Background: The Center for Medicare & Medicaid Services’ Center for Medicare & Medicaid Innovation tests service delivery models designed to improve care quality and patient outcomes while reducing or maintaining program costs. Historically, Innovation Center models were not explicitly designed to serve underserved populations, and most evaluations have not focused on health equity-related outcomes. In…
The Biden administration rolled out three new payment models intended to lower drug costs, including new Medicare coverage options for drugs cleared under accelerated approval. The release of the three models on Tuesday is in response to an executive order President Biden delivered last year calling for the federal government to search for ways to…
In recent years, momentum among Accountable Care Organizations (ACOs) to improve health equity has increased. The Centers for Medicare & Medicaid Services’ announcement of the redesigned ACO REACH contracting model to improve health equity will only accelerate this momentum. In this blog, we will help ACOs and healthcare payers understand how healthcare analytics can be used to identify health equity challenges…
Appropriate Care: What’s the big deal? It is well known that the United States spends more than any other nation on healthcare, but as a nation, our health outcomes miss the mark. As evidence-based medicine evolves, it is important that our healthcare practices adapt. With burnout at an all-time high and staff shortages on the…
On February 24th, the Centers for Medicare & Medicaid Services (CMS) revealed the highly-anticipated fate of the Innovation Center’s (CMMI) Direct Contracting model options, announcing a redesign of the Global Professional Direct Contracting (GPDC) Model and the permanent cancellation of the Geographic Direct Contracting (“Geo”) Model. The revamped and rebranded GPDC model—now called Accountable Care…
The Global and Professional Direct Contracting Model will be replaced with a more equity-focused and provider-led Accountable Care Organization Model in 2023, the Centers for Medicare and Medicaid Services said Thursday. The agency also officially will end the Geographic Direct Contracting model, which it halted last March. The redesigned model, called the ACO Realizing Equity, Access, and Community…
Allison Brennan is the Senior Vice President of Government Affairs for the National Association of ACOs (NAACOS) in Washington, D.C. where she helps develop and advocate for policies to benefit ACOs. In this special bonus episode, she provides an extensive update on health policy and directly addresses the critics of the Global and Professional Direct…
More than 200 healthcare organizations, including America’s Physician Groups (APG) and the National Association of ACOs (NAACOS), have urged the Department of Health and Human Services (HHS) to make adjustments to the Global and Professional Direct Contracting Model instead of canceling the program. In a letter to HHS Secretary Xavier Becerra, the groups stressed that shutting down the Direct…
The lawmakers claim direct contracting is a Trump-era privatization tactic that has removed millions of seniors from Traditional Medicare without their knowledge or consent. More than 50 lawmakers led by US Representative Pramila Jayapa urged the Biden administration to discontinue the Medicare Direct Contracting (DC) program and transition Medicare beneficiaries into the Traditional Medicare model. In a letter written to HHS…
On November 4, 2021, the Executive VP of the ACO ExhibitHall.com (ACOEH), John Schmitt, Ph.D., MBA, served as Panel Moderator of the FLAACOS 2021 Conference session titled “How to successfully transition from fee-for-service medicine to value-based care”. He was joined by Dr. Brent Staton, CEO of CCHI (ACO), as well as Rachel Corbitt, Executive Director,…