Healthcare It News

MARCH 4, 2022

Care coordination is becoming increasingly important in U.S. healthcare for a variety of reasons, including the increased use of value-based care models, the behavioral care shortage and a boom in home healthcare.

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Fierce Healthcare

OCTOBER 11, 2024

Specialty care makes up a significant portion of healthcare spending, yet accountable care organizations (ACOs) often lack a specialty care strategy to lower costs and optimize specialty care.&nbsp

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HIT Consultant

JUNE 1, 2025

Thanks to the emergence of accountable care models and the explosive expansion of telehealth, healthcare companies are being pushed to do more with less, delivering improved patient outcomes while reducing costs and increasing access. Source Credit: DC Studio on Freepik Significant shifts are occurring in the healthcare sector.

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Fierce Healthcare

OCTOBER 29, 2024

Accountable care organizations saved Medicare $2.1 Accountable care organizations (ACOs) saved Medicare $2.1 billion, the largest yearly savings in program history, in 2023, the Centers for Medicare & Medicaid Services revealed on Tuesday.

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Health Care Dive

APRIL 17, 2024

Independent practices have clearer financial incentives to lower medical spending than hospitals participating in accountable care organizations, according to the Congressional Budget Office.

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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.

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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.

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Accountable Care Accountability Medicare 327

Fierce Healthcare

APRIL 11, 2024

Accountable care organizations have sounded the alarm on billions in durable medical equipment fraud, and officials at the Centers for Medicare & Medicaid Services (CMS) said Thursday that the | Accountable care organizations have sounded the alarm on billions in durable medical equipment fraud, and officials at the Centers for Medicare & Medicaid (..)

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Fierce Healthcare

NOVEMBER 11, 2024

Accountable care organizations in the ACO Reach program can claim credit for saving the Centers for Medicare & Medicaid Services (CMS) hundreds of millions of dollars | CMS released favorable savings results for ACO REACH Model participants, as industry group NAACOS begins to push for the program's extension through 2030.

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Accountable Care Accountability Medicaid Medicare 287

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.

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Accountable Care Accountability Medicare 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.

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Accountable Care Accountability Patient Experience Medicare 297

Fierce Healthcare

JANUARY 29, 2024

In 2024, 50 accountable care organizations are new to the Medicare Shared Savings Program and 71 ACOs renewed participation, according to new numbers released by Centers for Medicare & Medicaid | CMS released new data Monday showing ACO participation in the Medicare Shared Savings Program, with 19 ACOs set to participate in a new payment option, (..)

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Fierce Healthcare

FEBRUARY 20, 2024

Accountable care organizations are calling on the feds to increase participation of long-term and post-acute care providers in ACOs and to better incorporate episodic-based payments. Payers, providers, ACO leaders and advocacy groups convened to discuss how to improve long-term and post-acute care participation in ACOs.

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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.

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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.

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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.

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Accountable Care Medicare Accountability 257

Health Care Dive

JANUARY 18, 2023

Accountable care organizations and value-based care advocates cheered the news, with the National Association of ACOs calling 2023 a “turning point” for growth.

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Healthcare ECONOMIST

JANUARY 18, 2022

As Medicare Advantage grows each year, population-based alternative payment models like accountable care organizations are left with a shrinking pool of beneficiaries, he added. The first issue is that the pool of fee-for-service Medicare beneficiaries is shrinking, at least on a relative basis.

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Health Care Dive

AUGUST 25, 2023

Nearly two-thirds of participating accountable care organizations earned payments for their performance last year, according to the CMS.

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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

HIT Consultant

JULY 13, 2022

For the better part of a decade, the shift toward value-based care in the U.S. Siddharth Thakkar, VP, Product and Marketing at IKS Health. has been driven by the establishment of the Center for Medicare and Medicaid Innovation (CMMI).

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Fierce Healthcare

JULY 14, 2023

Over two days, executives from accountable care organizations, health systems and payers spoke about interoperability, population health, social determinants, the cost of care and taking on risk. Equity was at the forefront of Reuters’ value-based health conference in Philadelphia last month.

