FierceHealthIT

JUNE 8, 2023

Phase 1 enrollment in the Medicare Shared Savings Program (MSSP) for 2024 is currently underway, and recent reforms hold promise in attracting new providers into accountable care.

Accountable Care 104

Accountable Care Medicare 104

FierceHealthIT

DECEMBER 11, 2018

Accountable care organizations in the Medicare Shared Savings Programs have saved Medicare $2.7 billion to date, including $859 million in 2016, according to a new analysis commissioned by NAACOS. billion more than CMS estimates.

Medicare 104

Medicare Accountable Care 104

FierceHealthIT

AUGUST 2, 2024

The Centers for Medicare & Medicaid Services (CMS) quietly released changes to the ACO REACH Model, prompting one industry group to react to the modifications. Accountable care organizations are evaluating the impacts of the new requirements for the ACO REACH program. So far, the changes are a mixed bag, says NAACOS.

Accountable Care 82

Accountable Care Medicare 82

FierceHealthIT

NOVEMBER 29, 2023

Accountable care organizations do not positively influence treatment and outcomes for chronic mental health conditions for Medicare patients, according to a study in Health Affairs. | A new study pours water on the belief that ACOs are well-suited to handle chronic mental health conditions its patients experience.

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Mental health Accountable Care Patient Experience Medicare 117

FierceHealthIT

DECEMBER 2, 2019

Accountable care organizations lowered Medicare spending by $755 million from 2013 to 2017, a new analysis found.

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FierceHealthIT

MAY 28, 2019

Medicare accountable care organizations aren't using electronic health records to their potential, a new report shows.

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Medicare Accountable Care Health IT 109

FierceHealthIT

MARCH 22, 2019

To build scale and drive greater savings, providers in some regions are banding together in statewide Medicare accountable care organizations (ACOs).

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Medicare Accountable Care 98

Healthcare IT Today

APRIL 19, 2024

SDOH Data is Vital for ACO Reach CMS’ Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) model is designed to improve the quality of care for people with traditional Medicare. Collecting the SDOH data necessary for ACO REACH can be awkward and challenging,” said Weber.

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Accountable Care HIPAA Healthcare IT Nursing 117

FierceHealthIT

SEPTEMBER 24, 2024

The Centers for Medicare & Medicaid Services (CMS) finalized a rule (PDF) Tuesday to limit the impact of fraudulent bi | Hoping to help accountable care organizations turn the page on a messy urinary catheter scandal, CMS released a final rule to hold ACOs financially harmless.

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Accountable Care Medicare 52

FierceHealthIT

JULY 1, 2024

Accountable care organizations concerned they would be held responsible for bad actors exploiting the Medicare system can breathe a sigh of relief. ACOs may soon be able to take a breath of fresh air, as CMS shared Friday that it has no intention of punishing them for a urinary catheter fraud scandal.

Accountable Care 70

Accountable Care Medicare 70

FierceHealthIT

APRIL 16, 2024

CVS Accountable Care and inVio Health Network, a collection of more than 600 providers in South Carolina, are partnering to improve care outcomes for 60,000 Medicare beneficiaries. |

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Accountable Care Medicare 67

FierceHealthIT

MARCH 19, 2024

The Centers for Medicare & Medicaid Services (CMS) has announced the ACO Primary Care Flex Model (ACO PC Flex Model), allowing eligible accountable care organizations to treat people with with | Accountable care organizations are largely supportive of CMS' new primary care model released Tuesday, they wish the agency would broaden its scope (..)

Primary Care 62

Primary Care Accountable Care Medicare 62

FierceHealthIT

AUGUST 24, 2023

The Centers for Medicare & Medicaid Services (CMS) announced that the Medicare Shared Savings Program (MSSP) has saved a net $1.8 billion in 2022 for accountable care organizations, which is th | Accountable care organizations saved a net $1.8

Accountable Care 52

Accountable Care Medicare 52

FierceHealthIT

APRIL 9, 2018

The main Medicare payment advisers to Congress have mulled a proposal to solidify and expand an incentive payment for accountable care organizations (ACOs), which could lead organizations to take on more risk. This week, MedPAC proposed a 5% increase to bonus payments for advance alternative payment models under MACRA.

