How to Use Healthcare Analytics to Improve Care Access

May 4, 2022acoCMMI, CMS, Physician Engagement, physicians, SDOH

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…

How to Evaluate Physician Performance Using Appropriateness

March 30, 2022acoCMMI, CMS, Physician Engagement, physicians, SDOH

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…

Podcast: Analyzing the New ACO REACH Model, with Rick Goddard and Joe Satorius

March 15, 2022acoCMMI, CMS, DCE partnerships, DCEs, GPDC, NAACOS

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…

CMS redesigns Direct Contracting into an ACO model

February 24, 2022acoCMMI, CMS, DCEs, GPDC

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…

Podcast: NAACOS Health Policy Update and the Rumored Cancellation of the GPDC Model, with Allison Brennan

February 17, 2022acoCMMI, CMS, DCE partnerships, DCEs, GPDC, NAACOS

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…

NAACOS, APG Urge HHS to Adjust Direct Contracting Model, Not Cancel

February 16, 2022acoAMA, APMs, CMMI, congress, DCEs, direct contracting, FFS, HHS, NAACOS

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…

Over 50 Lawmakers Urge Administration to End Direct Contracting

January 17, 2022acoAMA, APMs, CMMI, congress, DCEs, direct contracting, FFS, HHS, NAACOS

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…

FLAACOS 2021 VBC PANEL SURVEY: A Summary of ACOExhibitHall.com Advisory Board Responses

December 2, 2021Garrett SchmittNo Commentsaccountable care, ACO, ACO infrastructure, ACOEH, advisory board, alternative payment models, APMs, CMMI, COVID-19, FLAACOs, Global and Professional Direct Contracting Model, Medicare Advantage, SDOH, social determinants of health, Survey, value-based care, value-based contracting, value-based infrastructure, vbc

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,…

CMS Innovation Center Strategic Refresh Emphasizes Value-based Payment Models and Health Equity

November 11, 2021Garrett SchmittNo CommentsAffordable Care Act, Center for Medicare and Medicaid Innovation, CMMI, CMS, CMS Innovation Center, health equity, Medicaid, Medicare, payment models, Putting All Patients at the Center of Care, SDOH, strategic refresh, value-based, value-based care, value-based payment models, vbc

Recently, the Center for Medicare and Medicaid Innovation (CMMI) introduced their strategic refresh “Putting All Patients at the Center of Care” to support broader, more equitable, and outcome-based healthcare delivery transformation while streamlining current and future payment models. Since its inception in 2010 as a part of the Affordable Care Act, CMS has launched over 50 innovation/pilot…

Medicare, Medicaid innovation center lays out ambitious agenda for next decade

November 2, 2021Garrett SchmittNo CommentsACOs, Affordable Care Act, CMMI, CMS, CMS Innovation Center, fee-for-service, Medicaid, Medicare, payment models

The federal agency responsible for developing new health care payment models wants every fee-for-service Medicare beneficiary to be getting care from a provider who’s part of an accountable care organization by 2030. That goal is laid out in a recent white paper from the Center for Medicare and Medicaid Innovation (CMMI), “Driving Health System Transformation—A Strategy for the CMS Innovation Center’s Second Decade.”…

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