Health Care Dive

APRIL 17, 2024

Independent practices have clearer financial incentives to lower medical spending than hospitals participating in accountable care organizations, according to the Congressional Budget Office.

Accountable Care 355

Accountable Care Medicare Accountability Hospitals 355

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 (..)

Accountable Care 274

Accountable Care Accountability Medicaid Medicare 274

Healthcare ECONOMIST

JANUARY 18, 2022

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. The first issue is that the pool of fee-for-service Medicare beneficiaries is shrinking, at least on a relative basis.

Accountable Care 59

Accountable Care Accountability Medicare Healthcare 59

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.

Accountable Care 176

Accountable Care Accountability Medicare 176

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.

Accountable Care 261

Accountable Care Accountability Medicare 261

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.

Accountable Care 274

Accountable Care Accountability 274

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.

Accountable Care 294

Accountable Care Accountability Patient Experience Medicare 294

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, (..)

Accountable Care 274

Accountable Care Medicare Accountability Medicaid 274

Health Care Dive

DECEMBER 6, 2023

The beleaguered insurer will leave the accountable care program at the end of the 2023 performance year following disappointing results in Medicare direct contracting.

Accountable Care 261

Accountable Care Accountability Medicare 261

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 (..)

Primary Care 157

Primary Care Accountable Care Accountability Medicaid 157

Health Care Dive

AUGUST 15, 2023

Regulators lowered enrollment minimums for accountable care organizations in the program, which allows providers to form groups to manage care and costs for fee-for-service Medicare enrollees.

Accountable Care 245

Accountable Care Regulations Accountability Medicare 245

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. |

Accountable Care 167

Accountable Care Accountability Medicare 167

Health Care Dive

JULY 8, 2022

Changes to the Medicare Shared Savings Program would give some accountable care organizations more time to ramp up to performance-based risk and updated quality reporting.

Accountable Care 329

Accountable Care Accountability Medicare 329

Health Care Dive

AUGUST 25, 2023

Nearly two-thirds of participating accountable care organizations earned payments for their performance last year, according to the CMS.

Medicare 242

Medicare Accountable Care Accountability 242

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.

Accountable Care 246

Accountable Care Population Health Accountability 246

Health Care Dive

JANUARY 24, 2023

Rush University will be the only Chicago-area academic medical center participating in CVS’ first accountable care organization in ACO REACH.

Medicare 259

Medicare Accountable Care Accountability 259

Health Care Dive

JANUARY 18, 2023

Accountable care organizations and value-based care advocates cheered the news, with the National Association of ACOs calling 2023 a “turning point” for growth.

Accountable Care 246

Accountable Care Accountability 246

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 (..)

Accountable Care 190

Accountable Care Primary Care Accountability Healthcare 190

Health Care Dive

DECEMBER 9, 2022

Accountable care organizations' net savings rates ranged from -29.4% in the 2021 Global and Professional Direct Contracting Model.

Accountable Care 259

Accountable Care Medicare Accountability 259

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

Accountable Care 130

Accountable Care Accountability Medicare Medicaid 130

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.

Accountable Care 157

Accountable Care Population Health Accountability Medicare 157

HIT Consultant

JANUARY 25, 2024

What You Should Know: The Ohio State University Wexner Medical Center a nd CVS Accountable Care, part of CVS Health® (NYSE: CVS), today announced the creation of an accountable care organization (ACO) to improve the quality of care for Medicare beneficiaries by Ohio State providers in central Ohio.

Medicare 90

Medicare Accountable Care Accountability Quality of Care 90

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.

Accountable Care 52

Accountable Care Accountability Healthcare 52

HIT Consultant

AUGUST 15, 2011

The second part interview where Host, Gina Clark, Chief Marketing Officer for AmerisourceBergen interviews Loreen Brown, VP of Access and Reimbursement for Xcenda to share her insights on the impact of Accountable Care Organizations on healthcare delivery.

Accountable Care 52

Accountable Care Accountability Pharmaceuticals Healthcare 52

Healthcare ECONOMIST

JULY 11, 2024

RESULTS : A typical community hospital would have 83.4 patients per year on average with an index HF hospitalization with comorbid DM. The model predicted that sotagliflozin would reduce the probability of hospitalization, emergency department visits, and deaths by 29.3%, 38.5%, and 17.8%, respectively, compared with SoC.

