Download Slides We exist in an information rich world, with data points constantly at our fingertips, and this wealth of information gives healthcare providers the opportunity to know more about their patients than ever before. With digital innovation on the rise, technologies are challenging providers to rethink healthcare delivery and appeal to patients as consumers….
CMS is looking to modernize the ACO reporting process by mandating the use of electronic clinical quality measures (eCQMs). However, accountable care organizations (ACOs) are concerned that the lack of healthcare interoperability will make electronic ACO reporting near impossible. “CMS must avoid making eCQMs mandatory until standard data fields exist across EHRs, and true interoperability…
As plans prepare for Open Enrollment (OE), it’s critical to understand what beneficiaries need as these Medicare Advantage (MA) plans look to recruit new and retain existing beneficiaries. It’s also critical for plans to understand historical data in specific regions to make appropriate expansion decisions. In this blog, we will provide insight into areas that…
On August 26, leaders at the Downers Grove, Illinois- and Milwaukee, Wisconsin-based Advocate Aurora Health posted a press release to the organization’s website announcing breakthrough results on the part of the integrated health system’s three federal accountable care organizations (ACOs.) As the press release stated, “Data released by the Centers for Medicare & Medicaid Services (CMS) show…
If there’s a silver lining to the Covid-19 pandemic, it’s the spotlight it has put on the role of value-based, virtual health care models to address issues such as access to specialists, healthcare speed and efficiency, and healthcare inequities. Indeed, approximately 75 percent of employers in a recent survey said they plan to ramp up their implementation…
U.S. health care payment and delivery-system reforms have focused on improving care by making organizations accountable for outcomes, quality, and costs. Payers have supported the implementation of accountable care organizations (ACOs), bundled-payment models, and other value-based payment reforms because they believe that holding health care systems accountable for population-level costs and quality will be more…
The COVID-19 pandemic compressed a decade of healthcare transformation into mere months. Healthcare leaders have been challenged with rethinking every aspect of the business, from how care is delivered to planning for the workforce needs of the future. At the same time, consumers continue to be a driving force in shaping healthcare’s mission. Today’s healthcare…
The Department of Health and Human Services wants to test models that would pay drugs based on their clinical value as part of a new plan to tackle high prices. The plan released Thursday lays out several administrative tools the agency plans to take to address high prices. It also calls on Congress to adopt several reforms…
On August 25, 2021, the Centers for Medicare & Medicaid Services (CMS) released the 2020 performance results for accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) – the agency’s cornerstone accountable care initiative. ACOs and value-based care advocates have been anxiously awaiting this latest MSSP data, given the significance of performance…
Many healthcare workers experience social determinants of health, with new data published in Health Affairs particularly outlining disparities in food insecurity between healthcare support staff and clinical staff. Although food insecurity is lower among the total healthcare worker population than the rest of the United States, healthcare support staff are significantly more likely to experience food insecurity…