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Fierce Healthcare

MARCH 7, 2024

Leading Republicans in the House are demanding answers regarding a recently uncovered catheter billing scheme that has critical implications for Medicare and accountable care organizations. | In light of a recent Medicare fraud scheme impacting providers and ACOs across the country, Republicans are looking for answers from the feds.

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Medicare Accountable Care Accountability 244

Fierce Healthcare

AUGUST 2, 2024

Accountable care organizations are evaluating the impacts of the new requirements for the ACO REACH program. The Centers for Medicare & Medicaid Services (CMS) quietly released changes to the ACO REACH Model, prompting one industry group to react to the modifications. So far, the changes are a mixed bag, says NAACOS.

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Accountable Care Accountability Medicaid Medicare 207

Healthcare It News

JANUARY 18, 2022

In short, new organization- and provider-level emphasis on including SDOH along with traditional clinical diagnosis and utilization data is helping to "round out" the picture of patient populations targeted for care management interventions.

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Pharmaceuticals Accountable Care Accountability Medicaid 364

Fierce Healthcare

NOVEMBER 13, 2023

Care and treatment options for patients living with Alzheimer’s, dementia and Parkinson’s are often fragmented and limited and many primary care physicians feel unprepared to meet increased patient | Harmonic Health launched to bridge gaps in care for dementia patients by bringing together advanced technology and an expert care team to partner with (..)

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Health Business Group

JULY 18, 2024

Can value-based care transform the American healthcare system? In this episode, we dive deep into this pressing question with Dr. Mohamed Diab , president of CVS Accountable Care. Dr. Diab highlights systemic challenges, such as physician burnout and the inadequacies of primary care funding.

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HIT Consultant

DECEMBER 4, 2024

Strengthening Referral Pathways: While physical therapy remains outside primary care’s traditional scope, patients in many states have direct access without requiring a referral. Enhancing Front Desk Operations: Often underestimated, the front desk plays a pivotal role in patient retention and referral generation.

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Healthcare It News

SEPTEMBER 6, 2022

In March, Signify Health acquired Caravan Health , which serves Medicare beneficiaries through accountable care organizations. In 2022, Signify Health clinicians are expected to serve 2.5 million members at their homes, both in person and virtually. In 2023, those ACOs will represent 700,000 patients.

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Home Health Care

APRIL 28, 2025

The Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) program is designed to provide value-based care access, including home-based care, to underserved communities. New research shows that in its inaugural year, the program fell short of its aims.

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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 (..)

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Primary Care Accountable Care Accountability Medicaid 159

Home Health Care

APRIL 30, 2025

HarmonyCares is taking a partnership-first approach to entering new markets, according to Will Robinson, senior vice president of accountable care at HarmonyCares. The companys home-based care offerings make it particularly attractive to Accountable Care Organizations (ACO) and other payers, he said.

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Primary Care Accountable Care Accountability Medicare 70

Fierce Healthcare

JULY 1, 2024

Accountable care organizations concerned they would be held responsible for bad actors exploiting the Medicare system can breathe a sigh of relief. ACOs may soon be able to take a breath of fresh air, as CMS shared Friday that it has no intention of punishing them for a urinary catheter fraud scandal.

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Accountable Care Accountability Medicare 179

Home Health Care

NOVEMBER 13, 2024

Medical Management, the home-based care company HarmonyCare raised $200 million in June. On Wednesday, it touted its success in the Accountable Care Organization (ACO) “REACH” Model, the successor to the The Global and Professional Direct Contracting Models (GPDC). Formerly U.S.

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Healthcare It News

MAY 4, 2023

"Implementing the cloud-based EHR technology allows us to successfully work toward whole-person health and increasingly accountable care models as behavioral health faces growing scrutiny and potential financial penalties for underperformance and under-reporting."

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Fierce Healthcare

APRIL 16, 2024

CVS Accountable Care and inVio Health Network, a collection of more than 600 providers in South Carolina, are partnering to improve care outcomes for 60,000 Medicare beneficiaries. |

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Accountable Care Accountability Medicare 170

HIT Consultant

NOVEMBER 13, 2024

HealthTap’s Comprehensive Virtual Primary Care and DME Solutions HealthTap is a leading virtual primary care provider that offers high-quality, cost-effective healthcare across all 50 states.

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