How Morgan Health is making its accountable care pitch to providers
Fierce Healthcare
DECEMBER 10, 2021
How Morgan Health is making its accountable care pitch to providers. Fri, 12/10/2021 - 15:06.
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Signify Health, Ardent Health Services expand partnership into accountable care
Fierce Healthcare
DECEMBER 14, 2022
Signify Health, Ardent Health Services expand partnership into accountable care. Wed, 12/14/2022 - 13:03.
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Industry Voices—9 strategies for integrating specialists into accountable care
Fierce Healthcare
OCTOBER 11, 2024
Specialty care makes up a significant portion of healthcare spending, yet accountable care organizations (ACOs) often lack a specialty care strategy to lower costs and optimize specialty care. 
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Care coordination: What's needed to succeed with accountable care and home health?
Healthcare It News
MARCH 4, 2022
Care coordination is becoming increasingly important in U.S. healthcare for a variety of reasons, including the increased use of value-based care models, the behavioral care shortage and a boom in home healthcare. Lissy Hu, CEO and founder of CarePort, powered by WellSky, knows all about care coordination.
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MSSP ACOs saves Medicare $2.1 billion in 2023, the largest savings in program history
Fierce Healthcare
OCTOBER 29, 2024
Accountable care organizations saved Medicare $2.1 Accountable care organizations (ACOs) saved Medicare $2.1 billion, the largest yearly savings in program history, in 2023, the Centers for Medicare & Medicaid Services revealed on Tuesday.
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CMS officials say agency is monitoring concerns from ACOs about DME costs
Fierce Healthcare
APRIL 11, 2024
Accountable care organizations have sounded the alarm on billions in durable medical equipment fraud, and officials at the Centers for Medicare & Medicaid Services (CMS) said Thursday that the | Accountable care organizations have sounded the alarm on billions in durable medical equipment fraud, and officials at the Centers for Medicare & Medicaid (..)
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ACO Reach program savings grew larger in 2023. NAACOS is angling for the model's extension
Fierce Healthcare
NOVEMBER 11, 2024
Accountable care organizations in the ACO Reach program can claim credit for saving the Centers for Medicare & Medicaid Services (CMS) hundreds of millions of dollars | CMS released favorable savings results for ACO REACH Model participants, as industry group NAACOS begins to push for the program's extension through 2030.
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ACO sign-ups for 2024 are underway. Policy changes have helped, but more work is needed, experts say
Fierce Healthcare
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.
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ACOs to receive $20M in advance investment payments
Fierce Healthcare
JANUARY 29, 2024
In 2024, 50 accountable care organizations are new to the Medicare Shared Savings Program and 71 ACOs renewed participation, according to new numbers released by Centers for Medicare & Medicaid | CMS released new data Monday showing ACO participation in the Medicare Shared Savings Program, with 19 ACOs set to participate in a new payment option, (..)
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ACOs want increased participation of long-term and post-acute care providers
Fierce Healthcare
FEBRUARY 20, 2024
Accountable care organizations are calling on the feds to increase participation of long-term and post-acute care providers in ACOs and to better incorporate episodic-based payments. Payers, providers, ACO leaders and advocacy groups convened to discuss how to improve long-term and post-acute care participation in ACOs.
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6 Success Strategies as CMS Drives More Accountable Care by 2030
HIT Consultant
JULY 13, 2022
Historically, CMS models have focused on enabling providers to increase accountability for patients’ health through ACO condition-specific models and payer-supported models like Medicare Advantage. Differentiated patient experience to improve satisfaction, clinical outcomes and loyalty.
ACOs not shown to improve mental health outcomes: study
Fierce Healthcare
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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Challenges facing the accountable care organization (ACO) system
Healthcare ECONOMIST
JANUARY 18, 2022
An interesting article in Modern Healthcare reviews some discussion at a recent Medicare Payment Advisory Commission (MedPAC) meeting. As Medicare Advantage grows each year, population-based alternative payment models like accountable care organizations are left with a shrinking pool of beneficiaries, he added.
How AI and machine learning can help predict SDOH needs
Healthcare It News
JANUARY 18, 2022
Social determinants of health are major contributors to health inequity and rising healthcare costs in vulnerable populations such as Medicaid beneficiaries. Healthcare IT News interviewed Dr. Walton to get an advance look at his upcoming educational session. Healthcare IT News is a HIMSS Media publication.
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As value-based health moves from philosophy to reality, providers, payers focus on equity and interoperability
Fierce Healthcare
JULY 14, 2023
Over two days, executives from accountable care organizations, health systems and payers spoke about interoperability, population health, social determinants, the cost of care and taking on risk. Equity was at the forefront of Reuters’ value-based health conference in Philadelphia last month.
