Home Health Care

NOVEMBER 7, 2023

Centers for Medicare & Medicaid Services (CMS) has stated its objective to enroll all of its Medicare beneficiaries in accountable care relationships by 2030. million Medicare fee-for-service beneficiaries are assigned to an ACO. Currently, roughly 13.2 We’d like to try it that way.’

Medicare 89

Medicare Accountable Care Home Care Accountability 89

Sheppard Health Law

AUGUST 11, 2023

On July 13, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its proposed rule (the “Proposed Rule”) for the 2024 Medicare Physician Fee Schedule (“PFS”). CMS projects that the Proposed Rule will lead to growth in the Medicare Shared Savings Program (“MSSP”).

Medicare 52

Medicare Accountable Care Primary Care Accountability 52

HIT Consultant

JULY 18, 2024

Astrana Health What You Should Know: – Astrana Health ( NASDAQ: ASTH), a provider-centric healthcare company, today announced a strategic partnership with Elation Health , a clinical-first technology company specializing in primary care. This provider organization primarily serves Medicare beneficiaries.

Primary Care 52

Primary Care Health Analytics Integration Accountable Care 52

Healthcare It News

SEPTEMBER 6, 2022

In March, Signify Health acquired Caravan Health , which serves Medicare beneficiaries through accountable care organizations. times longer with a patient in the home than providers in average primary care office visits, according to the company. In 2022, Signify Health clinicians are expected to serve 2.5

Primary Care 288

Primary Care Remote Care Accountable Care Accountability 288

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.

Accountability 52

Accountability Accountable Care Primary Care Population Health 52

Home Health Care

FEBRUARY 8, 2024

This article is a part of your HHCN+ Membership Home-based care providers avoiding the shift to value-based care are running out of time and excuses. Home health providers are already under the Home Health Value-Based Purchasing (HHVBP) Model, which is, by definition, a value-based care model.

Medicare 109

Medicare Accountable Care Accountability Primary Care 109

HIT Consultant

MAY 4, 2022

The Curana Health ACO is a value-based care program for original Medicare beneficiaries. The organization includes a medical group (Curana Health Medical Group), an operator of Medicare Advantage health plans (AllyAlign Health), and an Accountable Care Organization (Curana Health ACO).

Accountable Care 52

Accountable Care Accountability Medicare Primary Care 52

HIT Consultant

MAY 1, 2024

What You Should Know: – Aledade , the nation’s leading network of independent primary care practices, announced today the acquisition of Michigan-based Medical Advantage. Working together, we can help more independent primary care practices in Michigan not only to participate, but succeed, in value-based care.

Primary Care 52

Primary Care Accountable Care Accountability Medicare 52

Sheppard Health Law

OCTOBER 27, 2021

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care. Strategic Objective 1: Drive Accountable Care.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Home Health Care

APRIL 15, 2024

Last week, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced a new proposed model that will undoubtedly affect home health providers, and also allow them the opportunity to get more involved in value-based care initiatives. TEAM would be yet another model furthering that goal, if enacted.

Accountability 66

Accountability Medicare Home Care Quality of Care 66

Home Health Care

SEPTEMBER 15, 2023

According to her LinkedIn, the roles she held at Steward Health Care include: COO; EVP of operations; SVP of corporate operations; SVP and chief of staff; VP of operations and strategic initiatives, senior director of primary care and medical specialties; and director of practice operations.

Urgent Care 96

Urgent Care Hospice Care Accountability Accountable Care 96

NCQA

OCTOBER 31, 2023

“ It’s a marathon, not a sprint ,” said Liz Fowler, Director at the Center of Medicare and Medicaid Innovation (CMMI), during a recent Fireside Chat with NCQA Executive Vice President Eric Schneider. And then we’re also developing an approach for certification based on quality improvement and patient experience.”

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

HIT Consultant

MAY 1, 2024

What You Should Know: · Navina, the AI-driven primary care platform revolutionizing the interpretation of intricate patient data into actionable guidance during care encounters, has unveiled the initial outcomes of its collaboration with Upperline Health.

