RECORDED WEBINAR: SDoH, Equity, Experience and the New CMS requirements – What ACOs need to know

March 31, 2022Garrett SchmittNo CommentsCMS, health equity, SDOH, Webinar

 Download Slides Find out what ACOS need to know about the latest CMS requirements. Learn about SDoH information capture and how equity will impact ACOS, providers and members. Plan for the future! Understand the new CMS requirements and what you need to do.   Visit the mPulse Mobile Exhibit Booth

How to Evaluate Physician Performance Using Appropriateness

March 30, 2022Garrett SchmittCMMI, 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, 2022Garrett SchmittCMMI, 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, 2022Garrett SchmittCMMI, 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, 2022Garrett SchmittCMMI, 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…

ACO Groups Disappointed With Results for Medicare ‘Shared Savings’ Program

February 1, 2022Garrett SchmittACO, ACOs, CMS, Medicare, Medicare Shared Savings Program, MSSP

Are 66 new accountable care organizations (ACOs) in a year a sign of progress or a disappointing result? That depends on who you ask. CMS announced last week that 66 additional ACOs joined the Medicare Shared Savings Program (MSSP) for ACOs in 2022, bringing the total up to 483 ACOs. However, that number is only…

Getting Real About Health Equity

January 20, 2022Garrett SchmittCMS, Coronavirus, COVID-19, health equity, Medicaid, Medicare, pandemic, SDOH

The COVID-19 pandemic has brought social and racial inequity to the forefront of public health. In the United States, the pandemic has affected many communities, including racial and ethnic minorities as well as low-income populations, more severely than other groups. Negative health outcomes are more common among individuals within these groups, and social determinants of…

CMS Officials’ Bold Statement of Intent Around Health Equity and Value-Based Care

January 14, 2022Garrett SchmittACO, ACOs, CMS, health equity, SDOH, social determinants, social determinants of health, value-based care, vbc

As we reported on Wednesday, Jan. 12, “The top officials at the federal Centers for Medicare and Medicaid Services (CMS) on Tuesday, Jan. 11, made a major public statement regarding the goal of moving the healthcare system towards health equity, and a major component of that statement focused on leveraging Medicare’s value-based programs, particularly those…

Hierarchical Payment Models—A Path for Coordinating Population- and Episode-Based Payment Models

January 14, 2022Garrett Schmittalternative payment models, APMs, Bundled Payments, CMS, value-based payment

In November 2021, the Centers for Medicare & Medicaid Services (CMS) announced a strategy to achieve near-universal participation in value-based payment models by 2030. Core to this strategy is the goal that every beneficiary should be in a clinical care relationship that has accountability for quality and total cost of care. Achieving this goal will…

CMS Officials Make Major Statement on Health Equity, Referencing Role of Value-Based Care

January 12, 2022Garrett SchmittCMS, health equity, Medicaid, Medicare, SDOH, value-based care, vbc

The top officials at the federal Centers for Medicare and Medicaid Services (CMS) on Tuesday, Jan. 11, made a major public statement regarding the goal of moving the healthcare system towards health equity, and a major component of that statement focused on leveraging Medicare’s value-based programs, particularly those focused on accountable care organizations (ACOs) to…

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