Hospitals with Health Equity Factors Face Value-Based Penalties

July 6, 2023acohealth 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…

CMS releases three initiatives to grow Medicare ACO participation

January 18, 2023acoCMS, healthcare, healthcare providers, hospital, Medicare, MSSP

To advance its goal of having 100% of people in traditional Medicare in an accountable care relationship in seven years, the Centers for Medicare and Medicaid Services has announced three initiatives in the Medicare Shared Savings Program and the ACO REACH and Kidney Care Choices models. More than 700,000 healthcare providers and organizations will participate…

Shorter behavioral stays save Medicaid money, but frustrate hospitals

August 1, 2018Garrett SchmittNo CommentsBehavioral Health, Cost Containment, Cost Reduction, hospital, Hospitals, Medicaid, Medicaid ACOs

The shift toward value-based payment in healthcare that countless advocates say will cut costs and improve the quality of care isn’t without its downsides. This week’s earnings show the evolution is weighing on some providers’ bottom lines. As more of Universal Health Services’ behavioral health patients move from fee-for-service Medicaid to Medicaid managed-care programs, the…

Secret team to ‘kill the old healthcare model’ launches at Florida Hospital

July 24, 2018Garrett SchmittNo CommentsCost Containment, Cost Reduction, hospital, Hospitals, vbc, VBHC

Orlando-based Florida Hospital President and CEO Daryl Tol said during a recent talk that the hospital has created a secret team called Project Fulcrum to “kill the old healthcare model,” according to the Orlando Sentinel. Here are three things to know: 1. Mr. Tol, who also serves as president and CEO of the central Florida…

MedPAC Report Offers Strong Endorsement of Hospital-Based ACOs

July 18, 2018Garrett SchmittNo Commentshospital, Hospitals, MedPAC

Medicare ACOs are designed to slow growth in Medicare spending and improve the quality of care delivery. Since the first ACOs were established in 2012, there has been a persistent question of whether the population health management and wellness measures employed by ACOs will result in fewer inpatient stays and lower hospital revenue. Can ACO participation be worth the financial risk for inpatient hospitals?   Ultimately, no hospitals would be willing to join an ACO if lower revenue put the…

Understanding Health Equity in Value-Based Patient Care

August 30, 2017acohealth equity, hospital, hospital readmissions

Care quality, disease management, and genetic makeup are core parts of patient health. However, stakeholders must also acknowledge that patient health is much more than medical interventions. This is especially true with value-based patient care taking hold and key concepts such as health equity emerging. Understanding the different components of health equity is the first…

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