Home Health Care

MAY 15, 2022

Accountable care organizations (ACOs) have considerably increased their home-based care arsenals over recent years. They’ve also diversified the types of home-based care they offer, and are finally finding ways for it to make economic sense in capitated models. Source: Institute for Accountable Care.

Accountable Care 73

Accountable Care Accountability Primary Care Medicare 73

Health Care Dive

JANUARY 24, 2023

Rush University will be the only Chicago-area academic medical center participating in CVS’ first accountable care organization in ACO REACH.

Medicare 263

Medicare Accountable Care Accountability 263

Fierce Healthcare

NOVEMBER 29, 2023

Accountable care organizations do not positively influence treatment and outcomes for chronic mental health conditions for Medicare patients, according to a study in Health Affairs. | A new study pours water on the belief that ACOs are well-suited to handle chronic mental health conditions its patients experience.

Accountable Care 300

Accountable Care Accountability Patient Experience Medicare 300

Healthcare It News

MARCH 4, 2022

Why do you suggest that care coordination with post-acute providers will become more critical than before to support the rise of value-based care? Post-acute care is a key part of the care continuum and a significant component of healthcare spend. Medicare spends nearly $60 billion on post-acute care annually.

Accountable Care 192

Accountable Care Accountability Physical Therapy Nursing 192

Fierce Healthcare

JUNE 8, 2023

Phase 1 enrollment in the Medicare Shared Savings Program (MSSP) for 2024 is currently underway, and recent reforms hold promise in attracting new providers into accountable care.

Accountable Care 264

Accountable Care Accountability Medicare 264

Fierce Healthcare

MARCH 19, 2024

The Centers for Medicare & Medicaid Services (CMS) has announced the ACO Primary Care Flex Model (ACO PC Flex Model), allowing eligible accountable care organizations to treat people with with | Accountable care organizations are largely supportive of CMS' new primary care model released Tuesday, they wish the agency would broaden its scope (..)

Primary Care 162

Primary Care Accountable Care Accountability Medicaid 162

Health Care Dive

DECEMBER 6, 2023

The beleaguered insurer will leave the accountable care program at the end of the 2023 performance year following disappointing results in Medicare direct contracting.

Accountable Care 264

Accountable Care Accountability Medicare 264

HIT Consultant

JANUARY 25, 2024

What You Should Know: The Ohio State University Wexner Medical Center a nd CVS Accountable Care, part of CVS Health® (NYSE: CVS), today announced the creation of an accountable care organization (ACO) to improve the quality of care for Medicare beneficiaries by Ohio State providers in central Ohio.

Medicare 75

Medicare Accountable Care Accountability Quality of Care 75

Health Care Dive

DECEMBER 9, 2022

Accountable care organizations' net savings rates ranged from -29.4% in the 2021 Global and Professional Direct Contracting Model.

Accountable Care 262

Accountable Care Medicare Accountability 262

Home Health Care

AUGUST 25, 2023

The Medicare Shared Savings Program (MSSP) continues to save Medicare over a billion dollars annually. And some of the highest-performing, most innovative Accountable Care Organizations (ACOs) participating in the program continue to generate savings by effectively using home-based care.

Medicare 83

Medicare Accountable Care Accountability Medicaid 83

Health Care Dive

AUGUST 15, 2023

Regulators lowered enrollment minimums for accountable care organizations in the program, which allows providers to form groups to manage care and costs for fee-for-service Medicare enrollees.

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Accountable Care Regulations Accountability Medicare 245

Home Health Care

NOVEMBER 7, 2023

Centers for Medicare & Medicaid Services (CMS) has stated its objective to enroll all of its Medicare beneficiaries in accountable care relationships by 2030. million Medicare fee-for-service beneficiaries are assigned to an ACO. Currently, roughly 13.2 We’d like to try it that way.’

Medicare 89

Medicare Accountable Care Home Care Accountability 89

Healthcare ECONOMIST

JANUARY 18, 2022

An interesting article in Modern Healthcare reviews some discussion at a recent Medicare Payment Advisory Commission (MedPAC) meeting. The first issue is that the pool of fee-for-service Medicare beneficiaries is shrinking, at least on a relative basis.