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Medicare Accountable Care 67

FierceHealthIT

FEBRUARY 21, 2024

The blueprint set forth by Massachusetts accountable care organizations to improve population health metrics and reduce costs can be applied to New York, after Centers for Medicare & Medic | New York's section 1115 waiver allocates $500 million toward social care networks to connect community health workers with local organizations.

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Accountable Care Medicare 62

Healthcare IT News - Telehealth

DECEMBER 14, 2021

Caravan Health President and CEO Tim Gronniger previously was chief of staff and director of delivery system reform at the Centers for Medicare and Medicaid Services. Caravan Health is a privately held company formed to create sustainable methodologies for health systems to excel in value-based care. However, CMS can't do it alone.

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Accountable Care Telehealth Medicare Public Health 183

Telebehavioral Health Institute

DECEMBER 21, 2018

As previously discussed, in the United States traditional fee-for-service system of Medicare, use of the telehealth benefit is limited to rural Health Professional Shortage Areas (HPSA). As of January 2018, this restriction has changed for more than 50 “Accountable Care … Read more.

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Healthcare IT Today

SEPTEMBER 11, 2024

The following is a guest article by Deepti Sharma, Senior Vice President of Product Management at HSBlox Healthcare providers are continuing to form and invest in Accountable Care Organizations (ACOs) as a means of improving care quality and reducing costs. In 2022, ACOs saved Medicare $4.2

Medicare 70

Medicare Accountable Care Mental health Patient Experience 70

Healthcare IT Today

JUNE 10, 2021

The Centers for Medicare & Medicaid Services (CMS) “Pathways to Success” rule for Accountable Care Organizations (ACOs) has five goals: accountability, competition, engagement, integrity, and quality, all aimed at improving patient care.

Accountable Care 103

Accountable Care Medicare Health Data Healthcare IT 103

FierceHealthIT

OCTOBER 15, 2019

Physician-led accountable care organizations generated nearly seven times more savings for Medicare last year compared to more high-revenue ACOs typically led by hospitals, a new analysis finds.

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Accountable Care Medicare 99

FierceHealthIT

SEPTEMBER 30, 2019

Accountable care organizations generated $739.4 million in net savings in 2018, with physician-led ACOs being the biggest savers, according to the Centers for Medicare & Medicaid Services.

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Accountable Care Medicare 94

FierceHealthIT

FEBRUARY 13, 2019

CMS Administrator Seema Verma said accountable care organizations should be able to easily retrieve Medicare Part A, Part B, and Part D claims data for their beneficiaries.

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Accountable Care Medicare 84

FierceHealthIT

DECEMBER 21, 2018

CMS finalized substantial changes to the Medicare Shared Savings Program (MSSP), an overhaul that will truncate the time that Accountable Care Organizations can remain in one-sided risk models. But ACOs in one-sided risk models took a smaller hit on shared savings than originally proposed.

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Accountable Care Medicare 97

FierceHealthIT

JULY 10, 2019

Bridges Health Partners and Aetna have entered into an accountable care agreement for Aetna’s Medicare Advantage members.

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Accountable Care Medicare 80

Digital Health Global

SEPTEMBER 19, 2023

Award Winning AI-Powered Risk Stratification – Free For All Medicare ACOs The first new product launching is ClosedLoop’s ACO-Predict , the industry’s first free solution for AI-powered population health risk stratification. With ACO-Predict we are bringing AI-powered prediction to every Medicare patient in the country.

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Medicare Accountable Care Digital Health 88

Digital Health Wire

AUGUST 28, 2023

CMS just released the Medicare Shared Savings Program results for 2022, and the report managed to drum up some serious debate on the effectiveness of MSSP despite last year’s record performance. MSSP saved Medicare $1.8B 140 per high-revenue ACO), underscoring the importance of primary care to the overall program.