Integration 52

Integration Accountable Care Primary Care Accountability 52

HIT Consultant

FEBRUARY 10, 2022

What You Should Know: – Today, Signify Health announced it has reached an agreement to acquire Caravan Health , a leader in enabling accountable care organizations (ACOs) to succeed in value-based care payment. Together, the companies form one of the largest networks of at-risk providers in the U.S.

Accountable Care 52

Accountable Care Primary Care Accountability Medicare 52

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.

Doctors 130

Doctors Accountability Healthcare Providers Accountable Care 130

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.

Doctors 130

Doctors Accountability Healthcare Providers Accountable Care 130

Home Health Care

JUNE 20, 2023

They’re a lot like unemployed people, where at some point they reach a critical point where they actually stop seeking out care because it’s so complex and challenging.” billion nonprofit Medicare Advantage (MA) organization that covers more than 270,000 members. For example, Jain believes Medicare needs a full-on makeover.

Medicare 91

Medicare Home Care Accountable Care Primary Care 91

Sheppard Health Law

SEPTEMBER 11, 2023

On August 14, 2023, the Centers for Medicare & Medicaid Services (CMS) released guidance on changes to the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model starting in performance year 2024 (PY2024). The changes came about in response to stakeholder and participant feedback.

Medicare 52

Medicare Accountable Care Medicaid Accountability 52

Healthcare Leadership Council

AUGUST 8, 2023

Dr. Adam Solomon , chief medical officer of MemorialCare Medical Foundation, compared traditional fee-for-service (FFS) care to different types of accountable care organizations (ACOs), highlighting the notable difference in relationships between services and payments, as well as outcomes.

Medicare 40

Medicare Accountable Care Primary Care Accountability 40

HIT Consultant

MAY 24, 2022

For example, KAID Health improves Medicare Advantage coding accuracy and completeness at a large multi-specialty group. The platform helps automate quality metric reporting for primary care providers. Second, how to translate that efficiency into more cost-effective care. First, how to make clinicians more efficient.

Accountable Care 52

Accountable Care Primary Care Accountability Medicare 52

Home Health Care

MARCH 3, 2022

One thing that has remained constant, though, is the organization’s push towards a value-based health care system. For Signify, the recent completion of its Caravan Health acquisition — an accountable care organization (ACO) manager — is a major move toward driving more participation and success in value-based payment arrangements. “We’re

Accountability 81

Accountability Medicare Accountable Care Primary Care 81

Home Health Care

MAY 30, 2023

“There are more ways to do that today like Medicare Advantage plans and smaller organizations focused on the populations that you care for – that’s a great place to start.” Partnering with ACOs and primary care groups is another strategy that could come with less risk as providers dip their toes into the value-based arena.

Primary Care 82

Primary Care Medicare Accountable Care Accountability 82

Home Health Care

MAY 5, 2022

Another major component of the company’s value-based mission was its acquisition of Caravan Health, an accountable care organization (ACO) manager. I’m very pleased with the positive reaction from our clients who are excited about the prospect of Signify Health providing a total cost of care model,” he said.

Accountability 90

Accountability Accountable Care Primary Care Medicare 90

Home Health Care

FEBRUARY 10, 2022

The company signed an agreement to acquire Caravan Health, an accountable care organization (ACO) manager, for the price tag of $250 million. “It That’s what our company does for Medicare Advantage (MA) plans, Medicaid Managed care organizations and provider organizations involved in total risk contracts.”.

Accountable Care 57

Accountable Care Medicare Accountability Medicaid 57

Home Health Care

JULY 14, 2023

Additional highlights The number of patients served by Optum under fully accountable value-based care arrangements grew by more than 900,000 year-over-year. Patients also experienced reduced wait times for follow-up primary care visits. But probably not much more to say today.”

