“Pathways to Success” is continuing to push ACOs towards taking on greater risk. The key to success for Medicare ACOs during this time is maintaining what is referred to as “The Risk Transition Triangle”. During this webinar, we will discuss the three “legs” of the Risk Transition Triangle and the implications for the ACOs who…
The newly release eBook by Proficient Health discussed practical strategies to boosting patient satisfaction, reducing network leakage and improving care coordination. With ever changing regulations, goals, payment models and incentive plans, today’s ACOs and CINs have to be agile. They must have a strategy and tools in place to drive performance under a variety of…
COVID-19 has had a tremendous impact worldwide. As a result, nationally, the government has come out with several policy changes in response to the coronavirus pandemic. I wanted to review these healthcare policy changes and discuss their impacts to healthcare organizations. Telehealth Services During Certain Emergency Periods Act of 2020: Medicare’s geographical restrictions on telehealth…
As providers shift their focus and resources toward combating the new coronavirus, the Trump administration recently signaled it’s willing to put some of its larger health care priorities on the backburner to support physicians’ response to the epidemic during this trying time. What’s changing—and what the changes mean for providers CMS on Sunday announced it is leveraging…
For organizations across the healthcare sector concerned with network building and management, utilization of the network among the attributed population is often a major area of focus. Whether from a provider or payer perspective, maintaining a high-performing network with high utilization allows organizations to more effectively manage the quality and cost of patient care. For…
By now the world knows that COVID-19 is a game-changer. Among a multitude of other events the pandemic has motivated the cancellation or rescheduling of HIMS20, NAACOs and nearly 30 other healthcare conferences. NAACOS and several other venues are responding with the prospect of offering virtual conferences. That option may or may not work for…
The COVID-19 outbreak will potentially boost Medicare spending over the next year from $38.5 billion to $115.4 billion, a new analysis found. The analysis released Wednesday by the National Association of Accountable Care Organizations also found that the increase in spending would lead to major losses for ACOs in models that take on financial risk….
ACOs and healthcare organizations that use global payment models will be particularly burdened by financial challenges related to COVID-19, according to an analysis from the National Association of ACOs. Five things to know: 1. The financial challenges will grow as more Medicare beneficiaries require COVID-19-related hospitalizations, intensive care treatment and post-acute care. Full Article
National projections suggest that hospitals may be overwhelmed with patients with coronavirus disease 2019 (COVID-19) infection in the coming months. Appropriately, much attention has addressed the acute challenges in caring for this surge of critically ill patients. What has received less attention, however, is what happens as patients—most of whom will recover, even in the…
The Office of the National Coordinator for Health Information Technology’s (ONC) interoperability rule should weight the considerations of providers focused on advanced payment methods (APMs) and value-based care models, Clif Gaus, SD, president and CEO of NAACOS, wrote in a letter to ONC. In early March, the Department of Health and Human Services (HHS) finalized the ONC interoperability rule,…