Accountable Care 56

Accountable Care Accountability Medicare Healthcare 56

Health Care Dive

JULY 8, 2022

Changes to the Medicare Shared Savings Program would give some accountable care organizations more time to ramp up to performance-based risk and updated quality reporting.

Accountable Care 331

Accountable Care Accountability Medicare 331

Fierce Healthcare

FEBRUARY 21, 2024

The blueprint set forth by Massachusetts accountable care organizations to improve population health metrics and reduce costs can be applied to New York, after Centers for Medicare & Medic | New York's section 1115 waiver allocates $500 million toward social care networks to connect community health workers with local organizations.

Accountable Care 162

Accountable Care Population Health Accountability Medicare 162

Fierce Healthcare

AUGUST 24, 2023

The Centers for Medicare & Medicaid Services (CMS) announced that the Medicare Shared Savings Program (MSSP) has saved a net $1.8 billion in 2022 for accountable care organizations, which is th | Accountable care organizations saved a net $1.8

Accountable Care 130

Accountable Care Accountability Medicare Medicaid 130

Home Health Care

AUGUST 30, 2021

CommonSpirit Health carved out $136 million in savings to Medicare for 2020, while also improving overall outcomes for hundreds of thousands of beneficiaries, the company recently announced. CommonSpirit Health is a participant in the Medicare Shared Savings Program (MSSP), which began back in 2012 after being designed by the U.S.

Medicare 112

Medicare Rehabilitation Home Care Accountable Care 112

HIT Consultant

NOVEMBER 21, 2023

a leading provider of innovative, cloud-based healthcare technology solutions, today announced that its clients participating in the Medicare Shared Savings Program (MSSP) leveraged NextGen® Population Health to achieve a cumulative $82 million in total Medicare savings last year. What You Should Know: NextGen Healthcare, Inc.

Medicare 52

Medicare Population Health Accountable Care Quality of Care 52

Sheppard Health Law

AUGUST 11, 2023

On July 13, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its proposed rule (the “Proposed Rule”) for the 2024 Medicare Physician Fee Schedule (“PFS”). CMS projects that the Proposed Rule will lead to growth in the Medicare Shared Savings Program (“MSSP”).

Medicare 52

Medicare Accountable Care Primary Care Accountability 52

Home Health Care

JUNE 16, 2022

The Medicare Payment Advisory Commission (MedPAC) is, once again, calling for federal policymakers to streamline alternative payment models within the Medicare program. MedPAC examined rural beneficiaries’ and MUA-based individuals’ access to care. In June 2021, MedPAC recommended that the U.S. Home health access.

Medicare 79

Medicare Medicaid Accountable Care Accountability 79

HIT Consultant

OCTOBER 12, 2021

– Bamboo Health’s ACO partners succeed under value-based care programs like the MSSP by utilizing their Pings solution, which provides real-time visibility into patient admission, discharge, and transfer (ADT) care events.

Medicare 52

Medicare Care Transition Accountable Care Accountability 52

Home Health Care

MAY 11, 2022

The highly fragmented home health industry has turned providers into commodities, at least in the eyes of Medicare Advantage (MA) organizations. Because there are so many providers looking to make managed care inroads, the rates home health operators receive from MA sources are typically far below what they get from fee-for-service Medicare.

Medicare 62

Medicare Rehabilitation Accountability Accountable Care 62

Healthcare Leadership Council

MAY 25, 2022

Crippen, former director of the Congressional Budget Office and currently a Healthcare Leaddership Council consultant, that should be a catalyst for discussion on a critical element of the Center for Medicare and Medicaid Innovation’s future direction.

Medicare 75

Medicare Medicaid Accountable Care Quality Improvement 75

p3care

FEBRUARY 10, 2021

From the next performance year (2021), Accountable Care Organizations (ACOs) expect different reporting requirements under the Medicare Shared Savings Program. CMS (Centers for Medicare and Medicaid Services) has recommended changes for ACO reporting criteria. The requirements are somewhat the same as for QPP MIPS.

Medicare 246

Medicare Accountable Care Accountability Medicaid 246

Sheppard Health Law

OCTOBER 27, 2021

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care. Strategic Objective 1: Drive Accountable Care.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Healthcare ECONOMIST

APRIL 23, 2024

While CMS has a target of getting 100% of Medicare beneficiaries into value-based payment (VBP) programs–such as accountable care organizations–by the end of the decade, implementing VBP in practice will be challenging. An editorial by Navathe et al. 2024) in Health Affairs provides some key considerations.

