Value-based Care

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

March 1, 2024 - 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 policymakers to implement reforms that improve healthcare affordability and quality and support the transition to value-based care. Families USA,...


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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...

NAACOS: Medicare Payment Incentives Favor Clinicians in Fee-For-Service

by Victoria Bailey

Medicare payment incentives favor clinicians participating in fee-for-service models rather than those in advanced alternative payment models (APMs), according to the National Association of...

Top 10 Accountable Care Organizations by Medicare Shared Savings

by Editorial Staff

The Medicare Shared Savings Program (MSSP) saved CMS $1.8 billion in 2022, marking the sixth consecutive year of overall savings for the program. This also represents the second-highest yearly savings since the program started in...

What Technologies Do Providers Need for Value-Based Care Success?

by Victoria Bailey

Value-based care models incentivize healthcare providers to improve care delivery by tying reimbursement to care quality. While value-based care holds providers more accountable for patient health outcomes, it also affords them the...

CMS Updates ACO REACH Model for 2024 to Improve Health Equity

by Victoria Bailey

CMS has announced revisions to the ACO Realizing Equity, Access, and Community Health (ACO REACH) model to improve health equity and predictability for participants. CMS replaced the Direct...

Investments Are Needed to Implement Value-Based Care in Pediatrics

by Victoria Bailey

While value-based care adoption has accelerated in the healthcare industry, the alternative care delivery and payment model is still lacking in the pediatric setting. The current healthcare infrastructure does not support the resources...

AHIP, AMA, NAACOS Share Best Practices for Value-Based Care

by Victoria Bailey

Healthcare organizations must focus on improving data-sharing practices to advance the adoption of value-based care arrangements, according to AHIP, the American Medical Association (AMA), and the...