ACOs Using Wellness Visits as Scaffolding for Improvement Efforts

April 28, 2022acoCoronavirus, COVID-19, NAACOS, pandemic, value-based contracting

Nathan Moore, M.D., medical director of the BJC Medical Group ACO in St. Louis, sees annual wellness visits (AWVs) as a scaffolding for all of the ACO’s improvement efforts. “We’re using this as our point of entry for advanced care planning and for functional status evaluations,” he said. Moore was speaking during an April 28…

CMS Officials Announce Major New Strategies Around ACOs

April 28, 2022acoCoronavirus, COVID-19, pandemic, SDOH, social determinants of health, value-based contracting

This week, a group of senior officials from the Centers for Medicare and Medicaid Services (CMS), some from the Center for Medicare, some from the Center for Medicare & Medicaid Innovation (CMMI, also called The Innovation Center) authored an op-ed in the Perspectives section of The New England Journal of Medicine online, in which they outline their…

ACOs Using Wellness Visits as Scaffolding for Improvement Efforts

April 28, 2022acoCoronavirus, COVID-19, NAACOS, pandemic, value-based contracting

Nathan Moore, M.D., medical director of the BJC Medical Group ACO in St. Louis, sees annual wellness visits (AWVs) as a scaffolding for all of the ACO’s improvement efforts. “We’re using this as our point of entry for advanced care planning and for functional status evaluations,” he said. Moore was speaking during an April 28…

Value-Based Contracting: At an Inflection Point?

March 15, 2022acoCoronavirus, COVID-19, pandemic, value-based contracting

Two years into the global COVID-19 phenomenon, it’s become very clear that patient care organizations in the United States have taken a big financial hit from the pandemic. Not only has caring for COVID-19 patients turned out to be extremely expensive, the pandemic has also scrambled hospital operations in particular, as numerous nurses, physicians, and…

FLAACOS 2021 VBC PANEL SURVEY: A Summary of ACOExhibitHall.com Advisory Board Responses

December 2, 2021Garrett SchmittNo Commentsaccountable care, ACO, ACO infrastructure, ACOEH, advisory board, alternative payment models, APMs, CMMI, COVID-19, FLAACOs, Global and Professional Direct Contracting Model, Medicare Advantage, SDOH, social determinants of health, Survey, value-based care, value-based contracting, value-based infrastructure, vbc

On November 4, 2021, the Executive VP of the ACO ExhibitHall.com (ACOEH), John Schmitt, Ph.D., MBA, served as Panel Moderator of the FLAACOS 2021 Conference session titled “How to successfully transition from fee-for-service medicine to value-based care”. He was joined by Dr. Brent Staton, CEO of CCHI (ACO), as well as Rachel Corbitt, Executive Director,…

Key Characteristics for Successful Downside Risk Contracting

October 15, 2021Garrett SchmittNo Commentscontracting, downside risk contracting, healthcare payers, KLAS, Payers, Population Health, Population Health Management, Risk, risk contracting, risk management, value-baed reimbursement, value-based care, value-based contracting, VBR

Organizations that do strong vendor relationships, invest in the organization, and are willing to take on commercial risk will be poised to take on downside risk financial contracts. Through working with population health management vendors, KLAS released a recent report identifying which of their customers are most advanced in adopting downside risk contracts. In the…

The State of Payer, CBO Social Determinants of Health Contracting

September 22, 2021Garrett SchmittNo Commentscommunity, community-based, community-based organizations, Medicare Advantage, SDOH, social determinants, social determinants of health, value-based, value-based care, value-based contracting, vbc

Social determinants of health contracting with community-based organizations remains a complex and challenging task for payers as the demand for answers grows more pressing. As the industry’s awareness of social determinants of health expands, so does the need for evidence-based solutions. Often, these solutions require health insurers and health systems to contract with community-based organizations…

Integrating Data Systems To Support Value-Based Contracts

June 23, 2021Garrett SchmittNo CommentsACOs, care coordination, CCBHCs, coordination of care, information systems, integrated data, MA Plans, reimbursement models, value-based care, value-based contracting

The US  health care system is increasingly moving towards value-based care to promote improved health outcomes for Americans.  This can be seen across Medicare Advantage Plans (MA Plans), Accountable Care Organizations (ACOs), and Certified Community Behavioral Health Centers (CCBHC), among others.  This movement also demands a transformation of reimbursement models to value-based contracting, with a…

Number of Accountable Care Organizations Declined During COVID-19

June 22, 2021Garrett SchmittNo CommentsACOs, APMs, CMMI, CMS, COVID-19, Medicare, MSSP, Value Based Reimbursement, value-based contracting

Accountable care organization (ACO) growth has hit a snag again, with the COVID-19 pandemic impacting the number of ACOs in public and private contracts, according to a new analysis. The analysis published in the Health Affairs blog found that ACO growth has plateaued over the last couple of years, starting in 2019 when CMS introduced…

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