Pharmaceuticals 66

Pharmaceuticals Accountable Care Accountability Hospitals 66

Home Health Care

JULY 8, 2024

The Troy, Michigan-based company is already in 15 states and cares for over 70,000 patients under Medicare Advantage (MA) plans and Medicare Accountable Care Organization (ACO) programs. It provides in-home primary care, as well as home health care, hospice care, palliative care, radiology and laboratory services.

Home Care 92

Home Care Primary Care Hospice Care Accountable Care 92

Home Health Care

AUGUST 25, 2023

And some of the highest-performing, most innovative Accountable Care Organizations (ACOs) participating in the program continue to generate savings by effectively using home-based care. As of January 2023, those ACOs included over 573,000 participating clinicians who provided care to almost 11 million people with Medicare.

Medicare 86

Medicare Accountable Care Accountability Medicaid 86

Health Dialog

NOVEMBER 17, 2015

As we know, Accountable Care Organizations (ACOs) are complex ecosystems and the implementation of new population health management programs can be daunting. New initiatives require time, behavior change, and workflow redesign. Here are steps your organization can take in advance of new program integration to maximize success.

Population Health 40

Population Health Accountable Care Accountability Primary Care 40

HIT Consultant

APRIL 9, 2024

It will propose alterations to medication regimens and other necessary clinical interventions, while also overseeing care trajectories at both individual and population health levels. In partnering with FeelBetter, we’re taking another step forward in fulfilling our mission.

Population Health 52

Population Health Accountable Care Accountability Medicare 52

Accountable Care Doctors

AUGUST 27, 2021

The Council of Accountable Physician Practices (CAPP) engaged the Institute for Accountable Care (IAC) to review recent literature to assess the current state of research on the characteristics and performance of accountable care organizations (ACOs) and accountable physician groups. Outcomes-based payment.

Accountability 52

Accountability Accountable Care Quality Improvement Medicare 52

HIT Consultant

JANUARY 13, 2023

Prior to Bright Health, Rabuse served several organizations in developing sustainable payer and provider partnerships to enhance delivery, outcomes, and cost of care, including Spire Orthopedics, Brighton Health Plan Solutions, Marwood Group, Montefiore, and Aetna.

Accountable Care 97

Accountable Care Accountability Patient Experience Healthcare 97

HIT Consultant

JUNE 24, 2024

Medicare Shared Savings Program: Accountable Care Organizations (ACOs) found to be blocking information may be excluded from the program for at least a year, forfeiting potential revenue.

Healthcare Providers 98

Healthcare Providers Healthcare Accountable Care Medicare 98

HIStalk

FEBRUARY 11, 2024

Top News The National Association of Accountable Care Organizations analyzes.

Accountable Care 71

Accountable Care Accountability 71

Accountable Care Doctors

NOVEMBER 17, 2020

Earlier this year, CAPP asked the Institute for Accountable Care (IAC) Executive Director Rob Mechanic to conduct a scan of the latest literature on accountable care entities, programs, and payment models in an effort to understand the factors that influence participation in such arrangements and on cost and quality performance.

Accountable Care 52

Accountable Care Accountability Medicare Integration 52

HIT Consultant

NOVEMBER 16, 2022

What You Should Know: – Edifecs and Empowered-Home announced a partnership to provide automated prior authorizations to medical associations, Accountable Care Organizations (ACOs), Independent Physician Associations (IPAs), medical groups, and home health care agencies.

Accountable Care 98

Accountable Care Accountability 98

Accountable Care Doctors

NOVEMBER 17, 2020

Earlier this year, CAPP asked the Institute for Accountable Care (IAC) Executive Director Rob Mechanic to conduct a scan of the latest literature on accountable care entities, programs, and payment models in an effort to understand the factors that influence participation in such arrangements and on cost and quality performance.

Accountable Care 52

Accountable Care Accountability Medicare Integration 52

Healthcare It News

JANUARY 18, 2022

In short, new organization- and provider-level emphasis on including SDOH along with traditional clinical diagnosis and utilization data is helping to "round out" the picture of patient populations targeted for care management interventions.

Pharmaceuticals 346

Pharmaceuticals Accountable Care Accountability Medicaid 346