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 88

Medicare Accountable Care Home Care Accountability 88

NASHP

MAY 10, 2024

This blog post summarizes both the Primary Care AHEAD requirements identified by CMS and additional strategic considerations for states. Primary Care AHEAD Overview and Requirements Primary Care AHEAD is a key component of the AHEAD Model. A core aspect is a focus on alignment between payers.

Primary Care 52

Primary Care Medicaid Medicare Hospitals 52

Home Health Care

NOVEMBER 13, 2024

Medical Management, the home-based care company HarmonyCare raised $200 million in June. On Wednesday, it touted its success in the Accountable Care Organization (ACO) “REACH” Model, the successor to the The Global and Professional Direct Contracting Models (GPDC).

Primary Care 87

Primary Care Medicare Accountable Care Accountability 87

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 91

Home Care Primary Care Hospice Care Accountable Care 91

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

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 108

Medicare Accountable Care Accountability Primary Care 108

Home Health Care

DECEMBER 10, 2024

The news comes just a month after the Miami-based primary care provider filed Chapter 11 bankruptcy protections. As a company, CareMax provides primary care, specialty care and coordinated services to older adults. In 2022, CareMax acquired the Medicare value-based care business of Steward Health Care System.

Primary Care 57

Primary Care Medicare Accountable Care Accountability 57

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”). lower than the 2023 conversion factor of $33.89.

Medicare 52

Medicare Accountable Care Primary Care Accountability 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. It consists of.

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. It consists of.

Doctors 130

Doctors Accountability Healthcare Providers Accountable Care 130

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 83

Medicare Primary Care Medicaid Accountable Care 83

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

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

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 95

Urgent Care Hospice Care Accountability Accountable Care 95

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

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 Medicare Primary Care 52

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

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

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 80

Accountability Medicare Accountable Care Primary Care 80

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 82

Primary Care Medicare Accountable Care Population Health 82

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

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 Accountable Care Integration 52

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

AUGUST 13, 2024

The collaboration aims to expand access to value-based care services for patients across multiple Medicare Accountable Care Organizations (ACOs).

Accountable Care 52

Accountable Care Primary Care Population Health 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

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

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 65

Accountability Medicare Home Care Quality of Care 65

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

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 84

Accountable Care Primary Care Accountability Medicare 84

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

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.”. Dr. Kimura is a practicing primary care internist with a specialization in clinical informatics.

Accountability 52

Accountability Accountable Care Primary Care Population Health 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

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

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

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

Home Health Care

JULY 14, 2023

Patients also experienced reduced wait times for follow-up primary care visits. Witty also cited another study that found Medicare Advantage patients in Optum’s fully accountable care model showed significantly better health outcomes compared to people in Medicare fee-for-service.

Accountability 70

Accountability Accountable Care Medicare Primary Care 70

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