The way physicians have historically provided care – and gotten paid for it – is not working for most industry stakeholders. Smartphones, telehealth, and other innovative technologies are...
Alternative payment models (APM) primarily run by Medicare have generally produced modest savings and quality improvements. However, popular APMs including accountable care organization (ACO) and...
Applications for the upcoming Direct Contracting Model are due by the end of the day, but the National Association of ACOs (NAACOS) is saying providers do not have enough information on model specifics...
The Comprehensive Care for Joint Replacement (CJR) Model is slated to sunset by the end of the year, but a recently proposed rule from CMS would extend the bundled payment program for another three...
Patients receiving primary care outside of their defined accountable care organization (ACO) network drive up costs for ACOs, a recent study from Portland State University said.
The Medicare Shared...
The CMS Innovation Center – otherwise known as CMMI – has been the federal government’s key instrument for healthcare payment and care delivery reform. But lately, policymakers and...
Accountable care organizations (ACOs) were created to push the industry away from fee-for-service towards value-based care. Through care coordination and a shared savings payment model, ACOs strive to...
The passage of the Affordable Care Act sparked many innovative care delivery and payment reform models. One unique model that emerged from this trend was the accountable care organization (ACO).
In this model, groups of doctors,...
When it comes to adopting value-based care and developing a consumer strategy, providers are significantly further behind compared to payers, according to the tenth annual Industry Pulse Report from...
AMGA (American Medical Group Association) recently sent a letter to Congress outlining what it views as 2020’s top priorities for medical groups and health systems. Chief among the group’s...
Coordination is key to the online retail industry. From the moment you click “order” on Amazon or Walmart.com, the retailer instantly starts packaging and mailing your item, providing you...
Last week, CMS Administrator Seema Verma reported that CMS approved the applications for 53 new accountable care organizations (ACOs) to join the Medicare Shared Savings Program (MSSP) starting on Jan....
“What healthcare providers really want is to do is the right thing for their patients. They just need sustainable financial support for doing that,” health economist Mark McClellan, MD, PhD, said at the start of an interview...
Next Generation accountable care organizations (ACOs) reduced spending by about 1.11 percent in 2018, returning more than $184 million to the Medicare Trust Funds, according to new program results from...
Value-based consulting firms are worth the money, according to provider organizations participating in a recent KLAS survey.
In the report Value-Based Consulting 2019, KLAS analyzed nine consulting...
The Trump administration announced on Monday that it has picked Brad Smith to serve as director of the CMS Innovation Center (CMMI), where he will oversee the development and testing of value-based...
Medicare’s Oncology Care Model (OCM) is a promising start to payment reform for oncology care but the model needs several vital changes to improve the model’s effectiveness and reach across...
The nation’s most wired provider organizations are investing in revenue cycle management capabilities in order to perform more advanced tasks, like real-time identification and value-based care...
The proportion of value-based payments from the commercial sector to physicians and hospitals increased from 10.9 percent in 2012 to 53.0 percent in 2017. However, an overwhelming majority of those...
Nearly 64,000 Americans died from a drug overdose in 2016 alone, with opioid overdoses representing over 42,000 of those deaths, more than any previous year on record. It was that figure – as well as many other troubling statistics...