Accountable Care 72

Accountable Care Medicare Accountability Hospitals 72

HIT Consultant

APRIL 9, 2024

The deployment of FeelBetter’s platform is scheduled for 2024 to facilitate the management of polypharmacy for patients across Atlantic Health’s three Accountable Care Organizations (ACOs), which cater to a collective of over 100,000 Medicare beneficiaries and more than 420,000 commercially attributed beneficiaries.

Population Health 52

Population Health Accountable Care Accountability Medicare 52

Home Health Care

MARCH 19, 2024

The Centers for Medicare & Medicaid Services (CMS) announced a new voluntary model Tuesday – centered around primary care providers – that could offer home-based care providers more opportunity to dive into risk-based care. The model was another creation of the CMS Innovation Center.

Primary Care 73

Primary Care Medicare Accountable Care Medicaid 73

Home Health Care

FEBRUARY 8, 2024

This article is a part of your HHCN+ Membership Home-based care providers avoiding the shift to value-based care are running out of time and excuses. Home health providers are already under the Home Health Value-Based Purchasing (HHVBP) Model, which is, by definition, a value-based care model.

Medicare 109

Medicare Accountable Care Accountability Primary Care 109

Home Health Care

OCTOBER 20, 2021

Centers for Medicare & Medicaid Services (CMS) and its main innovation hub touted a “strategy refresh” on Wednesday. Among its key pillars, the refresh calls for greater payment and regulatory flexibilities supporting the provision of home- and community-based care. Officials from the U.S.

Accountable Care 88

Accountable Care Accountability Medicare Medicaid 88

HIT Consultant

APRIL 3, 2023

These risk-based care models are designed to encourage proactive care, better population health and reduced spending across the healthcare spectrum. To meet that deadline, provider organizations will need technology tools for administering relationships within a value-based network.

Accountable Care 98

Accountable Care Accountability Integration Private Practices 98

HIT Consultant

MAY 4, 2022

The Curana Health ACO is a value-based care program for original Medicare beneficiaries. The organization includes a medical group (Curana Health Medical Group), an operator of Medicare Advantage health plans (AllyAlign Health), and an Accountable Care Organization (Curana Health ACO).

Accountable Care 52

Accountable Care Accountability Medicare Primary Care 52

HIT Consultant

NOVEMBER 2, 2023

Lumeris stands out as the only value-based care enablement company with experience working across various patient populations, including those covered by Medicare Advantage, CMMI programs, commercial insurance, and Medicaid.

Accountable Care 52

Accountable Care Population Health Accountability Medicaid 52

Accountable Care Doctors

AUGUST 27, 2021

The Council of Accountable Physician Practices (CAPP) engaged the Institute for Accountable Care (IAC) to review recent literature to assess the current state of research on the characteristics and performance of accountable care organizations (ACOs) and accountable physician groups. Outcomes-based payment.

Accountability 52

Accountability Accountable Care Quality Improvement Medicare 52

HIT Consultant

OCTOBER 30, 2023

Under the Medicare Shared Savings Program, a healthcare provider that is an Accountable Care Organization (ACO), ACO participant, or ACO provider or supplier would be deemed ineligible to participate in the program for a period of at least one year.

Medicare 96

Medicare Accountable Care Healthcare Providers Regulations 96

Home Health Care

APRIL 15, 2024

Last week, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced a new proposed model that will undoubtedly affect home health providers, and also allow them the opportunity to get more involved in value-based care initiatives. TEAM would be yet another model furthering that goal, if enacted.

Accountability 65

Accountability Medicare Home Care Quality of Care 65

Healthcare ECONOMIST

MAY 1, 2023

An interesting article by Mor (2023) examines the history of the requirement for a 3-day hospital stay for Medicare to cover a skilled nursing facility (SNF) transfer. Second, hospital stays shorter than 3 days do not generate a Medicare-covered SNF stay. ” Nonetheless, the Catastrophic Coverage Act was eventually repealed.

Hospitals 71

Hospitals Medicare Nursing Accountable Care 71