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NAACOS worries new ACO REACH changes could force exits
Fierce Healthcare
AUGUST 2, 2024
Accountable care organizations are evaluating the impacts of the new requirements for the ACO REACH program. The Centers for Medicare & Medicaid Services (CMS) quietly released changes to the ACO REACH Model, prompting one industry group to react to the modifications. So far, the changes are a mixed bag, says NAACOS.
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New digital health startup launches out of Redesign Health to offer comprehensive dementia care model
Fierce Healthcare
NOVEMBER 13, 2023
Care and treatment options for patients living with Alzheimer’s, dementia and Parkinson’s are often fragmented and limited and many primary care physicians feel unprepared to meet increased patient | Harmonic Health launched to bridge gaps in care for dementia patients by bringing together advanced technology and an expert care team to partner with (..)
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CVS Health to purchase Signify Health for $8B
Healthcare It News
SEPTEMBER 6, 2022
In order to further CVS's healthcare services strategy, the acquisition of Signify Health adds clinicians that assess patients at home. The deal also provides CVS Health with a value-based care platform that connects payers to providers and providers to each other to lower costs and improve patient outcomes. Email: afox@himss.org.
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CMS Proposed Changes for ACO Reporting 2021
p3care
FEBRUARY 10, 2021
From the next performance year (2021), Accountable Care Organizations (ACOs) expect different reporting requirements under the Medicare Shared Savings Program. It is indeed a great step towards the progressive and value-based healthcare system. Quality of Care by ACOs.
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Accountable care from concept to reality. Interview with CVS’s Dr. Mohamed Diab
Health Business Group
JULY 18, 2024
Can value-based care transform the American healthcare system? In this episode, we dive deep into this pressing question with Dr. Mohamed Diab , president of CVS Accountable Care. Dr. Diab highlights systemic challenges, such as physician burnout and the inadequacies of primary care funding.
CMS unveils person-centered primary care model but excludes high-revenue ACOs
Fierce Healthcare
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 (..)
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Video: The Impact of Accountable Care Organizations on Healthcare Delivery Pt 1
HIT Consultant
AUGUST 11, 2011
Accountable care organizations might create a paradigm shift for healthcare–but questions remain over implementation costs, provider enthusiasm, and performance measurement.
CMS to 'hold ACOs harmless' for catheter fraud scandal
Fierce Healthcare
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.
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Cerner CEO pledges to zero-out 'noise' from EHRs, population health and revenue cycle
Healthcare It News
OCTOBER 13, 2021
He explained: "It's the noise in the healthcare system that will drag you down, she said. " For too many patients, "healthcare is still broken: unaffordable, biased – and largely still based on acute care rather than prevention," he said. Healthcare IT News is a HIMSS publication.
CVS creating new ACO in South Carolina through REACH program
Fierce Healthcare
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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inVio Health Network and CVS Accountable Care Partner to Improve Medicare Patient Care in South Carolina
HIT Consultant
APRIL 16, 2024
What You Should Know: – inVio Health Network and CVS Accountable Care Organization, a division of CVS Health , have announced a collaboration to participate in the new Medicare Accountable Care Organization (ACO) REACH program. CVS Accountable Care contributes its extensive experience and resources.
Cloud-based EHR helps NorthSight Recovery make big strides on SDOH
Healthcare It News
MAY 4, 2023
"Healthcare is years behind other industries in leveraging technology and data to progress innovation and efficiency. "When data is missing or of lower quality, the solution can leverage advanced data science algorithms to account for the missing pieces and help identify anomalies," he explained. Enterprise Taxonomy:
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The state of rural healthcare today, and what technology can do to help
Healthcare It News
MAY 6, 2022
No doubt, rural healthcare currently is facing many challenges, such as lack of bed availability – even as COVID-19 decreases. What is happening with rural healthcare, and specifically bed availability in rural healthcare? How can technology play a role in preserving healthcare in rural America?
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IT execs talk priorities and predictions for 2022
Healthcare It News
JANUARY 4, 2022
The healthcare workforce is depleted, exhausted and demoralized. Care quality is often degraded, and patient accessibility is still lacking. Progress toward accountable care is halting. This is just the beginning: The future of healthcare is in the home." Healthcare IT News is a HIMSS publication.
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Massachusetts 1115 waiver success can translate to New York: experts
Fierce Healthcare
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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Data and analytics boost strategic text message outreach programs
Healthcare It News
FEBRUARY 16, 2022
In the summer of 2020, healthcare data and software company Arcadia started offering provider-organization clients analytics to create educational outreach campaigns designed to cut through conflicting information and encourage parents to bring their children and themselves in for well visits and routine vaccinations.
