Value-Based Care News

CMS Relaxes Quality Reporting for Value-Based Purchasing Models

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Providers participating in some of Medicare’s largest value-based purchasing models will have some flexibility with quality reporting due to the ongoing COVID-19 pandemic, CMS announced last...

ACOs Concerned Coronavirus to Impact Shared Savings, Losses

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Accountable care organizations (ACOs) in the Medicare Shared Savings Program and other shared risk models are worried the novel coronavirus pandemic could leave them responsible for shared losses...

Third of Execs Don’t Think Value-Based Payment Will Usurp FFS

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Value-based payment adoption has steadily increased, but a third of healthcare executives in a new survey do not believe the alternative payment mechanism will usurp fee-for-service. Fee-for-service...

High-Cost Utilization Persists Despite PCMH Implementation

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A study of the Veterans Health Administration’s patient-centered medical home (PCMH) implementation found no association between progress with the alternative care delivery model and high-cost...

Paving the Path to Success: Teaching Doctors Value-Based Care

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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 Save, But Drop-Out Rate Still a Concern

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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...

CMS Selects Participants for New Emergency Care Payment Model

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CMS announced it selected 205 applications who will participate in the Emergency Triage, Treat, and Transport (ET3) Model, a payment model that ensures beneficiaries’ access to emergency...

85% of Health Facilities Use Locum Tenens To Fill Care Gaps

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Eighty-five percent of healthcare workforce management reported using locum tenens physicians sometime during the last 12 months, down from 94 percent in 2016, according to a recent...

ACOs Need More Info on New Direct Contracting Model

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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...

2019 Single Worst Year for Rural Hospital Closures, Report Finds

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On top of 19 rural hospital closures, more than 450 rural hospitals are vulnerable to closure as the stability of the rural health safety-net continues to plummet, according to a recent report...

Out-of-Network Primary Care Linked to Higher ACO Costs

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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 Role of the Accountable Care Organization in Value-Based Care

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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...

Providers Lagging with Value-Based Care, Consumer Strategy

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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...

Advanced Primary Care Promotes Value-Based Care

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Primary care is at the heart of the care delivery system. Over three-quarters of the general population only require primary care services in a given year. Yet primary care rates have been declining...

Physicians Propose 5 Quality Measures to Improve Medical Billing

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Medical billing quality is a type of medical quality and should be tracked the same way healthcare organizations track medical complication rates and other quality indicators, two physicians from Johns...

Commercial Payer Spent $5.5B on Low-Value Care Services

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Nearly $5.5 billion was spent on 20 low-value care services in 2015, according to an analysis of health care claims from the Research Consortium for Health Care Value Assessment. The analysis, funded...

New List of Essential Drugs Shows Hospital Supply Chain Fragility

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A new list of essential medications is highlighting the fragility of the hospital supply chain. The list devised by group purchasing organization Vizient names 200 drugs that, if unavailable due to...

AMGA: Advancing Value-Based Care Hinges on Claims Data Access

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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...

How Social Media Helped an Accountable Care Organization Save $50M

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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...

What the Latest ACO Numbers Mean for the Future of the MSSP

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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....