ACO Success Is Possible: The Leaders at Castell Accountable Care Explain How

October 11, 2021Garrett SchmittNo Commentsaccountable care, ACO, ACO success, ACOs, CMS, MSSP, quality scores

When the Centers for Medicare and Medicaid Services (CMS) have announced the 2020 results for Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) in early September,  Intermountain Healthcare’s Castell Accountable Care organization was revealed to have received a quality score of 97.03 percent and to have generated $11.5 million in savings for Medicare. The…

FLASH INTERVIEW — Healthjump — October 2021

October 7, 2021Garrett SchmittNo CommentsACO, ACOs, aggregated datasets, Data, data integration, data processes, data processing, datasets, EHR, EHR systems, health data, health tech, health technology, healthcare data, Healthjump, historical health data, Interoperability, normalization, transactional data, transactional health data, value-based care, vbc, Workflow

 Healthjump is a data extraction, normalization, and interoperability platform purpose-built to deliver both transactional and historical health data from EHR systems. With Healthjump, users can easily connect and extract EHR data, automate data processes, access aggregated datasets, and instantly integrate data into products or workflows. Healthjump uses top-notch technology and support to simplify interoperability…

New ACO Playbook: Seven Keys To Expanding ACO Savings—And Market Share

October 6, 2021Garrett SchmittNo CommentsACO, ACO savings, ACOs, behavioral heath services, chronic disease, cost drivers, cost variations, market share, patient episode analytics, patient outcomes, Population Health, Risk, savings, specialty care models, treatments

At the beginning of this series, we laid out a basic tenet: As shared savings plan ACOs, you need to do as well or better at lowering costs than competing value-based payment models. Otherwise, your resources and support will dwindle in favor of more promising avenues to control Medicare spending, and competition will stifle your…

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…

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