Accountable Care, Medicaid and Quality of Care

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. CMS (Centers for Medicare and Medicaid Services) has recommended changes for ACO reporting criteria. Quality of Care by ACOs.

Medicare

Medicare Accountable Care Accountability Medicaid

P3Care Investigates: QPP MIPS 2021 Proposed Rules

p3care

OCTOBER 30, 2020

CMS (The Centers for Medicare and Medicaid Services) released the proposed rule for QPP MIPS 2021 via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). For instance, CMS asks physicians to focus on the quality of care rather than the volume of patients. ACO (Accountable Care Organization) Reporting.

Medicare

Medicare Measurable Quality Medicaid Accountable Care

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. This becomes a specific reason for comprehensible improvements in patient care.

Quality of Care

Quality of Care Doctors Medicare Patient Experience

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.

Accountable Care

Accountable Care Accountability Medicare Population Health

Centers for Medicare and Medicaid Innovation Center: Equity and Vision

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 2: Advance Health Equity.

Medicaid

Medicaid Medicare Accountable Care Accountability

Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

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. million Medicaid participants. million Medicaid enrollees.

Primary Care

Primary Care Medicaid Accountability Quality Improvement

CMMI’s Proposed TEAM Model Offers Another Risk-Based Opportunity For Home Health Providers

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.

Accountability

Accountability Medicare Home Care Quality of Care

CMS Announces Strategy on Value-Based Payments for Specialty Care

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

Accountable Care Accountability Medicare Primary Care

Managed Care Contracts Fueling Growth For Continuous Home Care

Home Health Care

APRIL 27, 2023

Over the last decade, Putman — now CEO of Continuous — has relied heavily on building strong relationships with payers, accountable care organizations (ACOs) and care management companies. When Putman started, the revenue breakdown was about 60% Medicare and 40% managed care. That number has increased by over 30% since.

Home Care

Home Care Physical Therapy Medicare Accountable Care

Access to Capital, Flexible Staffing Supercharging Growth for Home-Based Care Startups

Home Health Care

APRIL 27, 2022

On its end, MedArrive coordinates in-person care for health systems, Accountable Care Organizations (ACOs) and physician group partners via emergency medical services professionals, nurses and community health workers, among others. “There’s just a ton of money pouring into the space,” Hutson said at the HHCN event.

Accountable Care

Accountable Care Quality of Care Accountability Medicaid

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

NASHP

OCTOBER 20, 2022

This substandard access to quality care can lead to poor health outcomes.[6]. have a special health care need, and an estimated 44 percent of CYSHCN are enrolled in Medicaid.[7] public health, Medicaid, mental health) and other stakeholders (e.g., Training CHWs in core components of care coordination.

Medicaid

Medicaid Integration Accountability Quality Improvement

Sustainability and Value: State Palliative Care Reimbursement Strategies

NASHP

AUGUST 24, 2023

State health reform efforts increasingly focus on providing comprehensive and well-coordinated care to people with serious illness to improve quality of care and drive down costs. Target Populations That Could Benefit from Palliative Care Services Use data to identify Medicaid enrollees with serious illness.

Medicaid

Medicaid Quality Assurance Hospitals Quality of Care

[ANSWERED] What is a Fee for Service in Healthcare?

Etactics

JANUARY 26, 2024

Quality of care. These include capitation, value-based reimbursement, and episodes of care/bundled payments. Send your bills to your payer, which might include private insurance companies or government programs (Medicare or Medicaid). Patients can receive a range of primary care services by paying a monthly or annual fee.

Healthcare

Healthcare Medicare Primary Care Healthcare Providers

Public Health Modernization Toolkit: Key Commitments, Priorities, and Strategies to Advance Collaboration between Public Health and Health Systems

NASHP

AUGUST 31, 2023

Through coordinated efforts to track progress and advance programs and initiatives to improve quality of life in the region, Live Well San Diego was able to drive a 12 percent reduction in the percentage of deaths associated with preventable health threats between 2007 and 2019 among San Diego County residents.

Medicaid

Medicaid Accountability Public Health services Population Health

Bridging The Divide: Addressing The Unique Challenges Of Rural Home Health Care Access

Home Health Care

DECEMBER 2, 2024

Urban residents generally have more choices regarding providers and facilities, while those in rural areas face challenges such as longer travel distances, limited provider availability and potential concerns about the quality of care. Meeting these comprehensive needs can be especially challenging in rural areas.

Telemedicine

Telemedicine Home Care Medicare Nursing

How Enhabit, Bayada Win Home Health Value-Based Care Arrangements

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.

Home Care

Home Care Integration Patient Experience Medicaid

CMS Unveils “Innovation in Behavioral Health” Model to Tackle Dual Mental and Physical Health Challenges

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

Medicaid Quality of Care Medicare Integration

“REACHing” For Health Equity: CMS Revamps The Global And Professional Direct Contracting Model

Sheppard Health Law

MARCH 2, 2022

On February 24, 2022, the Centers for Medicare & Medicaid Services (CMS) announced its redesign of the Global and Professional Direct Contracting Model (GPDC), which now will be called the Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) Model.

Accountable Care

Accountable Care Medicare Primary Care Accountability

Inside UnitedHealth Group’s Defense Of $3.3B Amedisys Acquisition

Home Health Care

FEBRUARY 14, 2025

Worse, it would do so based on flawed economic theory, artificially narrow geographic markets, out-of-context quotations from a handful of documents, and with zero regard for the actual improvements to patient satisfaction and quality of care that would flow from the transaction.

Medicare

Medicare Nursing Accountable Care Accountability

Health Care Quality Digest

CMS Proposed Changes for ACO Reporting 2021

P3Care Investigates: QPP MIPS 2021 Proposed Rules

Trending Sources

ACO Reporting- A Patient-Centered Approach

inVio Health Network and CVS Accountable Care Partner to Improve Medicare Patient Care in South Carolina

Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

CMMI’s Proposed TEAM Model Offers Another Risk-Based Opportunity For Home Health Providers

CMS Announces Strategy on Value-Based Payments for Specialty Care

Managed Care Contracts Fueling Growth For Continuous Home Care

Access to Capital, Flexible Staffing Supercharging Growth for Home-Based Care Startups

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

Sustainability and Value: State Palliative Care Reimbursement Strategies

[ANSWERED] What is a Fee for Service in Healthcare?

Public Health Modernization Toolkit: Key Commitments, Priorities, and Strategies to Advance Collaboration between Public Health and Health Systems

Bridging The Divide: Addressing The Unique Challenges Of Rural Home Health Care Access

How Enhabit, Bayada Win Home Health Value-Based Care Arrangements

CMS Unveils “Innovation in Behavioral Health” Model to Tackle Dual Mental and Physical Health Challenges

“REACHing” For Health Equity: CMS Revamps The Global And Professional Direct Contracting Model

Inside UnitedHealth Group’s Defense Of $3.3B Amedisys Acquisition

Stay Connected