Primary Care 52

Primary Care Medicare Accountable Care Digital Health 52

Healthcare IT Today

FEBRUARY 5, 2024

The financing will support the cost-bearing that is key to DecisionRx’s unique business model: DecisionRx can assume the full cost of delivering Medication Therapy Optimization to patients of Accountable Care Organizations, Medicare Advantage Plans, and self-insured employers.

Medicare 116

Medicare Accountable Care Health IT Healthcare IT 116

Telebehavioral Health Institute

MARCH 9, 2023

Private payers, Medicaid, and Medicare initiated widespread telehealth reimbursement approvals. The article below clarifies and summarizes the end-of-pandemic reimbursement decisions made by private payers, Medicare, and Medicaid. They can receive care from their homes rather than traveling to a health care facility.

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Telehealth Medicare Remote care Public Health 119

FierceHealthIT

JANUARY 9, 2019

The Centers for Medicare & Medicaid Services is making it easier for accountable care organizations that accept downside risk to obtain waivers for a rule that requires a three-day inpatient stay before a referral to a nursing home.

Nursing 61

Nursing Accountable Care Medicare 61

FierceHealthIT

MARCH 9, 2018

Multispecialty medical groups and health systems operating accountable care organizations or participating in Medicare Advantage plans will find some new tools for managing this patient population if they look closely at the provisions of the Bipartisan Budget Act of 2018, which includes the Chronic Care Act.

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Accountable Care Medicare 67

BHM Healthcare Solutions

DECEMBER 31, 2018

CMS announced a “new direction” for the Medicare Shared Savings Program (MSSP) dubbed “Pathways to Success.” The changes will redesign participation options in hopes of encouraging accountable care organisations to take on risk quicker. CMS said ACOs taking on more risk can lead to more savings for the Medicare Trust Funds.

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Accountable Care Medicare Telehealth 40

Healthcare IT Today

NOVEMBER 27, 2023

SafeRide Health’s ability to improve member experience and reduce costs for Medicaid and Medicare Advantage beneficiaries also attracted a strategic investment from Memorial Hermann Health System in this latest round. SafeRide serves the country’s largest Medicare Advantage, Medicaid, and provider programs.

Medicare 111

Medicare Accountable Care Connected Health healthcare technology 111

Digital Health Wire

JUNE 21, 2023

The primary care enablement company just raised what looks like its “ last funding round needed ” after securing an eye-popping $260M in Series F capital. Aledade partners with independent primary care practices to establish tech-enabled accountable care organizations.

Primary Care 52

Primary Care Accountable Care Medicare Digital Health 52

Healthcare IT News - Telehealth

SEPTEMBER 6, 2022

In March, Signify Health acquired Caravan Health , which serves Medicare beneficiaries through accountable care organizations. In 2022, Signify Health clinicians are expected to serve 2.5 million members at their homes, both in person and virtually. In 2023, those ACOs will represent 700,000 patients.

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Primary Care Accountable Care Remote care Healthcare IT 169

Healthcare IT Today

SEPTEMBER 24, 2023

Medicare Advantage costs are 12% lower than similar beneficiaries covered under fee-for-service Medicare, according to research from Inovalon and Harvard Medical School. When digital services are available, they’re often disconnected from primary care. HCPLAN also added the advocacy group Accountable for Health.

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Medical Billing EHR Medicare BioTech 124

Health Populi

JUNE 6, 2021

Importantly, Liz Fowler, the Director of the Center for Medicare and Medicaid Innovation (CMMI), spoke at a Health Affairs event on 3rd June and said that CMMI will look to focus more value-based models on the patient rather than the provider – to ensure that every member in a public health plan has a relationship with a physician, a health system, (..)

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Telehealth Telemedicine Patient Experience Accountable Care 218

FierceHealthIT

APRIL 19, 2018

Bundled payments and accountable care organizations have emerged as favored alternative payment models within Medicare. According to a blog post in Health Affairs, overlap between the two models could produce unintended consequences.

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Accountable Care Medicare 45