CMMI wants every Medicare beneficiary in an accountable care plan by 2030

Health Care Dive

Officials acknowledged provider concerns that current models are too burdensome and benchmarks too complex, which the innovation center aims to rectify

Accountable Care Organizations Are Diving Head First Into Home-Based Care

Home Health Care

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.

How Morgan Health is making its accountable care pitch to providers

Fierce Healthcare

How Morgan Health is making its accountable care pitch to providers. pminemyer. Fri, 12/10/2021 - 15:06

Challenges facing the accountable care organization (ACO) system

Healthcare ECONOMIST

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. 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.

Care coordination: What's needed to succeed with accountable care and home health?

Healthcare It News

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. Medicare spends nearly $60 billion on post-acute care annually.

Forge Health Secures $11M for Value-Based Behavioral Health Model

HIT Consultant

– Innovative behavioral health company works with payers and health systems to enable value-based care for mental health and substance use populations.

TytoCare & Carilion Clinic Partner to Expand Telehealth Offerings

HIT Consultant

What You Should Know: – TytoCare has partnered with Carilion Clinic , a not-for-profit health care organization serving Virginia’s Blue Ridge and Southwest Virginia regions. Shortage of Primary Care Physicians in Rural Communities.

5 Steps Accountable Care Organizations Can Take in Preparation for Implementing Population Health Management Programs

Health Dialog

As we know, Accountable Care Organizations (ACOs) are complex ecosystems and the implementation of new population health management programs can be daunting. Health Dialog recently worked with an ACO that wanted to reduce the number of avoidable readmissions and asked the primary care practices to contact all patients discharged from the hospital within 72 hours.

3 Senior Living Providers Merge to Form Curana Health

HIT Consultant

What You Should Know: – Three leading organizations that provide healthcare services to senior living communities – Elite Patient Care, Provider Health Services, and AllyAlign Health – have joined forces to form Curana Health.

KAID Health Raises $4.25M for AI-Powered Provider/Payer Whole Chart Analysis Platform

HIT Consultant

– The funding will fuel growth of the provider/payer platform that integrates with the electronic medical records (EMR) to identify high-value tactical care and coding interventions. KAID Health allows providers to profit from delivering more informed coordinated care.

Investigating Research Gaps in Value-Based Care

Accountable Care Doctors

Robert Mechanic, Executive Director, Institute for Accountable Care. The discussion revealed some shared concerns and gaps in data and knowledge, as well as differences in perspectives regarding the progress being made toward accountable care.

Investigating Research Gaps in Value-Based Care

Accountable Care Doctors

Robert Mechanic, Executive Director, Institute for Accountable Care. The discussion revealed some shared concerns and gaps in data and knowledge, as well as differences in perspectives regarding the progress being made toward accountable care.

CMS Proposed Changes for ACO Reporting 2021

p3care

From the next performance year (2021), Accountable Care Organizations (ACOs) expect different reporting requirements under the Medicare Shared Savings Program. Moreover, we can expect improved quality care for Medicare patients as an outcome. Quality of Care by ACOs.

Council of Accountable Physician Practices Elects Joe Kimura, MD, MPH, Atrius Health, to Board of Directors

Accountable Care Doctors

The Council of Accountable Physician Practices (CAPP), a coalition of visionary medical groups and health systems supporting accountable value-based care, has added Joe Kimura, MD, MPH, to its board of directors.

CAPP Shares Insights of Employer Dialogues at WHCC and SIIA

Accountable Care Doctors

But communication between the two groups is important and beneficial because providers and employers have a shared, vested interest in higher-value care. Providing well-coordinated care that focuses on the total health of a patient takes time and it takes a team. By Dr. Norman Chenven.

CAPP Shares Insights of Employer Dialogues at WHCC and SIIA

Accountable Care Doctors

But communication between the two groups is important and beneficial because providers and employers have a shared, vested interest in higher-value care. Providing well-coordinated care that focuses on the total health of a patient takes time and it takes a team. By Dr. Norman Chenven.

Virtual Care During the Pandemic: Five Lessons Learned

Accountable Care Doctors

The pandemic has pushed us to innovate farther and faster, with unprecedented reliance on telehealth and virtual care. Recent data shows the majority of Americans have now experienced a telehealth visit and 88 percent of Americans hope to use virtual care beyond the pandemic.

COVID-19 Lessons Chart a Path to a Better Healthcare System

Accountable Care Doctors

All doctors should have the operational support and tools — analytics, connectivity, telehealth, care coordination — they need to succeed. Relationships between primary care and specialists are now digital.

Why Becoming ACO Improves Your Quality Payment Reporting?

p3care

ACO or Accountable Care Organization is a group of doctors, hospitals, medical centers, and other healthcare providers. This unit works together to care for and look after a patient’s health. Their main goal is to improve the quality of care for patients. Accountability.

Why Becoming ACO Improves Your Quality Payment Reporting?

p3care

ACO or Accountable Care Organization is a group of doctors, hospitals, medical centers, and other healthcare providers. This unit works together to care for and look after a patient’s health. Their main goal is to improve the quality of care for patients. Accountability.

Virtual Care Today and Tomorrow Presented at WHCC

Accountable Care Doctors

Henry Ford Health System, CAPP Groups Lead with Creating the Digital Care Delivery System. It took a few years and a pandemic for the concept of “telehealth” to evolve into comprehensive digital pathways for the delivery of patient care.

Quality, Service and Affordability Are Key Goals of Employer/Provider Collaboration

Accountable Care Doctors

Employers and health care providers are talking – finally. By communicating directly in a series of dialogues, these two groups are discovering common goals and new potential solutions to improve health care quality, the consumer experience, and affordability of services.

