RECORDED WEBINAR: What I need to know to launch/re-launch Medicare ACO Part 2: Actionable Data at Point of Care & Analytics

April 12, 2019Garrett SchmittNo CommentsACO, ACOs, Blue Button Data, FHIR, Interoperability, Webinar, webinars

 Download Slides Learning Objectives for this session: Connect consolidated 3-year health history to provider EHRs Create actionable data for providers in their EHRs Use text message notifications to bring actionable data to consumers Visit Health Endeavors

RECORDED WEBINAR: What I need to know to launch/re-launch Medicare ACO Part 1: HCC Coding, Benchmarks & Spend

April 5, 2019Garrett SchmittNo CommentsACO, ACOs, Blue Button Data, FHIR, Interoperability, Webinar, webinars

 Download Slides  Learning Objectives for this session: Define ACO, Facility and patient benchmark How HCC Coding impacts the benchmark How to compare current spend to current benchmark at ACO, Facility and patient level Common HCC Coding issuesIn this webinar we will cover the following topics: Visit Health Endeavors

RECORDED WEBINAR: Connecting to & Sharing Data: What’s New in ACO Interoperability

January 22, 2019Garrett SchmittNo CommentsACO, ACOs, Blue Button Data, FHIR, Interoperability, Webinar, webinars

Download Slides  In this webinar we will cover the following topics: What is Blue Button data? Using Direct Messaging How EHR Connector and APIs align more effectively with referral providers within the ACO What is FHIR Visit Health Endeavors

RECORDED WEBINAR: Pathways to Success: Medicare ACO Final Rule

January 4, 2019Garrett SchmittNo CommentsACO, ACOs, pathways, Pathways to Success, Webinar, webinars

 Download Pathways to Success Planning Matrix Download Slide Deck Covered in this 60 minute webinar: NOIA & Application Timeline Pathways to Success – overview Alex Azar & Seema Verma on risk ACO Alternatives How to achieve Shared Savings and more….

RECORDED WEBINAR: Risk Adjustment Coding & Its Impact on ACO Performance

September 25, 2018Garrett SchmittNo CommentsACO, ACOs, Coding, Continuum Health, Downside Risk, Risk adjustment coding, Risk coding, risk management, Webinar, webinars

Download Slides  Each year, CMS sets cost benchmarks for every Medicare member based on the patients’ demographics and diagnoses during the assessment period. But what if the physician didn’t report their patients’ diagnoses accurately or specifically? The result is often benchmarks that are set appropriately low based on the information provided by the physician, and…

Recent Progress In The Value Journey: Growth Of ACOs And Value-Based Payment Models In 2018

August 14, 2018Garrett SchmittNo CommentsACA, ACO, ACO Growth, ACOs, David Muhlestein, Health Reform, MACRA, Mark McLellan, MIPS, payment reform, Value Based Reimbursement, VBHC, VBP

The past year saw multiple developments that could affect payment reform—a new administration was getting up to speed, the Affordable Care Act (ACA) was debated and its implementation modified through legislative and regulatory changes, and questions were raised about the future of alternative payment models. Despite this, implementation of the Medicare Access and CHIP Reauthorization…

CMS pushes ACOs to take on risk with overhaul of MSSP: 7 things to know

August 10, 2018Garrett SchmittNo CommentsACO, ACOs, Advanced Alternative Payment Models, AHA, APM, APMs, CMS, MSSP, MSSPs, Pathways to Success

CMS issued a proposed rule Aug. 9 that would make sweeping changes to the Medicare Shared Savings Program, including overhauling the way ACOs share in risks and rewards. Here are seven things to know about the proposed rule: 1. The redesigned program — which CMS has dubbed “Pathways to Success” — would expand ACO participation…

Pathways To Success: A New Start For Medicare’s Accountable Care Organizations

August 9, 2018Garrett SchmittNo CommentsACO, ACOs, Medicare, Medicare Shared Savings Program, Seema Verma

For many years we have heard health care policymakers from both political parties opine about the need to move to a health care system that pays for the value of care delivered to patients, rather than the mere volume of services. While disagreements may arise on how we get to value, the need for this…

CMS plans to ‘retire’ some ACOs

August 9, 2018Garrett SchmittNo CommentsACO, ACOs, CMS, Medicare Shared Savings Program, MSSP, MSSPs

The CMS wants to eliminate zero and low-risk tracks for accountable care organizations to more quickly move them to downside risk. The agency announced Thursday that it is planning to overhaul the Medicare Shared Savings Program by scrapping Track 1 and Track 2 and will launch a Basic track that provides a smaller window for…

ACOs With Risk-Bearing Experience Are Likely Taking Steps to Reduce Low-Value Medical Services

July 17, 2018Garrett SchmittNo CommentsACOs, Cost Containment, Cost Reduction, low value, Risk, Risk Bearing, Survey

ABSTRACT: Objectives: Accountable care organizations (ACOs) are groups of healthcare providers responsible for quality of care and spending for a defined patient population. The elimination of low-value medical services will improve quality and reduce costs and, therefore, ACOs should actively work to reduce the use of low-value services. We set out to identify ACO characteristics…

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