Accountability 70

Accountability Accountable Care Medicare Primary Care 70

Home Health Care

AUGUST 8, 2022

CVS Health has been overt about its efforts to reach further into the home; it has been targeting traditional home health agencies, and it was reportedly interested in primary care provider One Medical (Nasdaq: ONEM). It additionally provides at-home evaluations, usually on behalf of Medicare Advantage plans.

Primary Care 83

Primary Care Medicare Accountable Care Population Health 83

HIT Consultant

AUGUST 23, 2022

Healthcare System also continues its push to value-based care (VBC) and risk-based deals, and at- risk groups may benefit from light volumes in 2Q:22. CMS’ VBC initiatives highlights CMS’ commitment to get all traditional Medicare beneficiaries and the vast majority of Medicaid beneficiaries into an accountable care relationship by 2030.

Medicare 98

Medicare Accountable Care Medicaid Hospitals 98

Home Health Care

AUGUST 5, 2022

Exiting the Centers for Medicare & Medicaid Services’ (CMS) Bundled Payments for Care Improvement-Advanced (BPCI-A) program is another reason for the shift in strategy. This tracks, as Signify continues to see momentum when it comes to its HCS business.

Accountable Care 82

Accountable Care Primary Care Accountability Medicaid 82

HIT Consultant

JULY 13, 2022

For the better part of a decade, the shift toward value-based care in the U.S. has been driven by the establishment of the Center for Medicare and Medicaid Innovation (CMMI). A primary care-led delivery model with enhanced virtual care and clinician access, supported by high-risk clinics.

Accountability 98

Accountability Accountable Care Primary Care Medicare 98

HIT Consultant

FEBRUARY 2, 2022

A strong VBC network will often need a sizable technology investment to revise traditionally siloed capabilities, the ability to cater to a spectrum of stakeholders, including accountable care organizations (ACOs), bundled payment programs, full and partial capitation, and the Medicare Shared Savings Program with upside and downside risk.

Accountability 98

Accountability Medicaid Accountable Care Medicare 98

Home Health Care

SEPTEMBER 6, 2022

Its value-based care focus, in particular, has been accelerated ever since Signify bought Caravan Health in March 2022. Currently, Caravan partners with over 170 providers participating in accountable care organizations (ACOs) that serve the Medicare population.

Accountable Care 85

Accountable Care Primary Care Accountability Medicare 85

Etactics

JANUARY 26, 2024

It is also a term applied to traditional Medicare. This helps distinguish it from Medicare managed-care plans, as well as any other new payment systems there might be. Send your bills to your payer, which might include private insurance companies or government programs (Medicare or Medicaid). So how does FFS work?

Healthcare 52

Healthcare Primary Care Medicare Healthcare Providers 52

NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

Sheppard Health Law

DECEMBER 12, 2022

The Centers for Medicare & Medicaid Services (CMS) Innovation Center continues to move forward with its “strategic refresh” initiative. Through this shift, CMS aims to examine and enhance payments for specialty care provided to Medicare beneficiaries. Value-Based Care and ACOs.

Accountable Care 52

Accountable Care Accountability Primary Care Medicare 52

NASHP

OCTOBER 20, 2022

In spite of these barriers, and to help address them, states have implemented innovations to improve integrated care coordination for CYSHCN. Federal agencies have also prioritized and supported advancing integrated care. Aligning measurement, funding, and accountability with care coordination system quality improvement efforts.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

Home Health Care

FEBRUARY 1, 2023

After the Centers for Medicare & Medicaid Services (CMS) released a final rule that poses sizable risk to its Medicare Advantage business, Humana Inc. Medicare President George Renaudin is also now going to lead Humana’s Medicaid efforts. NYSE: HUM) leaders insisted panic was not necessary.

Medicare 84

Medicare Primary Care Medicaid Integration 84

HIT Consultant

JANUARY 22, 2024

What You Should Know: – The Centers for Medicare & Medicaid Services (CMS) has taken a bold step towards improving care for individuals with both mental health conditions and substance use disorders (SUD), announcing the “ Innovation in Behavioral Health (IBH)” Model.

Medicaid 97

Medicaid Quality of Care Integration Medicare 97