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…
Identifying and implementing social determinants of health (SDOH) data into the EHR is critical to finding answers to a state’s most significant issues. Once identified, SDOH data helps healthcare providers make social services referrals, but the process for doing so using technology is challenging. “It’s not that physicians have totally ignored social determinants of health,…
A diverse group of accountable care organizations, insurers, patient advocacy and health IT companies want the federal government to require data sharing among providers to participate in Medicare. The organizations didn’t stop there. They also urged the Centers for Medicare & Medicaid Services (CMS) to use other policy levers to drive interoperability by requiring the…