AHCA CEO: Value-Based Care ‘Most Exciting’ Development of His 30-Year Skilled Nursing Career

December 9, 2022acoACOs, CMS, nursing homes, SNFs

Skilled nursing providers are facing an extremely challenging operating environment, but they must keep adapting and innovating as the shift toward value-based care continues across the U.S. health care system. And in fact, providers have tremendous opportunities to seize. “Value-based care through the population health management model is the most exciting thing I’ve had the…

CMS Makes Significant Updates to ACOs But Still Leaves Nursing Homes Largely Out of Conversation

July 20, 2022acoACOs, CMS, nursing homes, SNFs

While the Centers for Medicare & Medicaid Services (CMS) proposes to make some of the most significant changes to its accountable care organization (ACO) model since it was finalized in 2011, it doesn’t appear that such updates will have a lasting impact on the broader skilled nursing industry. If anything, only operators with their own…

Better Value-Based Care Means Fewer Nursing Homes, Summit Eldercare VP Says

October 13, 2021Garrett SchmittNo Commentshealthcare reform, home care, Home Health, nursing homes, SNFs, value-based care, vbc

A leader from PACE program Summit Eldercare believes there should be at least half the number of nursing homes in the country, in order to adequately provide value-based care. Instead, prospective SNF residents would be better served in community housing options. This is coupled with a trend Summit Eldercare is seeing among the SNFs it…

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…

ACO Participation May Keep SNFs ‘In the Game’

August 8, 2021Garrett SchmittNo Commentsaccountable care, accountable care organizations, ACOs, skilled nursing facilities, SNFs

Although accountable care organizations (ACOs) have never been particularly popular among skilled nursing facilities, timing may be ripe to take on more risk to stay competitive in the market. ACO participation may help operators maintain referrals when so many potential residents are being diverted to home health care, hospice and other tracks along the continuum…

Direct Contracting Opens a New Door for SNFs in Value-Based Care

July 5, 2021Garrett SchmittNo CommentsCMS, DCEs, direct contracting, SNFs, value-based care, vbc

Institutional special needs plans (I-SNPs) are seen by some to be the only path forward for skilled nursing facilities (SNFs) to enter value-based care, however, Brian Fuller, CEO of care coordination company Integrated Care Solutions (ICS), thinks SNFs should get more involved with direct contracting entities (DCEs). A lack of understanding may be preventing them…

Some ACOs See Value in Closer Skilled Nursing Partnerships Post-Pandemic

June 14, 2021Garrett SchmittNo CommentsACOs, post-pandemic, skilled nursing, skilled nursing partnerships, SNFs

The rise of value-based care has put a greater focus on costs and quality of all health care providers. While accountable care organizations (ACOs) have gotten a bad rap in the skilled nursing industry in the past, joining forces with these groups, which consist of groups of doctors, hospitals and other health care providers, remains a…

Profiling ACO Success: What Drives High Performance in the Medicare Shared Savings Program?

May 3, 2021Garrett SchmittNo CommentsACOs, ACP, AWVs, Care Management, CMS, E&M, ED admissions, expenditures, IP admissions, MSSP, savings, SNFs, TCM, Transition of care

The Medicare Shared Savings Program (MSSP) is the largest value based care program from the Center for Medicare & Medicaid Services (CMS) to date. Since its inception in 2012, Accountable Care Organization (ACO) participation has doubled; providing care to over 10 million beneficiaries, generating $1.94 billion in total savings, and earning over $1.47 billion in…

In Providers’ Words: What’s Working and What’s Not in Value-Based Care Today

April 27, 2021Garrett SchmittNo CommentsACOs, APMs, benchmarks, care coordination, CIN, CMS, congress, evidence-based care, FFS, Integrated Health Partners, legislature, MACRA, MIPS, Next Generation ACOs, Payers, SNFs, specialist incentives, Telehealth, vbc

Earlier this month, Premier hosted a panel on value-based care (VBC), with providers from across the healthcare continuum discussing its merits and pitfalls. In attendance were members of Congress and their staffers to hear how precisely VBC has been effective and policy changes needed to continue its forward progress. One message came through above all…

Population health still at odds with fee-for-service

April 6, 2021Garrett SchmittNo CommentsFee for service, FFS, SNFs

Year after year, surveys show the same thing: Healthcare providers’ evolution toward accepting risk to keep patients healthy—widely viewed as the holy grail of lowering healthcare costs—has been painfully slow. So long as that’s the case, experts say the financial returns providers can expect to draw from population health management, where they gather patient data…

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