The Medicare Shared Savings Program (Shared Savings Program) facilitates coordination among providers to improve the quality of care for Medicare fee-for-service beneficiaries while reducing the growth in health care costs. Eligible providers, hospitals, and suppliers may apply to participate in the Shared Savings Program by creating or participating in an Accountable Care Organization (ACO). NOTE…
In December of 2018, the Trump Administration overhauled the largest value-based payment program in fee-for-service Medicare—the Medicare Shared Savings Program (“Shared Savings Program” for short) for “Accountable Care Organizations” or ACOs. ACOs are groups of health care providers that agree to be held accountable for the quality, cost, and experience of care for a population…
Accountable care organizations (ACOs) are an increasingly dominant feature of the health care delivery system. As of the third quarter of 2019, nearly 1,000 ACOs covered approximately 44 million lives in the United States. Evidence regarding Medicare ACOs and their commercial counterparts indicates these models can achieve savings while meeting quality standards, although savings amounts vary by ACO…
Download Slides During this presentation we discuss these important steps to expanding behavioral Health Solutions in your ACO: Provide PCP access to mental health care team and psychiatry services Focus on screenings such as PQH-9, GAD-7, trauma and substance abuse Evidence-based process to reduce symptoms in 50% less time than traditional approach Deliver population-level…
Download Slides During this presentation is discussed how to better manage the more difficult individuals, and get the right people on the bus. How to identify providers that don’t fall in line Reconfiguring your network to manage partners that adversely affect ACO performance Strategies to manage difficult or un-cooperative patients Visit the HealthEC Exhibit…
Download Slides What will be covered in this presentation: Current state of value-based payment models Similarities and differences across Medicare Advantage and Medicare patient populations, attribution methods, payment mechanisms, quality metrics, post-acute care pathways, and other concepts for contract negotiation Required resources and infrastructure for maintenance and management. Visit Salient Healthcare Booth
Download Slides As provider organizations prepare for Pathways to Success and determine their best approaches for aligning with CMS’s accelerated risk path, ACO’s have important decisions to make in order to ensure their success under CMS’s value-based initiatives, including how to: – Determine the right performance track and when to select it – Find…
Download Slides Has your Medicare Shared Savings Program (MSSP) ACO taken full advantage of the many waivers of federal fraud and abuse laws, such as the Stark Law and the Anti-Kickback Statute? During the webinar we will discuss the different types of waivers, what they are, which ones matter to you, how to use…
Download Enjoin Slides / Download Health Endeavors Slides Learning Objectives for this session: – How risk score and financial benchmark calculated – Strategies for achieving the correct benchmark Visit Enjoin / Visit Health Endeavors
Download Slides Covered in this session: Central data repository (HE Repository) for Medicare claims and clinical data. This process requires a clinical data integration plan for each clinic. Decide from the outset of the ACO start date if specialists will complete and/or report the quality measures. Assign every attributed patient to a provider using…