What’s driving the transition to value-based care?

April 19, 2022Garrett SchmittACOs, MA, Medicare, Medicare Advantage, Risk, value based, vbc

The COVID-19 pandemic has taught us it’s possible for the health care system to transform care delivery—and quickly. We saw vaccines come to market in record time, heightened cross-industry collaboration to track vaccine statuses, and virtual care use surge. Similarly, the pandemic demonstrated that value-based care delivery models, where payment is based on outcomes versus the…

FLASH INTERVIEW — CareSignal — March 2022

March 3, 2022Garrett SchmittNo CommentsACO, ACOs, data integration, health data, health tech, health technology, healthcare data, Interoperability, normalization, remote monitoring, remote patient monitoring, RPM, Telehealth, transactional data, transactional health data, value-based care, vbc

 Remote monitoring for value-based care organizations. CareSignal Deviceless RPM is accessible, scalable, and cost-effective. Visit the CareSignal Exhibit Booth

CMS overhauls Direct Contracting model to include new requirements on governance, health equity in 2023

February 24, 2022Garrett SchmittACO, ACOs, direct contracting

The Biden administration is redesigning the controversial Direct Contracting Model to add new requirements to tackle health equity and ease progressive lawmakers’ concerns over the role of private equity. The Centers for Medicare & Medicaid Services (CMS) announced Thursday that the professional and global Direct Contracting Model will transition in 2023 to the Accountable Care…

Seven Key Strategies For Health Systems And ACOs To Attract And Engage Consumers

February 9, 2022Garrett SchmittACOs, health systems, patient communication, Patient Engagement, value-based care, vbc

Despite incredible work by health care workers during the pandemic, consumer and patient trust and belief in the health care system is dangerously low. Why is this a big problem now? Because as pressure to implement Value-Based Care initiatives is intensifying and creating more financial pressure on your already-slim margins, your health system or ACO…

Research underscores the value of unified collaboration within health care

February 8, 2022Garrett SchmittACOs, care coordination, Collaboration

One way health systems have tried to improve patient outcomes has been the creation of Accountable Care Organizations (ACOs), partnerships among care providers that offer a unified combination of services. But what happens when these ACOs aren’t able to provide all the services necessary for a patient’s entire continuum of care? New research by Aravind…

Low Medicare ACO participation in 2022 bodes poorly for ambitious Biden goal

February 7, 2022Garrett SchmittACOs, Medicare, MSSP

On the heels of several years of declining or flat accountable care organization (ACO) growth in the Medicare Shared Savings Program (MSSP), 2022 only saw a modest increase in participation, with 483 ACOs partaking. The current numbers do not bode well in terms of meeting the Biden administration’s goal of having every traditional Medicare patient…

CMS: More patients treated by ACOs

February 7, 2022Garrett SchmittACOs, Medicare, MSSP

The Centers for Medicare & Medicaid Services (CMS) has announced that 11 million patients with Medicare will be treated by Shared Savings Program Accountable Care Organizations (ACOs) in 2022. According to a news release, the announcement came as part of the agency’s annual summary of the Medicare Shared Saving Program; Medicare’s national ACO program. “With…

Prevention suffers when doctors drop out of Medicare’s ACO program

February 3, 2022Garrett SchmittACOs, Medicare, MSSP, physicians

For 10 years, the agency that runs Medicare has offered doctors and their practices extra money if they joined groups called Accountable Care Organizations and improved the quality of care they provided to older patients covered by traditional Medicare, while also focusing on the cost of their care. But a new study finds that those…

ACO Groups Disappointed With Results for Medicare ‘Shared Savings’ Program

February 1, 2022Garrett SchmittACO, ACOs, CMS, Medicare, Medicare Shared Savings Program, MSSP

Are 66 new accountable care organizations (ACOs) in a year a sign of progress or a disappointing result? That depends on who you ask. CMS announced last week that 66 additional ACOs joined the Medicare Shared Savings Program (MSSP) for ACOs in 2022, bringing the total up to 483 ACOs. However, that number is only…

ACO Investment Model Produced Savings, But The Majority Of Participants Exited When Faced With Downside Risk

January 27, 2022Garrett SchmittACO, ACOs

Medicare’s Accountable Care Organization (ACO) Investment Model (AIM) provided up-front funding to forty-one small, rurally located ACOs to encourage their participation in the Medicare Shared Savings Program. We estimate net savings to Medicare of $381.5 million over three years, driven by utilization reductions in inpatient and other institutional care and by the absence of shared…

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