Breaking Down Common CMS Value-Based Payment Programs

April 29, 2022acoAPMs, FFS, MACRA, MIPS, SNF, value-based payment

Value-based payment programs tie healthcare reimbursement rates to quality care by offering providers incentive payments to meet specified quality measures during and after healthcare delivery. As the industry moves away from fee-for-service models and toward value-based care models, CMS has implemented several programs to improve patient care, advance population health, and lower healthcare costs. These value-based…

RECORDED WEBINAR: Post-Acute Analytics – What’s in It for My ACO?

August 31, 2021Garrett SchmittNo CommentsACO, ACOs, cost of care, hospital readmissions, post-acute analytics, Shared Savings, SNF, SNF networks, SNFs, total cost of care, Webinar, webinars

DOWNLOAD SLIDES Learn about the types of analytics available in post-acute healthcare and how they’re being used by ACOs to: Build and sustain high-performing SNF networks Prevent hospital readmissions and adverse events Reduce total cost of care and Earn more shared savings Speaker: Janine Savage, RN, CHC Vice President, Product Management, Analytics and Business Intelligence…

The CHART Model: What it means for ACOs and Health Communities in 2020

September 2, 2020Garrett SchmittNo CommentsRural, SDOH, SNF

On August 11, 2020, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced the new Community Health Access and Rural Transformation (CHART) Model as part of the President’s recent executive order. The Model is an incredible accomplishment for patients and healthcare providers in rural areas that face social determinants of health (SDOH) challenges,…

CMS grants ACOs easier access to SNF waivers

January 8, 2019Garrett SchmittNo CommentsSNF

Medicare accountable care organizations accepting downside financial risk will have easier access to CMS waivers of the rule requiring three-day inpatient stays before patients can be sent to skilled nursing facilities. In a guidance published Monday, the CMS laid out requirements for Shared Savings Program ACOs that apply for a waiver of the three-day stay rule. Only…

Why Health Systems Need to Strategically Align with Skilled Nursing Facilities Now

November 26, 2018Garrett SchmittNo Commentsskilled nursing facilities, SNF

Inevitably, healthcare incentives continue to transition from the traditional fee-for-service (FFS) model to a value-based payment system. A recent modernization to how the Centers for Medicare & Medicaid Services (CMS) will pay providers for skilled nursing facility (SNF) performance is proof. And if you want to achieve success in alternative payment models (APMs), such as bundled payments…

Accountable Care Organizations and Post-Acute Care: A Focus on Preferred SNF Networks

July 2, 2018Garrett SchmittNo Commentspayment reform, post-acute care, preferred networks, skilled nursing facilities, SNF, value-based payment

Due to high magnitude and variation in spending on post-acute care, accountable care organizations (ACOs) are focusing on transforming management of hospital discharge through relationships with preferred skilled nursing facilities (SNFs). Using a mixed-methods design, we examined survey data from 366 respondents to the National Survey of ACOs along with 16 semi-structured interviews with ACOs…

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