What CMMI’s director told us about mandatory payment models, ACOs, and more

January 3, 2022Garrett SchmittACO, ACOs, payment models

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…

RECORDED WEBINAR: Proving the ROI of Post-Acute Analytics

December 9, 2021Garrett SchmittNo CommentsACO, ACOs, advanced analytics, analytics, health analytics, health data, healthcare analytics, healthcare data, post-acute, post-acute analytics, Predictive Modeling, ROI, value-based care, vbc, Webinar

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,…

RECORDED WEBINAR: Achieving ACO Success by Engaging Provider Group Staff

November 30, 2021Garrett SchmittNo CommentsACO, ACO care teams, ACO staff, ACOs, care teams, incentives, network development, participating providers, physician education, Physician Engagement, point of care, practice staff, providers, staff, value-based care, vbc, Webinar

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

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…

Medicare, Medicaid innovation center lays out ambitious agenda for next decade

November 2, 2021Garrett SchmittNo CommentsACOs, Affordable Care Act, CMMI, CMS, CMS Innovation Center, fee-for-service, Medicaid, Medicare, payment models

The federal agency responsible for developing new health care payment models wants every fee-for-service Medicare beneficiary to be getting care from a provider who’s part of an accountable care organization by 2030. That goal is laid out in a recent white paper from the Center for Medicare and Medicaid Innovation (CMMI), “Driving Health System Transformation—A Strategy for the CMS Innovation Center’s Second Decade.”…

62% of Consumers Unfamiliar with Value-Based Care, Study Finds

October 25, 2021Garrett SchmittNo CommentsACOs, consumer education, consumers, healthcare, healthcare consumers, healthcare education, healthcare industry, Patient Education, patients, value-based care, vbc

More than half of consumers are unfamiliar with value-based care, and for the ones who are aware of it, only a quarter can define the healthcare model correctly, a new study from nonprofit health plan EmblemHealth revealed. The payer surveyed 970 consumers online between August 12 and August 22, 2021, and found that there is a…

Next Generation ACO Model Has Saved Medicare $667M, So Far

October 21, 2021Garrett SchmittNo CommentsACO, ACOs, alternative payment models, APMs, CMS, Medicare, Medicare savings, Next Gen, Next Generation, Next Generation ACOs, Next Generation model

The Next Generation Accountable Care Organization (ACO) Model has saved Medicare millions of dollars over the past four performance years. But with one more year to go due to the COVID-19 pandemic, the Model is actually operating at a loss. Next Generation ACOs have saved Medicare nearly $667 million thanks to reductions in Parts A…

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…

Downside Risk Pays Off: 4 Best Practices for High ACO Performance

October 19, 2021Garrett SchmittNo CommentsACO performance, ACO success, ACOs, CMS, Data, data aggregation, Downside Risk, Medicare, Medicare Shared Savings Program, MSSP, Patient Engagement, performance monitoring, population stratification, Risk

The Medicare Shared Savings Program, the accountable care organization (ACO) model that served 10.6 million seniors in 2020, collectively saved Medicare $4.1 billion last year, and $1.9 billion after accounting for shared savings payments, according to the National Association of ACOs and as recently published in Healthcare Finance. 513 ACOs participated in the Shared Savings Program in 2020, down…

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