Value-Based Care News

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....

CMMI Alternative Payment Models Won’t Save As Much as CBO Projects

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Medicare will save approximately $18 billion from alternative payment models run by CMS’ Innovation Center (CMMI) between 2017 and 2026, a $16 billion difference compared to predictions from the...

High Quality Hospitals Treat Less Medicare Advantage Enrollees

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Medicare Advantage enrollees had a 2.8 percentage point lower probability of being admitted to a highly rated hospital compared to traditional Medicare enrollees, according to a report from Brown...

Number of MSSP ACOs Taking Downside Risk Doubles, CMS Reports

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The number of accountable care organizations (ACOs) in the overhauled Medicare Shared Savings Program (MSSP) assuming downside financial risk doubled from 93 ACOS at the start of 2019 to 192 at the...

Next Generation ACOs Saved Medicare Over $184M in 2018

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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 Care Consulting Firms Receive Top Marks from Providers

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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...

Advanced Alternative Payment Model Participation Rose in 2018

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Over 84,200 more eligible clinicians sufficiently participated in one of the Quality Payment Program’s Advanced Alternative Payment Models (APMs) in 2018 compared to the previous year, according...

Medicare Oncology Care Model Needs Refinement to Boost Reach

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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...

Value-Based Care, Hospital Chargemasters Dominated 2019 Headlines

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A lot can change in a year. From innovative technologies and value-based care to hospital mergers and acquisitions and new competitors, the healthcare industry has undergone yet another year of immense...

90% of Value-Based Payments in Commercial Sector Based on FFS

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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...

Physician Compensation Programs Move Toward Value-Based Pay

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The prominence of value-based incentives in physician compensation programs increased by five to seven percent from 2018 to 2019 across four major specialty categories, according to a SullivanCotter...

Accountable Care Organizations Saved Medicare $3.5B, Netting $755M

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Accountable care organizations (ACOs) in the Medicare Shared Savings Program saved CMS approximately $3.52 billion from 2013 to 2017, according to a new analysis from analytic firm Dobson DaVanzo &...

Top Value-Based Payment Challenges for Skilled Nursing Facilities

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As long-term and post-acute care (LTPAC) programs transition to value-based payment options, various challenges arise for skilled-nursing facilities (SNFs) and other long-term and post-acute care...

90% of SNFs Predict No Shift in Value-Based Payments in 2020

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Long-term and post-acute care providers cannot move forward with value-based payment implementation without the support of technology, according to a recent Black Book Research survey. The survey of...

Shortages, Increased Workloads Challenge Nursing Workforce

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The current nursing workforce is facing growing pressures on their professional and personal lives due to increased demand for services, nursing shortages, and structural changes in the healthcare...

Developing Rural Health Training Programs to Support Quality Care

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Clinician shortage in rural areas is one of the leading drivers to poor health outcomes in rural areas. Patients in remote areas sometimes travel hours to receive specialized care. Access to care is...

Transforming Pilot Models into Sustainable Rural Health Programs

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Addressing rural health disparities can be challenging as these communities often have sparse resources and limited access to healthcare services. To combat this problem, many small, local grants fund...

CMS Value-Based Purchasing Not Behind Hospital Readmission Decline

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A value-based purchasing program run by CMS has been credited with the drop in 30-day hospital readmission rates through 2014. But a new analysis led by researchers at Harvard Medical School offers an...