FLASH INTERVIEW — HealthEC — October 2021

October 5, 2021Garrett SchmittNo CommentsACO, ACOs, advisory services, CareConnect, clinically-proven, community health, community-based resources, Dr. Sanjay Seth, HealthEC, KLAS, Population Health, Population Health Management, value-based care, value-based healthcare, vbc

 HealthEC offers a KLAS-recognized, end-to-end population health management platform designed to help ACOs succeed with value-based care. Our HealthEC CareConnect® generates personalized, clinically-proven plans that enable teams, including community-based resources, to deliver patient-centric care. Advisory services are also available to guide our ACO partners in defining their strategic goals as they transition from volume…

Has a New Policy Fault Line Opened Up Around APMs?

October 4, 2021Garrett SchmittNo CommentsACO, ACOs, alternative payment models, America's Physician Groups, APG, APMs, direct contracting, Medicare, Medicare Advantage, MSSP

As we reported in a news article on Sept. 30, “A dispute has arisen over controversial statements made by two prominent healthcare policy leaders around the Medicare Advantage program. On Sept. 30, Donald Berwick, M.D., and Richard Gilfillan, M.D., published an article in the Health Affairs Blog entitled “Medicare Advantage, Direct Contracting, And The Medicare ‘Money Machine,’ Part 2:…

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…

Advocate Aurora’s ACO Success Is Setting Up Value-Based Healthcare

October 4, 2021Garrett SchmittNo CommentsACO, ACOs, Advocate Aurora, Medicare, Medicare Shared Savings Program, MSSP, value-based care, value-based healthcare

Accountable care organizations (ACOs) participating in the Medicare Shared Savings Program had a record performance year in 2020. The ACOs saved Medicare $4.1 billion while achieving an average quality score of 97.8 percent. One of the health systems participating in the program—Advocate Aurora Health—led the nation in savings and quality. Advocate Aurora’s affiliated ACOs generated $110 million in…

ACO Execs Describe Painful Transition to eCQM Reporting

October 1, 2021Garrett SchmittNo CommentsACOs, CMMS, eCQM, eCQM reporting, EHR, reporting

On Oct. 1, at the NAACOS Fall 2021 Conference, executives from three accountable care organizations described the daunting road ahead in transitioning to the submission of electronic clinical quality measures (eCQMs) to the Centers for Medicare & Medicaid Services. After receiving strong feedback from ACOs about how challenging (and expensive) the transition to eCQMS would…

ACOs: Proof of the power of medical culture

September 30, 2021Garrett SchmittNo CommentsACO, ACOs, capitated ACOs, fee-for-service, FFS, healthcare culture, medical culture

Accountable Care Organizations (ACOs) have been around for more than a decade—created with the idea that integrating care providers across settings (hospitals, primary care, specialty care, etc.) and aligning their financial incentives would lead to improved clinical outcomes and lower healthcare costs. And indeed, some of the most effective and efficient healthcare organizations in the…

NAACOS: CMS must provide upfront funds, raise benchmarks to help ACOs close health equity gaps

September 29, 2021Garrett SchmittNo CommentsACOs, Biden, Biden administration, CMS, health equity, health equity gaps, NAACOS

The Biden administration needs to provide money upfront to help form accountable care organizations in rural areas and give more financial support to address health equity, a new report finds. The National Association of ACOs (NAACOS) released a white paper Wednesday that outlines a series of recommendations to better position organizations to help address health…

Special Report: Analyzing 2020 ACO Results and Factors for Success

September 27, 2021Garrett SchmittNo CommentsACO, ACOs, CMS, MSSP

The Medicare Shared Savings Program (MSSP) is the largest value-based care program from the Center for Medicare & Medicaid Services (CMS) to date. As of 2020, there were 513 ACOs participating in the program, with a total shared savings of $2.28 billion.8 This program seeks to accomplish the following: Promote accountability among healthcare institutions for the…

Coordination Without Consolidation? Options for ACOs

September 14, 2021Garrett SchmittNo Commentsaccountable care, accountable care organizations, ACO, ACOs, consolidation, coordination

Accountable care organizations (ACOs) have been a large part of the transition away from fee-for-service payments, with the number of ACOs rapidly growing over the past decade. However, there has been a plateau in the number of ACOs since 2018, with ACO exits outweighing entrants for the past 2 years.1 From our analysis of Medicare Shared…

Supporting Value-Based Health Care — Aligning Financial and Legal Accountability

September 9, 2021Garrett SchmittNo CommentsACOs, financial accountability, legal accountability, value-based care, vbc

U.S. health care payment and delivery-system reforms have focused on improving care by making organizations accountable for outcomes, quality, and costs. Payers have supported the implementation of accountable care organizations (ACOs), bundled-payment models, and other value-based payment reforms because they believe that holding health care systems accountable for population-level costs and quality will be more…

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