Value-based Care

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AMA, NAACOS, AHIP share how to succeed in value-based care arrangements

by Victoria Bailey

The American Medical Association (AMA), the National Association of Accountable Care Organizations (NAACOS), and AHIP have released a playbook on value-based care best practices, highlighting the...

AMGA urges Congress to extend value-based care incentives, prevent pay cuts

by Victoria Bailey

The American Medical Group Association (AMGA) has urged congressional leaders to ensure provider stability by incentivizing value-based care, preventing additional Medicare payment cuts, and preserving...

Strategies for integrating specialty care into value-based care models

by Victoria Bailey

Value-based care models must address both primary and specialty care to improve patient outcomes and reduce spending. A CMS Innovation Center strategy details ongoing efforts to integrate specialty...

Risant Health completes Geisinger acquisition

by Jacqueline LaPointe

Washington DC-based Risant Health recently announced the complete acquisition of Geisinger, a health system in Pennsylvania that serves approximately 1.2 million people. The 10-hospital system, with...

MSSP accountable care organizations share key priorities and challenges

by Victoria Bailey

In the Medicare Shared Savings Program (MSSP), accountable care organizations (ACOs) prioritize annual wellness visits, care transitions, and clinician engagement, as Medicare Advantage growth causes...

Consumer Advocacy Orgs Share How to Move Away From Fee-For-Service Payment

by Victoria Bailey

As healthcare spending rises, shifting away from fee-for-service payment and delivery models that incentivize volume over value is imperative. Families USA and other consumer advocacy groups are urging...

How Can Providers Establish Successful Accountable Care Organizations?

by Victoria Bailey

Accountable care organizations (ACOs) are a common way healthcare providers can transition from fee-for-service to value-based care delivery. In ACOs, providers come together to deliver quality coordinated care to patients while usually...

Making ACOs More Accessible for Long-Term and Post-Acute Care Providers

by Victoria Bailey

The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) and the National Association of ACOs (NAACOS) have released recommendations on how to increase accountable care...

HAC Reduction Program Penalizes Safety-Net Hospitals At Higher Rates

by Victoria Bailey

Despite recent methodology changes, teaching and safety-net hospitals continue to be more frequently penalized in the Hospital-Acquired Condition Reduction Program (HACRP), a study published in JAMA...

After Slowdown, ACO Participation in Shared Savings Program Grows

by Jacqueline LaPointe

More accountable care organizations (ACOs) are participating in Medicare programs this year, including a new, permanent payment option in the Shared Savings Program. CMS recently announced ACO...

NY Healthcare Orgs Collab to Deliver Value-Based Hospice, Palliative Care

by Victoria Bailey

Bassett Healthcare Network, a New York-based health system, has partnered with Helios Care to provide patients with value-based hospice and palliative care. Patients in five counties across Central...

Understanding the Basics of Bundled Payments in Healthcare

by Editorial Staff

The shift to value-based care has driven public and private payers to redesign reimbursement models that stress accountability for care quality and healthcare costs. As the fee-for-service environment...

Despite Value-Based Care Growth, Room for Improvement Remains

by Victoria Bailey

Healthcare organizations are becoming more familiar with value-based care, but opportunities remain to improve and expand upon the care delivery model, according to a survey conducted by Sage Growth...

Understanding the Fundamentals of Accountable Care Organizations

by Editorial Staff

The healthcare payment process is undergoing a dramatic transformation as payers and providers shift from volume to value. While stakeholders are currently piloting many value-based care models, accountable care organizations (ACOs) are...

Value-Based Reimbursement Grows as Providers Take on More Risk

by Jacqueline LaPointe

Over half of healthcare payments last year were made through value-based reimbursement models, with most of those payments tied to some degree of financial risk, according to the latest data from the Health Care Payment & Learning...

Reducing Barriers to MIPS, Advanced APMs Could Promote Participation

by Victoria Bailey

Reducing barriers to Advanced Alternative Payment Model (APM) participation for physicians in rural areas could help promote value-based care and control rising Medicare spending, according to research...

Unlocking the Future of Value-Based Care With Data

by Jacqueline LaPointe

Advocate Health is a value-based care leader. More than 2.4 million lives are covered by the health system’s value-based care contracts, which include 12 different accountable care organizations (ACOs) and clinically integrated...

Value-Based Payments in Medicaid Tied to More Behavioral Health Visits

by Victoria Bailey

Medicaid value-based payment reform was associated with an increase in behavioral health visits for patients with mental health conditions, a study published in JAMA Health Forum found. As of 2020, 12...

How Vermont’s All-Payer ACO Model Paves the Way for Value-Based Care

by Victoria Bailey

As its name states, the Vermont All-Payer Accountable Care Organization (ACO) Model is an arrangement that incorporates patients with both private and public healthcare coverage, but what makes this model so appealing to providers? Is this...