Value-Based Care News

AMA, NAACOS, AHIP share how to succeed in value-based care arrangements

April 15, 2024 - The American Medical Association (AMA), the National Association of Accountable Care Organizations (NAACOS), and AHIP have released a playbook on value-based care best practices, highlighting the importance of patient attribution, financial benchmarks, risk adjustment, and more. The organizations previously released data-sharing best practices and...

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AMGA urges Congress to extend value-based care incentives, prevent pay cuts

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The American Medical Group Association (AMGA) has urged congressional leaders to ensure provider stability by incentivizing value-based care, preventing additional Medicare payment cuts, and preserving...

Strategies for integrating specialty care into value-based care models

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Value-based care models must address both primary and specialty care to improve patient outcomes and reduce spending. A CMS Innovation Center strategy details ongoing efforts to integrate specialty...

MSSP accountable care organizations share key priorities and challenges

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In the Medicare Shared Savings Program (MSSP), accountable care organizations (ACOs) prioritize annual wellness visits, care transitions, and clinician engagement, as Medicare Advantage growth causes...

CMS announces new ACO model focused on primary care

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CMS will test a new accountable care organization (ACO) model that focuses on primary care providers starting next year. A recent announcement states that CMS will launch a five-year voluntary ACO...

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

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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...

Making ACOs More Accessible for Long-Term and Post-Acute Care Providers

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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

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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

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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...

New Medicaid Payment Model Targets Behavioral Health Integration

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CMS has announced a new Medicaid payment model that will incent care coordination across physical, behavioral, and social providers to improve the quality of care Medicare and Medicaid beneficiaries...

Primary Care Model Did Not Reduce Healthcare Spending or Improve Care

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The CMS Comprehensive Primary Care Plus (CPC+) model was not associated with reduced healthcare expenditures or care quality improvements, a study published in JAMA found. CMS launched the five-year...

Does Medicare Value-Based Purchasing Exacerbate Racial Care Disparities?

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Thirty-day mortality rates were higher for acute myocardial infarction and pneumonia at hospitals with higher shares of Black patients, suggesting that Medicare’s Hospital Value-Based...

NY Healthcare Orgs Collab to Deliver Value-Based Hospice, Palliative Care

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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...

CMS Model Aims to Improve Maternal Health Outcomes, Access to Care

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CMS has launched a new care delivery model to address maternal health outcomes and increase pregnancy and postpartum care access. The Transforming Maternal Health (TMaH) model will run for ten years...

Most Surgeons Earned MIPS Bonus Payments in 2021, Study Finds

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Most surgical healthcare professionals participating in the Merit-based Incentive Payment System (MIPS) earned bonus payments in 2021, with urologists seeing the highest adjustment, a study published...

Despite Value-Based Care Growth, Room for Improvement Remains

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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...

More Provider Orgs Have Value-Based Contracts With Private Payers

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More provider organizations are participating in value-based contracts outside Medicare, as three-quarters of respondents were under contracts with commercial and Medicare Advantage plans in 2022, a...

Value-Based Payments in Medicaid Tied to More Behavioral Health Visits

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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...

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

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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...

Medicare Shared Savings Program ACOs Saved $1.8B in 2022, CMS Reports

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The Medicare Shared Savings Program (MSSP) saved Medicare $1.8 billion in 2022, with 63 percent of accountable care organizations (ACOs) earning payments for their performance. This is the sixth...

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