The proposed changes in the Medicare Physician Fee Schedule (PFS) for calendar year (CY) 2023 may offer incentives for provider groups to consider alternative payment models. Still, the policies will likely require more apparent benefits to significantly impact the shift to value-based care. The CY 2023 PFS proposed rule included changes to the Medicare Shared…
Download Slides ACO REACH participants face a number of new challenges starting January 1, 2023. CMS will require every participating ACO to have a health equity plan in place to successfully identify, engage, and intervene with socially vulnerable populations. Organizations will be measured and evaluated based on their ability to execute this health equity…
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…
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,…
Download Slides August 1 marks the beginning of the CMS ACO REACH model implementation period, gearing up for the first performance year beginning January 1, 2023. Whether your organization is participating or not, the drive to incorporate SDOH to improve quality of care and outcomes is an initiative that will make its way to…
As the nation’s largest health care payer, responsible for more than one in five dollars spent on health care within the United States, Medicare plays a key role in transitioning the health care system away from fee-for-service, which incentivizes quantity of care, and towards value-based care, which incentivizes high-quality care and smarter spending. The passage…
Download Slides For many value-based care providers, one of the biggest obstacles is often the 10% to 20% of your population who make up your most “challenging” chronic patients. Treating and managing those chronic conditions is no mystery. The problem is getting your unengaged patients to better understand and take control of their…
Download Slides When communication between various providers and sites of care is broken or nonexistent, gaps in care can lead to many patients falling through the cracks. As the healthcare industry shifts toward value-based care models, hospitals need to ensure successful patient transitions and recovery, provide high-quality care, drive revenue, and mitigate risk. Join…
After years spent transforming your health care technology, you may feel like you’re almost done. But Value-Based Care Technology requires a different mindset. With reimbursement scaling to a tipping point for APM adoption, think “reboot” instead. Your health system or group has a long way to go if your aggregated and integrated data cannot support…
Hospitals are increasingly turning to value-based care initiatives to transform care delivery, lower the total cost of care, and improve patient outcomes. Unlike traditional fee-for-service (FFS) models that reimburse providers based on volume (i.e., the number of patient visits), providers are reimbursed based on the quality of care delivered in value-based care. Ultimately, success under…