CMS Moves Closer to Accountable Care Goals with 2025 ACO Initiatives

January 22, 2025Garrett SchmittNo CommentsData, data collection, health data, health disparties, health equity, health IT, healthcare data, SDOH, social determinants of health, standardized data collection

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…

How Healthcare Orgs Can Improve Their Health Equity Measures

July 24, 2023Garrett Schmitthealth equity, NCQA

When the nonprofit behind the most popular performance measurement tool implemented health equity measures, it begged the question: how can healthcare organizations measure equity? Healthcare industry leaders recognize the importance of the overarching issue. Almost 90 percent of healthcare executives agreed that health equity should be one of the industry’s priorities. “We know what we can’t see and what…

Policy guidance offers strategies to shift to value-based health care and payment

July 10, 2023Garrett SchmittAmerican Heart Association, digital health, health equity, SDOH

The American Heart Association, a global force for longer, healthier lives for all, is advocating for a shift away from the current health care payment system in the U.S., which is primarily based on fee-for-service, to a value-based payment (VBP) system. A VBP system is person-centered, equitable, coordinated and seeks to improve outcomes and experiences…

Hospitals with Health Equity Factors Face Value-Based Penalties

July 6, 2023Garrett Schmitthealth equity, hospital, hospital readmissions

Hospitals with more medically complex patients, uncompensated care, and patients who live alone are more likely to receive a penalty under CMS value-based payment programs, according to a new study calling for change to the programs. The study from the Federation of American Hospitals and Dobson DaVanzo and Associates, LLC suggests value-based payment programs like the Hospital…

Health Equity Roundup 2022: Policy Moves Forward

December 22, 2022Garrett Schmitthealth equity, SDOH

Health equity became an increasingly important topic this past year. There has been a significant increase in initiatives from legislators and policymakers, as well as increased funding toward historically underserved groups. We reported on Feb. 28 that “Washington has become the second state to begin to create Health Equity Zones to support communities in addressing…

New coalition calls for collective action on health equity

December 20, 2022Garrett Schmitthealth equity, policy, racial disparities, SDOH

The Rise to Health Coalition seeks to catalyze individuals and organizations committed to health equity and justice. WHY IT MATTERS Dr. Kedar Mate, president and CEO of the Institute for Healthcare Improvement, announced the new coalition at the recent IHI Forum 2022 in Orlando, Florida. Joined by Dr. Aletha Maybank, chief health equity officer and senior…

Physician Advocates for Equity See Built-In Problems in ACO Incentives

August 16, 2022Garrett SchmittACOs, health equity, physicians

Two physician healthcare policy leaders are offering an examination of the value-based delivery and payment movement in healthcare from a health equity perspective, and have concluded that, while healthcare reimbursement reform can provide one element in moving the needle on health equity, it alone cannot provide a vehicle that will transform the U.S. healthcare system…

CMS moves toward guidance on health equity, climate change

August 8, 2022Garrett SchmittCMS, health equity

The CMS outlined potential guidance last week on issues like healthcare equity and climate change in its final inpatient payment rule as the federal government heightens its healthcare oversight on social issues. In the report, the CMS released comments that it received after soliciting public input during its proposed rule in April. The feedback on…

Health Equity Relies on Healthcare Orgs as Anchor Institutions

August 8, 2022Garrett Schmitthealth equity

In any given community, the local health system is probably one of the biggest employers. It’s probably also one of the biggest spenders and biggest concentrations of social capital. The word for that is anchor institution, and healthcare organizations need to embrace that status in order to keep the health equity ship moving. For nearly…

Digital health companies must act on health equity. This is the time.

August 3, 2022Garrett Schmittdigital health, health equity, health technology, SDOH

Health equity in America is a vast topic, and I’m sure there are people much more expert in this area than I am. However, as a Black man, and as the CEO of a healthcare technology company that works with thousands of clinical organizations, I believe it’s my obligation to learn, speak out, and take…

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