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Community health worker support reduces 30-day readmission among high-risk ACO patients

June 1, 2021Garrett SchmittNo Commentscare plans, community health, Community Health Workers, High Risk Patients, Readmissions

Pairing community health workers with adult inpatients under accountable care organization insurance coverage reduced readmissions and missed appointments with outpatient providers during the first 30 days of discharge, according to a recently published Massachusetts General Hospital study. While these trends were greater among patients who were discharged to short-term rehabilitation, a subgroup analysis found that…

New ACO Playbook: Can Coordination Of Care Save Enough Money To Save ACOs?

April 29, 2021Garrett SchmittNo CommentsACOs, care coordination, care plans, care teams, CMS, CMS Innovation Center, coordination of care, data organization, direct contracting, Medicare, organization of care, Primary Care First, savings, Shared Savings, vbc

Central to the controversy about ACOs’ potential for Value-Based Care is whether they actually save enough money and reduce costs fast enough. Researchers and advocates have produced various independent studies of ACO savings, the most generous estimating $1.8 billion in cumulative savings over the first three years of the program, almost double CMS estimates. Many…

Knowing SDOH is Good Medicine

April 26, 2021Garrett SchmittNo Commentscare plans, SDOH

Specialists tend to be valued primarily for their medical expertise, so when a physician takes time to get to know a patient, the doctor is usually praised for having a good bedside manner. But growing evidence shows that knowing about a patient’s life is also crucial to quality of care. For cardiologists, familiarity with those…