Health Equity Should Be A Key Value In Value-Based Payment And Delivery Reform

November 25, 2020Garrett SchmittNo CommentsMA, medical advantage

The COVID-19 pandemic has exposed and exacerbated existing health inequities in the United States. Black and Latinx Americans have experienced a disproportionate burden of COVID-19 infections and hospitalizations due to economic disadvantages, structural racism, and higher rates of underlying chronic conditions. Value-based payment (VBP) structures have the potential to reduce health disparities, and during the pandemic, health…

NAACOS, APG, and This Exceptional Healthcare Policy Moment

November 16, 2020Garrett SchmittNo CommentsMA, medical advantage

As we reported last week, with the change of administrations that will be coming in January, the leaders of the Washington, D.C.-based National Association of ACOs (NAACOS), which represents hundreds of accountable care organizations nationwide, on Thursday, Nov. 12, published an outline of what they consider to be successful ACO models, and NAACOS’s president and…

Health Affairs Blog: Health Policy Researchers See Far More Complexity in MSSP Than Meets the Eye

November 16, 2020Garrett SchmittNo CommentsMA, medical advantage

A team of health policy researchers is arguing that, in order to optimize the Medicare Shared Savings Program (MSSP), policy leaders need to think in more complex, nuanced ways about the framework and goals of the program for accountable care organizations (ACOs). Writing in the Health Affairs Blog, Michael McWilliams, M.D., Ph.D., and Alice Chen, Ph.D….

RECORDED WEBINAR: How Medicare Advantage Plans and ACOs Can Better Manage Risk in a Value-Based World

June 11, 2020Garrett SchmittNo CommentsMA, medical advantage, Webinar, webinars

 Managing risk requires collaboration among the clinical and operations teams to develop effective approaches to improving the quality and cost of care. Experienced Medicare Advantage plans can share valuable lessons with organizations interested in improving their ability to meet clinical and financial performance targets, and managing downside risk. Join us for a discussion with…

Risky Business: ACO checklist for 2020 includes embracing new payment models and physician re-engagement

January 3, 2020Garrett SchmittNo CommentsMA, medical advantage, pathways, Pathways to Success

The term accountable care organization (ACO) dates back to at least 2006. The Affordable Care Act then made ACOs a fast-growing trend thanks to the Centers for Medicare and Medicaid Services (CMS) launching its Shared Savings Program in 2012. Since then, ACOs have been at the forefront of the value-based care model transition, taking incremental steps…

MA value-based plan enrollment tripling for 2020

December 20, 2019Garrett SchmittNo CommentsMA, medical advantage

Dive Brief: The number of Medicare Advantage members enrolled in plans with value-based payment designs more than tripled from 2019 to 2020, CMS said Thursday. Approximately 1.2 million beneficiaries joined plans in the Value-Based Insurance Design Model for coverage next year offered by 14 MA organizations across 30 states and Puerto Rico. That’s up from…

Treat ACOs And MA Plans Equally? By All Means

November 13, 2019Garrett SchmittNo CommentsMA, Medicare Advantage

The Centers for Medicare and Medicaid Services (CMS) recently announced that Accountable Care Organizations (ACOs) saved Medicare $739.4 million in 2018, up from $314 million in savings the year before. Those savings were achieved despite policies that Rooke-Ley and colleagues argue in a recent Health Affairs Blog post disadvantage ACOs relative to Medicare Advantage (MA) plans. Their analysis concludes that ACOs cut costs…

The Hedge Bet For Risk Is Patient Experience

October 16, 2019Garrett SchmittNo CommentsMA, medical advantage

Creating a good Patient Experience in health care has gained little traction, despite being touted as one of the Triple Aim’s key goals in Value-Based Health Care. Health systems have been more focused on how to increase patients via health plan negotiations and consolidating regional providers, rather than focusing on the slower paced process of…

ACOs Save More Compared to Medicare Advantage, Report Finds

August 21, 2019Garrett SchmittNo CommentsMA, medical advantage

The Medicare Shared Savings Program, which governs the majority of Medicare accountable care organizations (ACOs), and Medicare Advantage are gaining in popularity. But the former is saving taxpayers, while the latter is incurring costs, a new report in Health Affairs finds. “Our examination of the literature indicates that Medicare Advantage ‘costs’ Medicare; that is, when a beneficiary joins MA,…

Medicare Advantage And The Future Of Value-Based Care

July 3, 2019Garrett SchmittNo CommentsMA, Medicare Advantage

The Medicare Advantage (MA) program, which allows Medicare beneficiaries to voluntarily enroll in a private plan that administers health benefits, was established by the Balanced Budget Act (BBA) of 1997 as a vehicle to bring private-sector competition and innovation to Medicare beneficiaries. When the program was announced, the goal was to create greater competition on…

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Recent Posts

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  • FLASH INTERVIEW — Vivify Health, January 2021
  • UPCOMING WEBINAR: How Supporting Risk-Based Agreements Can Advance Value-based Care
 
Medicare Advantage And The Future Of Value-Based Care
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