Value-Based Care News

NAACOS, AMA Push for Long-Term Value-Based Care Efforts

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Twelve healthcare organizations, including the National Association of ACOs (NAACOS) and the American Medical Association (AMA), have urged congressional leaders to engage with stakeholders and...

AMGA Calls on Congress to Advance Value-Based Care, Support Providers

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Congress should focus on advancing value-based care by investing in proper infrastructure, incentivizing patient engagement, and supporting continuous telehealth coverage, according to the American...

Value-Based Platform Will Join CMS Incentive Program to Support Rural ACOs

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Value-based care platform Signify Health announced plans to participate in the CMS Advance Investment Payments (AIP) incentive program to support providers in rural and underserved communities. Rural...

New ACOs Push CMS Closer to Accountable Care Goals

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CMS has announced that more than 700,000 healthcare providers and organizations are participating in one of three accountable care organization (ACO) models, including the Medicare Shared Savings...

Study Finds MIPS Scores Don’t Reflect True Quality Performance

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A recent study out of the Weill Cornell Medical College questions whether the Merit-Based Incentive Payment System (MIPS) accurately captures the quality of care delivered by primary care...

Bundled Payment Model Reduced Spending on Medical, Surgical Episodes

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Participating in Medicare’s Bundled Payments for Care Improvement (BPCI) initiative was associated with cost savings for medical and surgical episodes, but savings varied among hospitals and...

Bipartisan Bill Calls for Extended Value-Based Payment Incentives

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US Senators John Barrasso (R-WY) and Sheldon Whitehouse (D-RI) have introduced a bipartisan bill that would extend value-based payment incentives for healthcare providers participating in...

Lawmakers Ask CMS to Inspect ACO REACH Model to Prevent Fraud, Abuse

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A group of lawmakers, spearheaded by US Senator Elizabeth Warren (D-Mass.) and Representative Pramila Jayapal (D-Wash.), has asked CMS to examine the ACO REACH model to prevent organizations with a...

CJR Model Policy Changes Boosted Penalties for Safety-Net Hospitals

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Safety-net hospitals and hospitals with high Black and Hispanic populations received disproportionate penalties under the Comprehensive Care for Joint Replacement (CJR) bundled payment model between...

Value-Based Payment Models May Help Curb High Healthcare Spending

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As healthcare spending escalates in the US, stakeholders have started looking at value-based payment models to address rising costs, but many payments are still tied to fee-for-service models,...

APG Direct Contracting Entities Helped Save Medicare $70M in 2021

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The Global and Professional Direct Contracting Model generated $70 million in net savings for the Medicare program in 2021, with several member organizations of America’s Physician Groups (APG)...

Accounting for Observation Stays Shrunk Hospital Readmission Reductions

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The decrease in readmission rates associated with the Hospital Readmissions Reduction Program (HRRP) was smaller after accounting for observation stays, indicating that the value-based program may be...

KLAS: Epic, Arcadia, Innovaccer Earn Top Marks for Value-Based Care

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According to a new report from KLAS, payers and providers are looking to expand their value-based care contracts across business lines, and most are looking to do so with a fewer number of strategic...

Advanced Bundled Payment Model Reduced Payments for High-Risk Patients

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Hospital participation in Medicare’s Bundled Payment for Care Improvement Advanced Model (BPCI-A) decreased Medicare payments and did not negatively impact health outcomes for high-risk patients,...

Bipartisan Letter Requests Extended Value-Based Payment Incentives

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More than 40 House lawmakers have asked congressional leaders to support value-based payment incentives and extend the 5 percent bonus for Alternative Payment Model (APM) participation. In a...

Healthcare Orgs Urge Congress to Improve Value-Based Care Participation

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Healthcare groups have called on Congress to extend incentive payments, revise threshold requirements, and expand regulatory waivers to address concerns about the Medicare Access and CHIP...

Who is Leading the Value-Based Care Transition in Primary Care?

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Most primary care physicians (PCPs) are engaging with value-based care, with 69 percent participating in some type of alternative payment model. But a new report from Chartis Group has identified the...

NAACOS Calls on CMS to Adjust Digital Quality Measurement Requirements

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Before implementing program-wide requirements for digital quality measurement in the Medicare Shared Savings Program (MSSP), CMS should establish a pilot that tests the technical feasibility and the...

Staff, Technology Investments Help Practices Shift to Value-Based Care

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Staffing and technology are the top investment areas for primary care practice leaders as they manage the challenges of shifting from fee-for-service (FFS) models to value-based care, according to a...

Are Readmission Rates The Best Measure of Hospital Quality?

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Readmission rates are one of the top measures of hospital quality, with most hospitals even putting their revenue on the line if they have excess hospital readmissions. However, a group of doctors...