Having helped several Medicare Advantage plans achieve significant quality performance improvements (up to 1.1 stars improvement YoY in 2020 alone), Stellar Health (Stellar) is sharing its perspective on what it takes to sustain and improve Star Ratings for health plans and why there is a need for action despite even a few years of success….
The Medicare Shared Savings Program (MSSP) is the largest value based care program from the Center for Medicare & Medicaid Services (CMS) to date. Since its inception in 2012, Accountable Care Organization (ACO) participation has doubled; providing care to over 10 million beneficiaries, generating $1.94 billion in total savings, and earning over $1.47 billion in…
Even with significant medical advances and greater access to healthcare, heart disease still remains the leading cause of death globally. While this is cause for concern alone, the risks of heart disease and other chronic illnesses have been amplified due to the impact of the COVID-19 and its links to harmful effects on the cardiovascular…
Identifying and implementing social determinants of health (SDOH) data into the EHR is critical to finding answers to a state’s most significant issues. Once identified, SDOH data helps healthcare providers make social services referrals, but the process for doing so using technology is challenging. “It’s not that physicians have totally ignored social determinants of health,…
Green space, an increasingly recognized social determinant of health, has been linked to lower racial health disparities related to the novel coronavirus, according to researchers from the University of Illinois Urbana-Champaign. These findings offer another view of the racial health disparities seen during the pandemic. Thus far, most investigations into COVID-19 racial health disparities have looked…
Central to the controversy about ACOs’ potential for Value-Based Care is whether they actually save enough money and reduce costs fast enough. Researchers and advocates have produced various independent studies of ACO savings, the most generous estimating $1.8 billion in cumulative savings over the first three years of the program, almost double CMS estimates. Many…
CMS announced the end of the Web Interface mechanism in the 2021 Final Rule and introduced the new APM Performance Pathway (APP). This means value-based organizations will need to adjust their participation in the Quality Payment Program by 2022. By starting the transition now, you will position your value-based organization for success and avoid any…
A robust hospice mergers and acquisitions market is showing no signs of slumping as interest among strategic buyers and private equity investors ramps up. A provider’s performance within evolving value-based payment models may become a factor that potential buyers consider when eyeing a hospice acquisition, particularly as it pertains to their quality and outcomes data….
The World Health Organization (WHO)Trusted Source defines social determinants of health as “the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life.” Social determinants of health are an extensive range of factors that exist throughout all aspects of society….
In April 2020, the U.S. Centers for Disease Control issued a report featuring evidence that in the month of March 2020, the coronavirus pandemic was not an equal-opportunity killer. Within just a couple of months of COVID-19 emerging in America, it became clear that health disparities were evident in outcomes due to complications from the…
Salient Healthcare’s software solution provides visibility into critical metrics for provider organizations to continuously improve performance. With Salient, quickly find opportunities to reduce costs, improve outcomes, and achieve shared savings. Visit the Salient Healthcare Exhibit Booth
One of the enduring conflicts in healthcare, really going back to the early 1970s when the first HMOs were formally recognized under the Health Maintenance Organization Act off 1973, has been the longstanding set of tensions between providers and private health insurers. Of course, there has been tension between providers and the Medicare and Medicaid…
