CMS has made substantial progress on its goal for all people with Traditional Medicare to be in a care relationship with accountability for quality and total cost of care by 2030. As of January 2025, 53.4% of people with Traditional (fee-for-service) Medicare are in an accountable care relationship with a provider. This represents more than…
A new report, funded by the Department of Health and Human Services’ Assistant Secretary for Planning and Evaluation and the Office of the National Coordinator for Health IT, summarizes interviews with executives at 21 organizations involved in value-based care. The report focuses on the barriers to and facilitators of data integration in support of value-based…
The Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) Model reduced Medicare payments and hospitalizations among beneficiaries with ESRD, suggesting that specialty-oriented accountable care organization (ACO) models may offer more benefits than primary care-based ACO models, according to a Health Affairs study sent to journalists. CMS launched the CEC Model in October 2015 as the first specialty-oriented ACO. The model…
The COVID-19 pandemic changed how healthcare organizations approach care delivery, but the industry needs more efficient and transparent data sharing methods to accelerate provider transition to value-based care models. Providers and payers alike are increasingly moving away from fee-for-service and shifting toward value-based payment models, which reimburse providers based on the quality of care they…
This presentation will analyze tactics that impact shared savings potential, while highlighting lessons learned and best practices from participating ACOs. CyncHealth, Nebraska’s Health Information Exchange program, will share innovative ways patient health data is collected and shared that enables ACOs to achieve high performance. Speakers: – Ann Polich, MD, CMO of CyncHealth – Sanjay Seth,…
Download Slides Population Health 4.0 is the inclusion of community resources to deliver equitable, high-quality and high-value patient care. This presentation will outline 4 key strategies that incorporate data and community alliances to address the socio-economic needs of patients as they navigate their healthcare plan. Speaker: – Sita Kapoor – Chief Information Officer, Co-Founder HealthEC…
Health disparities are a long-standing challenge in the United States and worldwide. In light of the COVID-19 pandemic and its higher impact on vulnerable and marginalized groups, more attention is being directed towards achieving health equity. With a focus on the relationship between health, social factors, and their role in public health, researchers, policy makers…
Throughout the last decade of ACO development, many have struggled to identify what actually makes ACOs successful. Analyses have been fraught with conflicting conclusions. Studies have tagged type of ownership (hospital-based vs. physician-led), geographic region or urban-rural factors, primary-care-only versus specialty participation, ACO payment model type, patient volume, and operations strategies as links to success…
The Medicare Shared Savings Program, the accountable care organization (ACO) model that served 10.6 million seniors in 2020, collectively saved Medicare $4.1 billion last year, and $1.9 billion after accounting for shared savings payments, according to the National Association of ACOs and as recently published in Healthcare Finance. 513 ACOs participated in the Shared Savings Program in 2020, down…
The COVID-19 pandemic put a spotlight on the health disparities across the United States and is fueling overdue discussion on how they can be systematically addressed to achieve the bigger goal of delivering the best care everywhere. Much of this discussion is focused around how to best leverage the valuable troves of health care data…