CMS’ Roadmap for Switching to FHIR-Based Digital Quality Measures

February 8, 2026Garrett SchmittFHIR, FQHC, FQHCs

The Centers for Medicare & Medicaid Services (CMS) is moving steadily toward the use of FHIR-based digital quality measures (dQMs). CMS believes dQMs will enable a more dynamic, interoperable, and comprehensive approach to quality measurement than the electronic clinical quality measures (eCQMs) currently in use. As it seeks public feedback on draft dQM packages, CMS officials held…

2026 Medicare ACO Initiatives: New Models, Increased Participation, and Enhanced Patient Care

February 4, 2026Garrett SchmittFQHC, FQHCs

On February 4, the Centers for Medicare & Medicaid Services (CMS) released a fact sheet about the 2026 Medicare Accountable Care Organization (ACO) participation. As of January 2026, an estimated 14.3 million Medicare beneficiaries will receive care coordinated by ACOs, up from 13.7 million in 2025, marking a 4.4 percent increase, CMS reported. This includes patients whose…

Skin Substitutes Provide Example of ACOs’ Role in Identifying Fraud, Waste, and Abuse

November 18, 2025Garrett SchmittFQHC, FQHCs

In October the National Association of ACOs (NAACOS) and the Institute for Accountable Care published research showing that spending on skin substitute products for wound care is projected to reach $15.4 billion by the end of 2025, a 55% increase over 2024 spending. In response to outcry from NAACOS members and other organizations and a New…

FQHC-Focused ACO Continues to Grow

March 26, 2025Garrett SchmittFQHC, FQHCs

Boston-based Community Care Cooperative (C3), an accountable care organization (ACO) founded and governed by Federally Qualified Health Centers has added four more FQHCs to its network participating in the Centers for Medicare & Medicaid Services Medicare Shared Savings Program (MSSP). C3 announced that it has partnered with two FQHCs in California, one in the District…

FQHC-Focused ACO Continues to Grow

March 25, 2025Garrett SchmittFQHC, FQHCs

Boston-based Community Care Cooperative (C3), an accountable care organization (ACO) founded and governed by Federally Qualified Health Centers has added four more FQHCs to its network participating in the Centers for Medicare & Medicaid Services Medicare Shared Savings Program (MSSP). C3 announced that it has partnered with two FQHCs in California, one in the District…

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

July 14, 2023Garrett SchmittCOVID-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…

CMS Expands Telehealth Coverage in Proposed 2022 Physician Fee Schedule

July 14, 2021Garrett SchmittNo Comments2022 Physician Fee Schedule, CMS, FQHCs, news, Physician Fee Schedule, RHCs, Telehealth

The Centers for Medicare & Medicaid Services’ proposed 2022 Physician Fee Schedule offers some good news for telehealth advocates. The 1747-page draft, released this week, proposes to make permanent some provisions enacted years to address the coronavirus pandemic, while continuing most until at least Dec. 23, 2023 “so that there is a glide path to…

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