ACO REACH PY2025 changes: What do they mean for my ACO?

November 26, 2024acoNo CommentsACO, ACOs, value-based care, vbc

In late July, the Center for Medicare and Medicaid Innovation (CMMI) announced updates to the ACO Realizing Equity, Access, and Community Health (REACH) model beginning in performance year (PY) 2025.1 This announcement coincided with the recent publication by CMMI of the Global and Professional Direct Contracting (GPDC) Model PY2022 Evaluation Report, which cites some of the early…

VBC Contract Management with Healthcare Analytics | Milliman MedInsight

November 26, 2024acoNo Commentsvalue-based care, vbc

The transition towards value-based care (VBC) is rapidly reshaping the healthcare landscape. While this shift holds immense promise for improving patient outcomes and reducing costs, it also presents a unique set of challenges that demand careful consideration for successful contract negotiations and management. In this blog post Milliman MedInsight product manager, Umang Gupta, explains the…

Report Identifies Keys to Data Integration for Value-Based Care

August 4, 2022acocare coordination, Data, data integration, health data, point of care, Population Health, value-based care, vbc

A new report, funded by the Department of Health and Human Services’ Assistant Secretary for Planning and Evaluation and the Office of the National Coordinator for Health IT, summarizes interviews with executives at 21 organizations involved in value-based care. The report focuses on the barriers to and facilitators of data integration in support of value-based…

3 Steps to Enter the Value-Based Care Space

July 30, 2022acovalue-based care, vbc

Value-based care (VBC) is quickly becoming the future of healthcare. By 2030, CMS expects 100% of traditional Medicare beneficiaries to be treated by a provider in a value-based care model. The objective is to improve the quality of patient care based on specific measures, such as lowering the overall cost of care, reducing hospital readmissions,…

Value-based care creating a new era of interoperability

May 19, 2022acoInteroperability, value-based care, vbc

Interoperability in healthcare, it would seem, is at an important inflection point. Rules around data exchange have been around for years, and regulate what patient information gets shared between payers, providers and the patients themselves. There are also standards around how that information is shared, and the forms it can take. But the transition to…

Technology’s critical role in successful value-based care

May 3, 2022acotechnology, value-based care, vbc

Championed by government entities like the Centers for Medicare and Medicaid Services and the Department of Health & Human Services, value-based care is here to stay. Hospitals are increasingly participating in value-based programs—such as the Hospital Readmissions Reduction Program and Bundled Payments for Care Improvement—in an effort to improve care delivery and patient outcomes while…

Fact Checking the ACO Realizing Equity, Access, and Community Health (REACH) Model

April 15, 2022aco1 CommentHCTTF, Health Care Transformation Task Force, value-based care, value-based payment, vbc

The Center for Medicare and Medicaid Innovations (CMMI) recently announced the ACO Realizing Equity, Access, and Community Health (REACH) Model. The REACH Model will replace the Direct Contracting model starting on 1/1/23. ACO REACH retains the DC Model Global and Professional tracks and adds new requirements to advance equity, promote provider governance, and protect beneficiaries….

Everybody’s Talking About Value-Based Health Care. Here’s What They’re Not Saying.

April 12, 2022acoHospitals, Specialists, value-based care, vbc

Attend any healthcare conference and you’ll quickly discover that it’s become downright fashionable for healthcare leaders to talk about their unwavering commitment to “value-based care.” The expression has become ubiquitous in healthcare circles. Its virtuousness goes unchallenged. But should that be the case? Michael E. Porter and Elizabeth Teisberg (with whom I worked as a…

FLASH INTERVIEW — CareSignal — March 2022

March 3, 2022acoNo CommentsACO, ACOs, data integration, health data, health tech, health technology, healthcare data, Interoperability, normalization, remote monitoring, remote patient monitoring, RPM, Telehealth, transactional data, transactional health data, value-based care, vbc

 Remote monitoring for value-based care organizations. CareSignal Deviceless RPM is accessible, scalable, and cost-effective. Visit the CareSignal Exhibit Booth

What the Pandemic Taught Us About Value-based Care

February 17, 2022acoCoronavirus, COVID-19, pandemic, value-based care, vbc

You’ll recall that we ran a long piece (pt 1, pt 2) about Medicare Advantage from former Kaiser Permanente CEO George Halvorson earlier this year. Here’s a somewhat related piece from the current head of The Permanente Medical Group about what actually happened there and elsewhere during the pandemic–Matthew Holt The COVID-19 pandemic has provided…

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