The question of whether ACOs should be forced to accept “downside risk” — in effect pay a penalty if they exceed certain spending benchmarks — has bedeviled CMS’ ACO programs and ACO programs in general. Seema Verma, the Trump administration’s CMS director, pushed for more downside risk, and the administration’s Pathway to Success program shortened…
Your health care organization may be on the tightrope of still coping with COVID-related illness and delivering essential patient care, amidst staffing and supply shortages. But in 2022, life is not poised to give health care a breather. Likewise, there is no slow-down to the expansion of Value-Based Care and payment models or development of…
Accountable care organization (ACO) success depends in part on a broad network of health information exchange (HIE) partners to effectively coordinate care. Our study illustrates that although ACO participation broadens HIE networks, the effects accrue differently across markets with varying levels of ACO penetration. ACO hospitals in high–ACO penetration markets increase their HIE network breadth…
As we reported on Wednesday, Jan. 12, “The top officials at the federal Centers for Medicare and Medicaid Services (CMS) on Tuesday, Jan. 11, made a major public statement regarding the goal of moving the healthcare system towards health equity, and a major component of that statement focused on leveraging Medicare’s value-based programs, particularly those…
Only a few days into 2022, it seems obvious that many predicted “trends to watch” floated in late 2021 won’t, in fact, be what will matter most in this critical year for health care. Not that these issues aren’t important, but they are not new (if you’ve been paying attention and, hopefully, planning your strategies)….
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…
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…
The world of health care has changed a lot in the past decade, and the Center for Medicare and Medicaid Innovation (CMMI) at CMS has been behind a lot of that change. Radio Advisory’s Rachel Woods sat down with Liz Fowler, director of CMMI, to talk about what innovations CMMI has worked on in the…
Join us for this conversation covering the challenge of connecting your post-acute analytics investment to an ROI. Move beyond anecdotes, guesses and gut feelings and review some concrete examples of predictive modeling and positive ROI. Speaker: – Janine Savage, RN, CHC Vice President, Product Management, Analytics and Business Intelligence – Kevin Keenahan, SVP, Business Development,…
Download Slides Stellar Health and Vytalize Health will share key learnings and recommendations for how ACOs can empower not only participating providers, but their practice staff and care teams, with the resources and incentive structures needed to change behavior at the point of care. Visit the Stellar Health Exhibit Booth