Learning objectives: Understand the impact of accurate and specific documentation/coding on HCC risk scores and quality outcomes Review common opportunities and/or barriers to accurate documentation/coding Describe best practice concepts related to documentation and coding integrity efforts and how to identify and start a pilot project Download Slides Visit the Enjoin exhibit booth
One of the most common phrases in U.S. healthcare in the past few years has been this one: “one foot in the boat, one on the shore,” or, alternatively, “one foot in the boat, one on the dock.” Either way, the idea is that the leaders of patient care organizations—hospitals, medical groups, and health systems—are…
The dramatic growth of telemedicine during the coronavirus disease 2019 (COVID-19) pandemic is having a significant impact on the physician-patient relationship. In March, when the pandemic took hold in the United States, telehealth visits increased 50%, according to Frost and Sullivan. With in-person medical visits associated with the risk of coronavirus infection, virtual visits emerged as a safe and…
Accountable care organizations (ACOs) are seeking answers from the Trump administration over the status of the Next Generation ACO Model set to expire this year and the upcoming Direct Contracting Model. The National Association of ACOs (NAACOS) sent a letter Tuesday to the Center for Medicare & Medicaid Innovation, which oversees the payment models, on…
There were more physician-led accountable care organizations (ACOs) than hospital-led ACOs by 2018, according to a study from Leavitt Partners. Physician-led ACOs accounted for approximately 45 percent of all ACOs in 2018, whereas hospital-led ACOs represented just 25 percent and joint-led ACOs represented 30 percent, revealed the study recently published in The American Journal of Managed Care. The…
Primary care practices need new ways of being paid if they are going to survive and thrive in the wake of the COVID-19 pandemic, several speakers said Wednesday during a webinar hosted by the Alliance for Health Policy. “Fee-for-service is simply not a system this is conducive or amendable to primary care being able to thrive…
Join Salient Healthcare, along with Cura Management’s Marsha Boggess and Palm Beach ACO’s David Klebonis, as we delve into the topic of gaining market share as a value-based organization. In this session, ACOs will expose their secrets on market share growth and we will show how to use your own data to influence decisions…
The National Association of ACOs sent a letter this week to the Center for Medicare and Medicaid Innovation seeking more information on the future of the direct contracting and Next Generation ACO models. While industry supported the Direct Contracting Model when it was announced in April 2019, the program has been on an unclear hiatus…
Dive Brief: Accountable care organizations want more help from the Trump administration to gain a more solid financial footing amid the novel coronavirus pandemic. ACOs, whose payments are tied to spending and patient health benchmarks, are asking CMS to give them the option of protection from any financial losses for a reduced shared savings rate…
Hospitals and providers face unprecedented financial pressure amid the COVID-19 pandemic. Providers are losing $1.4 billion daily as they experience significant declines in patient volume, according to consulting firm Crowe. Healthcare executives are responding to the financial declines with workforce reductions, pay cuts and other cost-cutting measures. Debbie Zimmerman, MD, Corporate CMO at Lumeris, a value-based…
