While the Centers for Medicare & Medicaid Services (CMS) proposes to make some of the most significant changes to its accountable care organization (ACO) model since it was finalized in 2011, it doesn’t appear that such updates will have a lasting impact on the broader skilled nursing industry. If anything, only operators with their own…
CMS just set off summer fireworks, amping up incentives to adopt Value-Based Care in its just-released, 2,066-page 2023 Proposed Physician Fee Schedule Rule. By encouraging formation of new ACOs, the Proposed Rule establishes a pathway to expand beneficiaries’ access to accountable care. Last year, CMS committed that every Medicare beneficiary will be in an accountable…
The CMS is proposing an overhaul of the Medicare accountable care organization program in an effort to improve equity. The plan, which includes efforts to get more providers into ACOs and particularly ramp up rural participation, was applauded by ACO groups. The changes for ACOs in the Medicare Shared Savings Program would give some organizations more…
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…
Download Slides For many value-based care providers, one of the biggest obstacles is often the 10% to 20% of your population who make up your most “challenging” chronic patients. Treating and managing those chronic conditions is no mystery. The problem is getting your unengaged patients to better understand and take control of their…
“Return” has become a popular word across the globe of late. Return to the office, return to travel, return to going out to eat and sporting events, return to our pre-COVID lives…the list goes on. As our world adjusts to the new normal, the healthcare industry is moving beyond emergency triage to managing today’s top challenges,…
Download Slides When communication between various providers and sites of care is broken or nonexistent, gaps in care can lead to many patients falling through the cracks. As the healthcare industry shifts toward value-based care models, hospitals need to ensure successful patient transitions and recovery, provide high-quality care, drive revenue, and mitigate risk. Join…
Download Slides Social Determinants of Health (SDoH) are widely recognized to have a significant impact on patient health outcomes regardless of the care they receive in a clinical setting. Nearly nine in 10 physicians (87%) reported they would like greater time and ability to effectively address their patients’ SDOH in the future. Join us…
Download Slides As value-based care (VBC) models become increasingly the norm, providers are challenged with maintaining short-term revenue in fee-for-service (FFS) while making the appropriate investments to reduce avoidable utilization. The good news is that FFS programs such as chronic care management, and technologies such as remote patient monitoring are also beneficial to…
Download Slides Implementing a successful value-based care arrangement can be challenging, particularly when working with ACOs and affiliated provider networks. Organizations need to understand how to measure and impact performance management, while supporting their provider network with the resources they need to succeed. In this session, we will follow the evolution of the…