CMS | VBCExhibitHall Library

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…

Former CMS chief of staff previews 4 areas of value-based care in 2022

December 14, 2021Garrett SchmittCMS, value-based care, vbc

Value-based care continues to take root in healthcare. It’s clear the future of reimbursement will at minimum include a heaping portion of providers being paid for value as opposed to volume. This is why, as the new year approaches, Healthcare IT News sat down with an expert in value-based care to get his views on…

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…

The 2022 CMS PFS And QPP Final Rule: A Warning Shot To Provider Holdouts Of Value-Based APMs

November 10, 2021Garrett SchmittNo Comments2022 Physician Fee Schedule, alternative payment models, APMs, CMS, Medicare, Medicare Physician Fee Schedule, PFS, Physician Fee Schedule, value-based APMs, value-based care

CMS has released the 2022 Physician Fee Schedule and Quality Payment Program (QPP) Final Rule, and the message of these 2,414 pages is clear: CMS wants to push providers into value-based care arrangements. That intent was foreshadowed by the Proposed Rule released over the summer, which confirmed our predictions of trends under the Biden administration. Specifically, we saw a push…

NEW KID ON THE BLOCK: REMOTE THERAPEUTIC MONITORING TO MAKE ITS WAY INTO CMS 2022 MEDICARE PHYSICIAN FEE SCHEDULE

November 10, 2021Garrett SchmittNo Comments2022 Physician Fee Schedule, CMS, Medicare, Medicare Physician Fee Schedule, Physician Fee Schedule, remote patient monitoring, remote therapeutic monitoring, RTM, Telehealth, Telemedicine

Recently, The Centers for Medicare and Medicaid Services (CMS) released a proposal for it’s 2022 Physician Fee Schedule. Over the last several years, more non-traditional modalities of healthcare have found their way into the CMS reimbursement landscape. This is promising as it suggests that CMS is aligning themselves with consumer demand and technology developments by…

A Trio of Value Based Care Surveys Indicate Technology Opportunities to Address Administrative Challenges

November 10, 2021Garrett SchmittNo Commentsadministration, CMS, CMS APMs, Commercial Contracts, DEC, Direct Employer Contracted, healthcare administration, healthcare technology, managed Medicaid, Medicaid, Medicare, Medicare Advantage, surveys, technology, value-based care, vbc

The Guidehouse Center for Health Insights has just released analysis of an executive survey in conjunction with HFMA, the 2021 Risk-Based Healthcare Market Trends, that found health systems appear to be going big into risk sharing in 2022, with these percentages of respondents planning to advance into upside/downside risk sharing, professional capitation or global capitation for:…