What is coordinated care and why is it important in patient care?

October 9, 2021Garrett SchmittNo CommentsChronic Care Management, chronic disease, chronic disease management, chronic diseases, coordinated care, coordination of care, health care costs, patient care

Chronic diseases are a leading cause of death and disability in the USA, and the number of Americans affected by chronic illnesses is estimated to hit 50% by 2025. Co-morbid diagnoses are a significant consequence of this, with one in four US adults struggling to manage two or more chronic conditions simultaneously.  As a result…

HIEs Advance Interoperability for Improved Care Coordination, Data Analytics

August 10, 2021Garrett SchmittNo CommentsAHIMA, care coordination, coordination of care, Data Analytics, health information exchanges, HIEs, Interoperability, Journal of AHIMA

Health information exchanges (HIEs) advance interoperability and provide clinicians with greater access to patient health data for care coordination, according to an op-ed published in the Journal of AHIMA. Chris Hobson, MD, chief medical officer at Orion Health, and Allen Ausford, MD, FCFP, a clinical professor in the Department of Family Medicine at the University of Alberta,…

3 Strategies To Push ACO Savings Beyond Coordination of Care Limits

July 25, 2021Garrett SchmittNo CommentsACOs, care coordination, coordination of care, savings

Will accountable care organizations (ACOs) be the value-based payment model of the future?That depends. As the value-based care market has changed, ACO numbers have dropped and competitive payment models have attracted medical groups. ACOs need to prove that the shared savings model can increase historical savings and retain provider participation. And they may have limited…

Integrating Data Systems To Support Value-Based Contracts

June 23, 2021Garrett SchmittNo CommentsACOs, care coordination, CCBHCs, coordination of care, information systems, integrated data, MA Plans, reimbursement models, value-based care, value-based contracting

The US  health care system is increasingly moving towards value-based care to promote improved health outcomes for Americans.  This can be seen across Medicare Advantage Plans (MA Plans), Accountable Care Organizations (ACOs), and Certified Community Behavioral Health Centers (CCBHC), among others.  This movement also demands a transformation of reimbursement models to value-based contracting, with a…

New ACO Playbook: Three Touchstones For ACO Viability

May 13, 2021Garrett SchmittNo CommentsACOs, alternative payment models, community, coordination of care, Data, Fee for service, growth orientation, Hospital led ACOs, Medicare ACOs, MSSPs, physician-led ACOs, Primary Care First, Risk, technology, vbc

Some believe that an ACO’s leadership structure predicts its success. They point to differing savings results for physician-led versus hospital-led ACO shared savings models (MSSPs) to make their case. In particular, they make the argument that future Value-Based Care (VBC) policies should benefit the growth of successful physician-led ACOs, protecting them from policies that force…

New ACO Playbook: Can Coordination Of Care Save Enough Money To Save ACOs?

April 29, 2021Garrett SchmittNo CommentsACOs, care coordination, care plans, care teams, CMS, CMS Innovation Center, coordination of care, data organization, direct contracting, Medicare, organization of care, Primary Care First, savings, Shared Savings, vbc

Central to the controversy about ACOs’ potential for Value-Based Care is whether they actually save enough money and reduce costs fast enough. Researchers and advocates have produced various independent studies of ACO savings, the most generous estimating $1.8 billion in cumulative savings over the first three years of the program, almost double CMS estimates. Many…

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