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”).

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HIT Consultant

AUGUST 13, 2024

By leveraging cutting-edge generative AI and large language model (LLM) technology, Vivid Health simplifies longitudinal care management through an innovative SaaS platform. This platform integrates seamlessly with leading healthcare technology systems, enhancing efficiency and precision in patient care.

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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

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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HIT Consultant

SEPTEMBER 18, 2023

Michael Pattwell, Principal Business Advisor, Value-Based Care, Edifecs While the need to address social determinants of health (SDOH) is definitely not new, 2023 marks the first year SDOH is codified into national and statewide value-based payment program mandates. million in 2019, according to the CMS report.

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HIT Consultant

AUGUST 13, 2024

What You Should Know: – Pearl Health , a technology company focused on physician enablement in value-based care, today announced a strategic partnership with PraxisCare and Adaugeo Healthcare Solutions.

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Accountable Care Doctors

MARCH 19, 2021

Kimura’s contributions as we chart a course toward care integration, new payment models, interoperability and transparent quality measures.”. CAPP’s leadership role in accountable care and care integration is essential to shaping the health care system of the future,” said Dr. Kimura. “We

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HIT Consultant

NOVEMBER 2, 2023

Collaboration aims to drive coordinated care and improve quality while reducing costs NS-EEH will strengthen its clinically integrated network (CIN) by incorporating Lumeris’ population health data platform into its value-based care strategy. million residents.

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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.

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HIT Consultant

JULY 19, 2022

Curana is focused on driving the adoption of value-based care in senior living communities through multiple business segments, including a provider-led medical group (Curana Health Medical Group), Medicare Advantage health plans (AllyAlign Health), and a Medicare Accountable Care Organization (Curana Health ACO).

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HIT Consultant

MAY 24, 2022

– The funding will fuel growth of the provider/payer platform that integrates with the electronic medical records (EMR) to identify high-value tactical care and coding interventions. KAID Health allows providers to profit from delivering more informed coordinated care. First, how to make clinicians more efficient.

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HIT Consultant

JULY 18, 2024

. – The partnership focuses on supporting independent physicians by providing them with the tools necessary to thrive in value-based care arrangements. This provider organization primarily serves Medicare beneficiaries.

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HIT Consultant

NOVEMBER 22, 2021

Health Fidelity’s technology uncovers insights that enable better care planning and more complete revenue capture; giving health plans and providers the ability to succeed in risk-sharing arrangements across Medicare Advantage, Affordable Care Act (ACA), Medicaid, and Accountable Care Organization programs.

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NASHP

OCTOBER 20, 2022

The “National Forum on Advancing High-Quality, Equitable Care Coordination for Children and Youth with Special Health Care Needs” centered on two key topics for improving care coordination systems for CYSHCN: integrated care coordination and the care coordination workforce.

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NASHP

MAY 10, 2024

Medicaid is required to participate by performance year one, and CMS encourages commercial payer participation and Medicare Advantage alignment. A core aspect is a focus on alignment between payers.

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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. NCQA is eager to continue the conversation on multi-payer alignment and tracking state innovations.

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Home Health Care

OCTOBER 11, 2021

The program acts as an extension of the work hospitals, health systems, clinically integrated networks and accountable care organizations (ACOs) are doing in terms of transitioning individuals back into the home. “We We know that in an episode of care model, about 45% of the readmissions occur after 30 days,” Boumenot said.

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Home Health Care

APRIL 2, 2024

Charter Health Care Group, founded in 2006, is an integrated post-acute care provider offering hospice, home health, and transitional care services,” the description reads. That doesn’t seem to be the case with all managed Medicare [payers]. The private equity company first invested in Charter in 2018.

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HIT Consultant

JUNE 16, 2023

care.ai, an advanced Smart Care Facility Platform partners with Samsung to bring the highest quality graphics and display to care settings, elevating the patient experience by transforming hospitals, nursing homes and care facilities with smarter, more responsive care environments. devices paired with Samsung displays.

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Healthcare ECONOMIST

SEPTEMBER 24, 2024

Solution to misaligned incentives: incentivize holistic care The authors provide clear examples that more holistic and integrated care can produce improved outcomes and reduce cost. The authors also argue for incentivizing integrated practice units (IPUs). However, this isolated cases do not mean that it always will.

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NASHP

OCTOBER 16, 2023

The state encourages those broader strategies to improve patient satisfaction and outcomes at all stages of life and illness. ” – Anastasia Dodson, Deputy Director, Office of Medicare Innovation and Integration, California Department of Health Care Services Reimbursement is often cited as a barrier to availability of palliative care.

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NASHP

MAY 26, 2022

By involving the care recipient and family throughout the care process as partners and delivering care in line with an individual’s goals, shared decision-making approaches can reduce delivery of unwanted or unnecessary care and resulting costs.

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Home Health Care

FEBRUARY 14, 2022

Smathers will join ATI’s Medicare and Medicaid Integration and long-term services and supports (LTSS) innovation practice. My personal mission is to contribute to innovations in care that are equitable, person-centered, and sustainable,” Smathers said in a press release. ATI Advisory appoints new managing director.

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NASHP

AUGUST 24, 2023

It is increasingly clear that any program’s ability to improve care value is critically reliant on targeting the right patients — not too many, not too few, but the right ones.” — Diane E. The state began implementation of palliative care legislation with an analysis of state Medicaid claims and encounter data.

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NASHP

DECEMBER 15, 2021

Medicaid reimbursement for CHW services has been added to the state plan, and some of Rhode Island’s Accountable Care Entities also employ CHWs in managed care settings. The CHWs were an integral part of the vaccine equity team and helped NMDOH develop a Community Resource Center and a set of flipcharts about vaccination.

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NASHP

AUGUST 23, 2021

Lack of Access to Specialists Associated with Mortality and Preventable Hospitalizations of Rural Medicare Beneficiaries.” Health Care Access in Rural Areas: Evidence that Hospitalization for Ambulatory Care-Sensitive Conditions in the United States May Increase with the Level Of Rurality.” iv] Johnston, K. Wen, and K.

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NASHP

AUGUST 5, 2024

Several states have received approval from the Centers for Medicare and Medicaid Services (CMS) of Medicaid State Plan Amendments (SPAs) that authorize reimbursement for CHW services. Other states are in the process of SPA development. Deliberate efforts are necessary if community-based organizations (CBOs) are to be included.

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NASHP

AUGUST 31, 2023

In many states, SHIPs serve as the driving mechanism for engaging health care systems and communities in statewide planning, implementation, and evaluation efforts. Key examples include: Washington state established nine regional Accountable Communities for Health.

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HIT Consultant

NOVEMBER 16, 2022

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 healthcare agencies. MEDITECH, SeamlessMD Collaborate on Digital Health Integration.

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Home Health Care

SEPTEMBER 27, 2024

NYSE: EHAB) has been active in the value-based care space. The company has a small – but growing – number of value-based contracts on the Medicare Advantage (MA) side, as well as Accountable Care Organization (ACO) partnerships. Integrated Home Care Services is a driver of value-based care in the home.

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Home Health Care

SEPTEMBER 7, 2022

In February, Signify acquired Caravan Health – an accountable care organization (ACO) manager – for $250 million. We’re very excited about the opportunity we have with Caravan Health and our ongoing efforts to expand our reach in value-based care,” Signify CEO Kyle Armbrester said at the time. For instance, Humana Inc.

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