Health Business Group

JULY 18, 2024

In this episode, we dive deep into this pressing question with Dr. Mohamed Diab , president of CVS Accountable Care. Dr. Diab highlights systemic challenges, such as physician burnout and the inadequacies of primary care funding.

Accountable Care 52

Accountable Care Accountability Life Sciences Primary Care 52

p3care

SEPTEMBER 14, 2021

What is ACO (Accountable Care Organization)? ACOs, in simple terms, including a wide network of clinicians, hospitals, and other health care providers who provide coordinated high-quality services to their Medicare patients. This payment model revolves around managing and preventing chronic diseases. Don’t worry!

Medicare 208

Medicare Accountable Care Prevention Healthcare Providers 208

Healthcare It News

JANUARY 4, 2022

Progress toward accountable care is halting. "These solutions help providers perform at-home health interventions that prevent sometimes costly and logistically impossible doctors' visits." Data is everywhere, but not always available or decipherable to help manage myriad challenges.

Hospitals 362

Hospitals Nursing Accountable Care Clinical Practice 362

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 52

Accountable Care Accountability Medicare Population Health 52

HIT Consultant

DECEMBER 3, 2024

Expanding Supportive Care Offerings: Innovative clinics can boost revenue by introducing cash-pay services, such as training programs to prevent injuries or enhance performance. This approach not only ensures operational success but also reinforces the vital role of physical therapy in injury prevention and recovery.

Physical Therapy 52

Physical Therapy Accountable Care Primary Care Prevention 52

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

Healthcare It News

NOVEMBER 15, 2021

"The level of complexity in virtual health was high and prevented a consistent approach and consistent support; it has been a complex experience for patients. "Prior to and during the pandemic, we have had a broad effort to consolidate systems and onto a common platform," explained Kramer of OhioHealth. " Hospital-at-home.

Telemedicine 363

Telemedicine Hospitals Nursing Population Health 363

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. 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. Accountability.

Doctors 130

Doctors Accountability Healthcare Providers Accountable Care 130

p3care

OCTOBER 30, 2020

Preventive Care and Screening: Screening for Depression and Follow-up Plan. ACO (Accountable Care Organization) Reporting. Many APM participants may use APP (APM Performance Pathway) for quality reporting. CMS also suggests setting six quality measures for APM reporting naming: Controlling High Blood Pressure.

Medicare 243

Medicare Measurable Quality Medicaid Accountable Care 243

Home Health Care

OCTOBER 20, 2021

Driving accountable care, advancing health equity, supporting innovation, addressing affordability and partnering to achieve system transformation are the five key pillars of the refresh, the paper explains. Moving forward, an innovation center goal for beneficiaries is to steer them toward more accountable care relationships.

Accountable Care 98

Accountable Care Accountability Medicare Medicaid 98

p3care

SEPTEMBER 14, 2021

What is ACO (Accountable Care Organization)? ACOs, in simple terms, including a wide network of clinicians, hospitals, and other health care providers who provide coordinated high-quality services to their Medicare patients. This payment model revolves around managing and preventing chronic diseases. Don’t worry!

Medicare 130

Medicare Accountable Care Prevention Healthcare Providers 130

HIT Consultant

JUNE 24, 2024

Department of Health and Human Services (HHS) announced a new final rule today aimed at preventing information blocking in healthcare. 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

HIT Consultant

JUNE 10, 2024

Published in The American Journal of Accountable Care , the research highlights the importance of patient-provider communication and patient activation in early detection and prevention of CKD, a leading cause of death in the United States.

Prevention 75

Prevention Accountable Care Accountability Healthcare Providers 75

Healthcare ECONOMIST

MAY 5, 2024

ACO includes patients attributable to accountable care organizations (ACO), such as those participating in the Medicare Shared Savings Program (MSSP). 2020 algorithm). The authors also use information from encounter claims on whether a patient chart review took place.

Medicare 111

Medicare Accountability Accountable Care Prevention 111

Home Health Care

AUGUST 30, 2021

It offers specialized home care, home infusion, hospice and medical transportation services nationwide. Under the MSSP, CommonSpirit has improved care outcomes for 335,000 Medicare beneficiaries through its 14 accountable care organizations (ACOs). Plus, it boasts an average quality score of 98%.

Medicare 116

Medicare Rehabilitation Home Care Accountable Care 116

Healthcare Success

JULY 31, 2023

It has application in value-based care, patient population health, accountable care organizations (ACOs), and health management organizations (HMOs). to prevent or improve chronic health conditions. Make healthcare accessible Access to care is a barrier for many rural and underserved populations.

Prevention 130

Prevention Accountability Healthcare Accountable Care 130

HIT Consultant

OCTOBER 30, 2023

Under the Medicare Shared Savings Program, a healthcare provider that is an Accountable Care Organization (ACO), ACO participant, or ACO provider or supplier would be deemed ineligible to participate in the program for a period of at least one year.

Medicare 98

Medicare Accountable Care Healthcare Providers Regulations 98

Home Health Care

MARCH 19, 2024

The Centers for Medicare & Medicaid Services (CMS) announced a new voluntary model Tuesday – centered around primary care providers – that could offer home-based care providers more opportunity to dive into risk-based care. The model was another creation of the CMS Innovation Center.

Primary Care 85

Primary Care Medicare Accountable Care Medicaid 85

HIT Consultant

OCTOBER 18, 2023

Physicians should emphasize their value in terms of patient outcomes, quality of care, and cost-effectiveness. Value-Based Care Initiatives: Participating in value-based care models and accountable care organizations can lead to increased reimbursement based on improved patient outcomes and cost savings.