ACOs delivered bigger 2022 savings than in 2021: CMS
Fierce Healthcare
AUGUST 24, 2023
billion in 2022 for accountable care organizations, which is th | Accountable care organizations saved a net $1.8 The Centers for Medicare & Medicaid Services (CMS) announced that the Medicare Shared Savings Program (MSSP) has saved a net $1.8
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Reasons Why You Should Consider Joining an ACO
p3care
SEPTEMBER 14, 2021
What is ACO (Accountable Care Organization)? ACOs, in simple terms, including a wide network of clinicians, hospitals, and other health care providers who provide coordinated high-quality services to their Medicare patients. They keep patients out of the hospitals through preventive care methods. Empower Your Operations.
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Catheter fraud rule finalized after MSSP and ACO survival concerns
Fierce Healthcare
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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HealthTap Enter DME Market with Aeroflow Healthcare
HIT Consultant
NOVEMBER 13, 2024
What You Should Know: – HealthTap , a leading virtual healthcare provider delivering affordable, high-quality primary care, today announced its launch into the durable medical equipment (DME) market with its first partner, Aeroflow Healthcare. HealthTap is also at the forefront of innovation in virtual healthcare.
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The next investment priorities for telehealth, RPM and connected health
Healthcare It News
NOVEMBER 15, 2021
Welcome to the third installment in Healthcare IT News ' latest feature series, "Health IT Investment: The Next Five Years." Over the past 18 months, telehealth has emerged as an integral component of care delivery for many institutions, said Restuccia of Penn Medicine. Healthcare IT News is a HIMSS Media publication.
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HHS Finalizes Rules to Penalize Healthcare Providers Engaging in Information Blocking
HIT Consultant
JUNE 24, 2024
Department of Health and Human Services (HHS) announced a new final rule today aimed at preventing information blocking in healthcare. – The final rule establishes disincentives for healthcare providers who engage in practices that interfere with a patient’s access to their electronic health information (EHI).
Why Becoming ACO Improves Your Quality Payment Reporting?
p3care
NOVEMBER 12, 2021
ACO or Accountable Care Organization is a group of doctors, hospitals, medical centers, and other healthcare providers. This unit works together to care for and look after a patient’s health. Their main goal is to improve the quality of care for patients. Primary care doctors and specialists. Accountability.
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Why Becoming ACO Improves Your Quality Payment Reporting?
p3care
NOVEMBER 12, 2021
ACO or Accountable Care Organization is a group of doctors, hospitals, medical centers, and other healthcare providers. This unit works together to care for and look after a patient’s health. Their main goal is to improve the quality of care for patients. Primary care doctors and specialists. Accountability.
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Exec Hires: UCM Digital Health Names Rondi Rabuse as President & COO
HIT Consultant
JANUARY 13, 2023
– With over three decades of experience in the healthcare field, Rabuse will help drive and accelerate UCM’s strategic growth plans, further enhancing UCM’s mission to improve the patient experience by removing barriers to access and improving affordability, equity and quality.
Vendor Notebook: Epic and Microsoft showcase "copiloted" AI capabilities, Cerner adds Suki AI
Healthcare It News
AUGUST 24, 2023
"Together, we are bringing generative AI to healthcare at scale as quickly as possible, responsibly and in partnership with providers, to address the ongoing issues affecting healthcare." Smith, senior director of digital health, told Healthcare IT News in July. Andrea Fox is senior editor of Healthcare IT News.
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Value-Based Administration Enables All VBC Network Stakeholders to Benefit
HIT Consultant
APRIL 3, 2023
Rahul Sharma , CEO at HSBlox Lynn Carroll, COO at HSBlox Despite holding the promise of delivering superior patient outcomes while lowering healthcare costs, many providers remain reluctant to embrace value-based care (VBC) reimbursement models. Healthcare needs transformation.
Council of Accountable Physician Practices Elects Joe Kimura, MD, MPH, Atrius Health, to Board of Directors
Accountable Care Doctors
MARCH 19, 2021
The Council of Accountable Physician Practices (CAPP), a coalition of visionary medical groups and health systems supporting accountable value-based care, has added Joe Kimura, MD, MPH, to its board of directors. Dr. Kimura is a practicing primary care internist with a specialization in clinical informatics.
ACO Reporting- A Patient-Centered Approach
p3care
MAY 31, 2024
An ACO (Accountable Care Organization) works for the better care of patients. Consider it as a group that combines hospitals, doctors, and other healthcare specialists for the sake of providing healthcare and is a team in care decisions. Network incorporating individual practices of ACO Professionals.
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