Jefferson Health’s strategy to optimize value-based care

May 7, 2025acoCCM, Chronic Care, HCC

Philadelphia-based Jefferson Health — now a 32-hospital system after the 2024 acquisition of Lehigh Valley Health Network — is prioritizing integration and financial sustainability post-transaction. Joseph Cacchione, MD, who has been CEO for the last two and a half years, said the health system — which also includes a nearly 400,000-member health plan and a…

Long-Term Spending of Accountable Care Organizations in the Medicare Shared Savings Program

April 28, 2025acoCCM, Chronic Care, HCC

Question  Did spending for patients attributed to accountable care organizations (ACOs) differ from other patients enrolled in Medicare in the first decade of the Medicare Shared Savings Program (MSSP)? Findings  In this difference-in-differences study of more than 8 million patients, ACO formation was associated with a mean differential reduction of $142 (1.2%) in annual per-patient spending over…

Smart, sustainable growth in the era of Medicare Advantage — 4 takeaways

February 12, 2025acoCCM, Chronic Care, HCC

As the aging population continues to shift into Medicare eligibility and toward Medicare Advantage programs, provider organizations are seeing their margins shrink to worrisome, unsustainable levels. For health systems, the time is now to pursue smart strategies for sustainability and growth. This was the main theme during an executive learning session at Becker’s 12th Annual…

University Hospitals’ 90-10 flip on chronic disease care

February 6, 2025acoCCM, Chronic Care, HCC

University Hospitals’ accountable care organization had a math problem: More than 64,000 diabetic patients and only a few endocrinologists. Besides the lack of available endocrinologists, there is a warped perception of who should care for the estimated 129 million Americans with at least one chronic disease, according to Peter Pronovost, MD, PhD. “Across America, the…

RECORDED WEBINAR: CCM & PCM: Netting Higher Patient Outcomes and Increased Financial Incentives

October 20, 2021Garrett SchmittNo CommentsCCM, Chronic Care, Chronic Care Management, financial incentives, patient outcomes, PCM, Principal Care Management, value-based care, vbc

Download Slides Salient Healthcare will discuss the importance of Chronic Care Management (CCM) and Principal Care Management (PCM) initiatives.   In this webinar you’ll learn: – How properly utilizing CCM and PCM services can benefit patients, providers, and value-based organizations – How to implement improvements in your CCM/PCM workflow – How to quickly analyze your…

RECORDED WEBINAR: Leveraging AI-Enabled Remote Patient Management for Preventative Care in the Fight Against Diabetes

August 25, 2021Garrett SchmittNo CommentsAI, Chronic Care, Chronic Care Management, chronic disease, diabetes, diabetes management, preventative care, remote patient monitoring, Webinar, webinars

DOWNLOAD SLIDES The CDC reports that 6 in 10 adults in the US have a chronic disease and 4 in 10 have two or more. With the prevalence of chronic diseases in mind, it’s no surprise that they are the leading driver for the nation’s $3.8 trillion in annual healthcare costs, and the diabetic population…

New ACO Playbook: How ACOs Can Transform Clinical Care For Diabetes

June 17, 2021Garrett SchmittNo CommentsAAPMs, ACOs, APMs, CGM, CGMs, Chronic Care, Data, diabetes, Medicare

The current ACO model is, indeed, challenging. Blending both provider and payer functions is fraught with conflict. But the provider-directed model was supposed to function closer to the actual delivery of care, and thereby be more capable of generating change. Instead, ACOs have deployed health plan strategies that were implemented decades ago, which failed to…

Nutrition’s Critical Role in Value-Based Care

June 15, 2021Garrett SchmittNo CommentsChronic Care, Chronic Disease Prevention, functional medicine, nutrition, nutrition therapy, vbc

The healthcare industry is in the throes of unprecedented change as hospitals, providers, and payors all grapple with new methods of delivering (and billing) medical care. The uptick of value-based care, coupled with the growing prevalence of alternative therapies, makes understanding this new model a must. So, what exactly is value-based care? And why is…

Provider Perceptions of Pharmacists in Primary Care–Based Accountable Care Organizations

April 7, 2021Garrett SchmittNo CommentsACORN SEED, Burnout, Chronic Care, Collaboration, CPAs, patient experience, physician Satisfaction, Primary Care, Provider Education, Quality Reporting, Workflow, Workflow Disruption

Clinical pharmacists are in an ideal position to manage multiple aspects of patient care within value-based care models. In 2015, Nova Southeastern University College of Pharmacy founded the Accountable Care Organization Research Network, Services, and Education (ACORN SEED), a team of pharmacy practice faculty dedicated to using innovative approaches to patient care while providing unique…

Why Care Coordination is Key to Improving Chronic Illness

February 1, 2018acoNo Commentscare coordination, Care Management, Chronic Care

In previous blogs, we have discussed programs whose goals are to improve patient outcomes through quality care while increasing provider efficiency. An additional program provided by CMS to help in these efforts is the Chronic Care Management (CCM) program. CMS has made CCM available to Medicaid ACOs as they seek to create savings for both…

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