Virtual Care Today and Tomorrow Presented at WHCC

Accountable Care Doctors

Henry Ford Health System, CAPP Groups Lead with Creating the Digital Care Delivery System. It took a few years and a pandemic for the concept of “telehealth” to evolve into comprehensive digital pathways for the delivery of patient care.

Quality, Service and Affordability Are Key Goals of Employer/Provider Collaboration

Accountable Care Doctors

Employers and health care providers are talking – finally. By communicating directly in a series of dialogues, these two groups are discovering common goals and new potential solutions to improve health care quality, the consumer experience, and affordability of services.

COVID-19 Lessons: A Path to a Better Health Care System

Accountable Care Doctors

The COVID-19 pandemic has upended health care in America, and as of this writing, is still raging on. A quick snapshot reveals how decades-long investments by CAPP groups to better integrate their care delivery systems is paying off. Today, health care is a team sport.

Aligning the Interests of Employer Purchasers and Physicians to Accelerate Value

Accountable Care Doctors

Employers have a big influence on how and whether, as a nation, we accelerate the pace to value-based care. Employers also collectively shoulder the biggest share of national health care costs, which regularly rise faster on an annual basis than overall inflation.

Employer/Physician Collaborative Announces Strategies to Work Together to Improve Patient Care

Accountable Care Doctors

National Alliance/CAPP report identifies opportunities around care delivery and alternative payment models. Work directly with provider groups to eliminate the need for several vendors and ease delivery of care.

“REACHing” For Health Equity: CMS Revamps The Global And Professional Direct Contracting Model

Healthcare Law Blog

On February 24, 2022, the Centers for Medicare & Medicaid Services (CMS) announced its redesign of the Global and Professional Direct Contracting Model (GPDC), which now will be called the Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) Model.

CAPP Cites Six Key Findings from COVID-19 That Will Improve America’s Health Care System

Accountable Care Doctors

Physician Leaders Identify Major Shifts in How Health Care Is and Will Be Delivered. We leveraged existing programs to care for high-risk patients and relied on our strong culture of teamwork to maintain continuity of care during the crisis. Remote Care Is Here to Stay.

Innovations in Telehealth, Employer/Provider Collaborations Presented by Physician Leaders at SIIA Conference

Accountable Care Doctors

Council of Accountable Physician Practices Speakers Share Insights and Innovations for the Future of Healthcare. 15, comes at a pivotal time for the future of health care. Washington, DC — Oct.

The confluence of value-based care and population health

Health Blawg

In the weeks leading up to the HIMSS 2018 conference in early March, I posted a question to the HIMSS community (45,000 strong in person at the conference and over 180,000 strong on the Linked In group), seeking to encourage conversation about the intersection of value-based care and population health. We are certainly hurtling along the value-based care trajectory, and may not have the opportunity to make more that just a few mid-course corrections. Health Care Law and Consulting.

Cindy Friend, Caradigm and Population Health – Harlow on Healthcare

Health Blawg

Caradigm is focusing on population health by stratifying patients with multiple chronic conditions, and supporting ACOs in managing their care. PHQ-9’s may be administered by primary care providers), so that the behavioral health data may be integrated into the analytics framework used to manage population health. Health Care Law and Consulting. David Harlow The Harlow Group LLC Health Care Law and Consulting.

Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

This selection focuses on interoperability, the patient matching technology that undergirds aspects of interoperability, and the benefits of these technologies in the development of tools to manage patient journeys in a manner that engages patients, caregivers and providers as partners in care, advancing the quadruple aim. As a result, healthcare providers are now more interested in workflow optimization, in care journey optimization. Health Care Law and Consulting.

How would you like to change HIPAA?

Health Blawg

There’s an RFI out right now, published as part of the federales’ “ Regulatory Sprint to Coordinated Care ,” announced by HHS Secretary Alex Azar in mid-2018. Hey, coordinated care is a good idea. So here’s the thing: Do the HIPAA regulations in their current form stand in the way of “encouraging information sharing for care coordination”? Let’s start with the care coordination question. Health Care Law and Consulting.

How would you like to change HIPAA?

Health Blawg

There’s an RFI out right now, published as part of the federales’ “ Regulatory Sprint to Coordinated Care ,” announced by HHS Secretary Alex Azar in mid-2018. Hey, coordinated care is a good idea. Let’s start with the care coordination question. Why is HHS trying to solve care coordination issues through the HIPAA regulations? It is worth taking a look at the proposed Data Care Act , cosponsored by 15 U.S.

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. The fee for service model predominates in healthcare, and it is recognized by just about everyone — economists, politicians, health care folks — as unsustainable. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. The fee for service model predominates in healthcare, and it is recognized by just about everyone — economists, politicians, health care folks — as unsustainable. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. The fee for service model predominates in healthcare, and it is recognized by just about everyone — economists, politicians, health care folks — as unsustainable. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. The fee for service model predominates in healthcare, and it is recognized by just about everyone — economists, politicians, health care folks — as unsustainable. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. The fee for service model predominates in healthcare, and it is recognized by just about everyone — economists, politicians, health care folks — as unsustainable. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. The fee for service model predominates in healthcare, and it is recognized by just about everyone — economists, politicians, health care folks — as unsustainable. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. The fee for service model predominates in healthcare, and it is recognized by just about everyone — economists, politicians, health care folks — as unsustainable. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. The fee for service model predominates in healthcare, and it is recognized by just about everyone — economists, politicians, health care folks — as unsustainable. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”