Regulations 105

Regulations Accountable Care Prevention Medicare 105

Health Dialog

JUNE 16, 2016

Food and Drug Administration aims to reduce the use of tobacco, which remains the leading cause of preventable chronic conditions and death in the United States. However, some argue this may be an opportunity for e-cigarette manufactures to invest in research about the potential benefits, such as chronic condition prevention.

Prevention 40

Prevention Regulations Accountable Care Population Health 40

HIT Consultant

MARCH 15, 2023

They could better assess addiction risk and make the best judgment on the type of care delivered. If providers could easily and securely access dynamic and actionable behavioral health data, they could develop more effective treatment plans based on a patient’s complete history.

Accountability 98

Accountability Accountable Care Medicaid Healthcare Innovation 98

NCQA

NOVEMBER 20, 2023

NCQA seeks candidates who embody Phyllis’ passion for health care quality research and policy. Primary care. Preventive care. Health care disparities. Value-based care and payment. Her research examines the role of social factors on health and health care across the life span. Maternal health.

Primary Care 97

Primary Care Population Health Prevention Accountable Care 97

Health Populi

SEPTEMBER 20, 2022

We may be entering a new phase of digital therapeutic “prescriptions” of consumer-facing devices to enable at-risk patients to generate and gather necessary data to help people prevent and manage their health. Heath plans and providers taking on risk-based payments are tuning into this opportunity.

Population Health 116

Population Health Prevention Health Data Doctors 116

Health Business Group

JUNE 6, 2024

Travis explains the impact of pharmacist-led interventions , and how the value-based care model, combined with genetic analysis, can guides clinical decision to prevent medication failures. Hear how DecisionRx is leveraging pharmacogenomics and data science to improve patient outcomes and reduce healthcare expenses.

Life Sciences 52

Life Sciences Accountable Care Accountability Prevention 52

Home Health Care

JULY 14, 2023

The study found that patients that received Optum’s in-home preventative wellness assessments compared with those who hadn’t made fewer emergency department visits and spent fewer nights in hospitals across four common conditions: depression, hypertension, coronary artery disease and Type 2 diabetes.

Accountability 96

Accountability Accountable Care Medicare Primary Care 96

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. CDC Centers for Disease Control and Prevention. PH-MCO Physical Health Managed Care Organization. RAE Regional Accountable Entity. USPSTF United States Preventative Services Task Force. Acronym Guide.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

Health Populi

MAY 26, 2021

This is especially true for the pharma and consumer health segments in healthcare in America.

Healthcare 87

Healthcare Accountable Care Accountability Nursing 87

Icanotes

NOVEMBER 21, 2024

By implementing a collaborative care model at your practice, you and other providers can proactively address your patient's needs. A vital aspect of collaborative care strategies and adapting interventions is maintaining accurate documentation to understand why treatment has been adjusted.

Integration 52

Integration Private Practices Rehabilitation Accountable Care 52

HIT Consultant

JANUARY 30, 2022

Moreover, during the pandemic, government deregulation helped drive a surge in virtual care, which was especially critical for patients with chronic conditions and at high risk if they were to contract COVID-19. As vaccines have become available, practices have re-opened their doors, but many continue to offer telehealth appointments.

Accountable Care 98

Accountable Care Accountability Healthcare Prevention 98

Home Health Care

JANUARY 31, 2022

“It really goes back to this idea of powering care programs into the home. MedArrive coordinates in-person care for health systems, Accountable Care Organizations (ACOs) and physician group partners via emergency medical services (EMS) professionals, nurses and community health workers, among others.

Telemedicine 52

Telemedicine Prevention Accountable Care Accountability 52

HIT Consultant

MAY 1, 2024

Previously, Upperline Health’s specialists in podiatry, vascular care, chronic care management, and preventative health grappled with incomplete patient medical histories dispersed across disparate systems and modalities, particularly as the Medicare beneficiary population seeking specialist care burgeoned.

Integration 52

Integration Accountable Care Primary Care Accountability 52

GoMoHealth

OCTOBER 20, 2022

A physician’s office staffed with 1-2 care coordinators just received the following monthly care gap reports with the expectation that they will work to close them (with no guidance or support). 3,000 noncompliant for variety of preventive care screenings or follow-up. 6,000 members. 5,752 members.

Quality Improvement 88

Quality Improvement Medicaid Population Health Medicare 88

HIT Consultant

SEPTEMBER 24, 2024

Centivo’s Three-Pronged Solution Centivo’s approach to cost management involves three key components: Advanced Primary Care: Centered around Centivo Care, its in-house virtual primary care practice, the company emphasizes proactive and preventive care.

Healthcare 52

Healthcare Primary Care Accountable Care Accountability 52

Health Dialog

FEBRUARY 2, 2016

This is the final post in my three-part series on the successful implementation of Population Care Managers (PCMs) within Accountable Care Organization (ACO) and Patient Centered Medical Home settings. The primary objective for any ACO or at-risk provider is to deliver value-based care and reduce wasteful spending.

Population Health 40

Population Health Primary Care Accountable Care Doctors 40

NASHP

SEPTEMBER 8, 2023

from maternal-related causes , with more than 80 percent of these deaths being preventable. Factors that can lead to a pregnancy-related death include access to care and timeliness of diagnoses. American Indian, Alaskan Native, and Black women are two to three times more likely to die of pregnancy-related causes than White women.

Medicaid 80

Medicaid Performance improvement Quality Improvement Accountable Care 80

Sheppard Health Law

OCTOBER 27, 2021

The five strategic objectives for advancing this systemwide transformation include (1) Drive Accountable Care, (2) Advance Health Equity, (3) Support Innovation, (4) Address Affordability, and (5) Partner to Achieve System Transformation. Strategic Objective 1: Drive Accountable Care.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52