To advance value-based care, the Medicare Payment Advisory Commission (MedPAC) has suggested that HHS reduce its number of alternative payment models (APMs) now that it has lessons learned from a wide...
The National Institutes of Health (NIH) awarded a $3 million grant to Sarah Goff, MD, PhD, a health services researcher at the University of Massachusetts Amherst, to study the effects of accountable...
Some independent primary care practices joining health system-led Medicare accountable care organizations (ACOs) raised their prices after what researchers called “soft consolidation,”...
In a study of over four million Medicare beneficiaries, researchers found that the Comprehensive Care for Joint Replacement (CJR) model may be widening racial and socioeconomic health disparities in...
The Community Care Transitions (C-CAT) clinical trial, recently published in JAMA Network Open, matched Massachusetts General Hospital (MGH) patients insured by accountable care organizations with...
Radiologist involvement in Medicare Shared Savings Program (MSSP) accountable care organizations (ACOs) has increased significantly in recent years, showing promise for increased specialist...
CMS announced it will be reweighting the cost performance category under the Merit-Based Incentive Payment System (MIPS) from 15 percent to zero percent for the 2020 performance period to provide...
The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient...
The Next Generation Accountable Care Organization (ACO) Model will come to an end at the end of this year as planned despite several calls for an extension, according to an email to model...
High-quality primary care implementation requires significant healthcare payment reform, expanded telehealth capabilities, and team-based care, according to a recent report from the National...
In a recent survey, physicians were asked if and how the four evaluation components of the Merit-based Incentive Payment System (MIPS)—quality, promoting interoperability, improvement...
According to nearly a dozen leading medical groups, changes to accountable care organization (ACO) quality reporting are rushed, unclear, and potentially harmful to patient care.
In a letter to HHS...
An at-home discharge service piloted at Penn Medicine successfully prevented hospital readmission in nine out of 10 emergency department patients, according to a study published in Healthcare that...
Hospitals that are for-profit, non-teaching, and/or located in the South administer the highest rates of low-value care among traditional Medicare beneficiaries, according to a new study published in...
Dozens of physician and hospital groups are seeking another opportunity to sign up for the new directing contracting model days after the CMS closed down applications for future cohorts.
The agency...
The healthcare system is at a critical point in its transition to value-based care a decade after implementation of the Affordable Care Act and its Center for Medicare and Medicaid Innovation (CMMI),...
A group of leading healthcare industry groups are calling on HHS to provide more full-risk accountable care organization (ACO) model options, including an extension of the popular Next Generation ACO...
CMS has announced that it will not be soliciting any more applications for the Global and Professional Direct Contracting Models slated to launch on January 1, 2022.
Organizations that had already...
CMS has pushed back the application cycle by a year for a new rural-focused accountable care organization (ACO) model.
In an email sent yesterday, CMS said it has delayed the request for applications...
Physician networks are key to the success of accountable care organizations. Leaders of these organizations, otherwise known as ACOs, lean on their networks of high-quality, cost-efficient providers to...