Post-Acute ACO Partnerships in Focus

November 12, 2021Garrett SchmittNo Commentsaccountable care, ACO partnerships, ACOs, COVID-19, DCE partnerships, DCEs, PACs, post-acute, post-acute care, post-acute care organizations, Survey

Several weeks ago, we launched a survey to determine the post-acute growth strategies that owners, operators, and managers would be focused on in the new year. Given the impacts COVID-19 has had on the post-acute industry, it was clear to us here at Trella that traditional, linear growth wasn’t going to be the focus for every organization or line of…

CMMI’s Strategy Refresh: What Hospices Need to Know

November 8, 2021Garrett SchmittNo Commentsaccountable care, ACOs, CCMI, Center for Medicare & Medicaid Innovation, hospice, Medicaid, Medicare, National Hospice & Palliative Care Organization, NHPCO

The Center for Medicare & Medicaid Innovation (CMMI) in October announced a “strategy refresh” that would guide development of its future payment models. If executed effectively, the strategy could make a substantial difference in hospice and palliative care as well as the health care system at large, a trio of experts told Hospice News.  The…

New ACO Playbook: How To Supercharge Your ACO

October 20, 2021Garrett SchmittNo Commentsaccountable care, ACO, ACO Growth, ACO Performance Pathways, ACO success, ACOs, APP, Data, data sufficiency, Episodes of Care, patients, physicians

Throughout the last decade of ACO development, many have struggled to identify what actually makes ACOs successful. Analyses have been fraught with conflicting conclusions. Studies have tagged type of ownership (hospital-based vs. physician-led), geographic region or urban-rural factors, primary-care-only versus specialty participation, ACO payment model type, patient volume, and operations strategies as links to success…

ACO Success Is Possible: The Leaders at Castell Accountable Care Explain How

October 11, 2021Garrett SchmittNo Commentsaccountable care, ACO, ACO success, ACOs, CMS, MSSP, quality scores

When the Centers for Medicare and Medicaid Services (CMS) have announced the 2020 results for Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) in early September,  Intermountain Healthcare’s Castell Accountable Care organization was revealed to have received a quality score of 97.03 percent and to have generated $11.5 million in savings for Medicare. The…

ACOs Angling for a Bigger Role in Health Equity

October 4, 2021Garrett SchmittNo Commentsaccountable care, ACO, ACOs, CMS, health equity, HHS, Medicare, NAACOS, Population Health, Primary Care, primary care centers, SDOH, Social Services

Accountable care organizations (ACOs) can improve health equity in their patient populations, but they need more funding and flexibility to do so, according to a report from a group representing 370 ACOs. “ACOs are already beginning to do the work of addressing negative [social determinants of health] to improve quality and control costs for the…

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