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...
In a letter to HHS, the National Association of Accountable Care Organizations (NAACOS) recommended that the agency promote significant ACO growth after several years of policies have hampered...
The Centers for Medicare and Medicaid Services (CMS) has opened applications for the second cohort of the Primary Care First (PCF) value-based payment model which seeks to drive down costs and increase...
CMS has shared the final list of 184 public and private ambulance providers and suppliers selected to participate in the agency’s Emergency Triage, Treat, and Transport (ET3) Model, an...
The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model...
When hospitals in the Hospital-Acquired Condition Reduction Program (HACRP) were stratified by social risk, value-based penalties for safety-net hospitals decreased, according to a new study published...
Individual clinicians who must participate in Medicare’s Merit-Based Incentive Payment System (MIPS) for the 2020 performance period will automatically have the extreme and uncontrollable...
A CMS-run care delivery model focused on addressing social determinants of health has effectively identified higher cost and utilization patients while reducing potentially unnecessary emergency...
Low-value care spending among fee-for-service Medicare recipients dropped slightly from 2014 to 2018. However, two of the three services that make up the majority of low-value healthcare spending,...
As the healthcare industry continues to move towards value-based care, more managed care organizations are using capitation reimbursement models to ensure quality of care and manage cost.
Compared to...
Small, non-affiliated physician practices fall behind hospitals and health systems when it comes to value-based contracting, found the Value-Based Care Assessment: 2020, the latest report from Insights...
Accountable care organization (ACO) participation in the Medicare Shared Savings Program has hit a new low in 2021, according to new data from CMS.
The data dropped by CMS this week showed that 477...
Accountable care organizations (ACOs) taking on the greatest financial risk in Medicare through the Next Generation ACO Model saved the public payer over $558 million in 2019, according to partial data...
CMS is planning to expand a value-based purchasing model that rewards home health agencies for high-quality care and saves Medicare money.
The federal agency announced on Jan. 8 via email that it...
Reimbursing accountable care organizations (ACOs) for value in a primarily fee-for-service payment environment is creating implementation challenges for Vermont’s innovative All-Payer ACO Model,...
Value-based providers, like accountable care organizations (ACOs), may be at a disadvantage under new direct contracting options in Medicare that allow for a broad range of healthcare organizations to...
Healthcare data sharing is central to a successful value-based care strategy, according to Jamie Reedy, MD, MPH, chief of population health for Summit CityMD.
“If the physicians and care...
A new direct contracting model from CMS will test whether a geographic-based approach to value-based care can improve quality of care while reducing costs for Medicaid beneficiaries in a specific...
