Integrating behavioral health and primary care: keys to success in value-based care

July 18, 2023acoBehavioral Health, COVID-19, mental health

Though by many measures and behaviors we’ve shifted to the endemic phase of COVID-19, our health care system continues to grapple with a crisis exacerbated by the pandemic: mental health. The ongoing difficulties and uncertainties driven by the pandemic led to a worsening of many pre-existing mental health issues and the emergence of new ones….

For value-based care, virtual options aren’t always beneficial, study shows

July 14, 2023acoCOVID-19, FQHCs, Telemedicine, virtual care

Tackling value-based care is crucial with the upcoming 2030 mandate by CMS. But it can be challenging for providers to deliver equitable care while hitting value-based care goals. A new telehealth study by the University of Texas McCombs School of Business found that virtual care did not significantly lower costs, or reduce the number of…

How Primary Care Acquisitions Can Advance Value-Based Care

May 2, 2023acoCOVID-19, Medicare Advantage

As value-based care becomes the end goal for many healthcare organizations, health systems across the country are acquiring primary care practices to achieve this mission. Critical aspects of these acquisitions include ensuring that clinician-patient relationships are uninterrupted and establishing operations that generate value for consumers, according to Matthew Weiss, MD, managing director of the EY-Parthenon…

Virtual or in person: Which kind of doctor’s visit is better, and when it matters

March 6, 2023acoBehavioral Health, COVID-19, mental health, Primary Care, Telehealth, Telemedicine

When the covid-19 pandemic swept the country in early 2020 and emptied doctors’ offices nationwide, telemedicine was suddenly thrust into the spotlight. Patients and their physicians turned to virtual visits by video or phone rather than risk meeting face-to-face. During the early months of the pandemic, telehealth visits for care exploded. “It was a dramatic shift…

AMGA Calls on Congress to Advance Value-Based Care, Support Providers

February 21, 2023acoAdvanced APM, AMGA, APM, APMs, COVID, COVID-19, remote patient monitoring, RPM, Telehealth

Congress should focus on advancing value-based care by investing in proper infrastructure, incentivizing patient engagement, and supporting continuous telehealth coverage, according to the American Medical Group Association (AMGA). The organization sent a letter to congressional leaders expressing appreciation for their efforts to support healthcare providers throughout the COVID-19 pandemic. However, the letter urged leaders to improve the Medicare program…

Industry Voices—ACOs, analytics and the great reopening

June 28, 2022acoACOs, analytics, COVID-19, pandemic

“Return” has become a popular word across the globe of late. Return to the office, return to travel, return to going out to eat and sporting events, return to our pre-COVID lives…the list goes on. As our world adjusts to the new normal, the healthcare industry is moving beyond emergency triage to managing today’s top challenges,…

ACOs Using Wellness Visits as Scaffolding for Improvement Efforts

April 28, 2022acoCoronavirus, COVID-19, NAACOS, pandemic, value-based contracting

Nathan Moore, M.D., medical director of the BJC Medical Group ACO in St. Louis, sees annual wellness visits (AWVs) as a scaffolding for all of the ACO’s improvement efforts. “We’re using this as our point of entry for advanced care planning and for functional status evaluations,” he said. Moore was speaking during an April 28…

CMS Officials Announce Major New Strategies Around ACOs

April 28, 2022acoCoronavirus, COVID-19, pandemic, SDOH, social determinants of health, value-based contracting

This week, a group of senior officials from the Centers for Medicare and Medicaid Services (CMS), some from the Center for Medicare, some from the Center for Medicare & Medicaid Innovation (CMMI, also called The Innovation Center) authored an op-ed in the Perspectives section of The New England Journal of Medicine online, in which they outline their…

ACOs Using Wellness Visits as Scaffolding for Improvement Efforts

April 28, 2022acoCoronavirus, COVID-19, NAACOS, pandemic, value-based contracting

Nathan Moore, M.D., medical director of the BJC Medical Group ACO in St. Louis, sees annual wellness visits (AWVs) as a scaffolding for all of the ACO’s improvement efforts. “We’re using this as our point of entry for advanced care planning and for functional status evaluations,” he said. Moore was speaking during an April 28…

Value-Based Contracting: At an Inflection Point?

March 15, 2022acoCoronavirus, COVID-19, pandemic, value-based contracting

Two years into the global COVID-19 phenomenon, it’s become very clear that patient care organizations in the United States have taken a big financial hit from the pandemic. Not only has caring for COVID-19 patients turned out to be extremely expensive, the pandemic has also scrambled hospital operations in particular, as numerous nurses, physicians, and…

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