Weekly
February 1, 2019
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Modern Healthcare | January 29, 2019     
 
CMS Administrator Seema Verma on Tuesday said the agency is exploring ways to apply its value-based payment models beyond Medicare and encourage more providers to buy in to the programs.  Currently, only 14% of Medicare providers participate in value-based arrangements, Verma said at the CMS Quality Conference in Baltimore. But the agency hopes its new cadre of models will change that. . . READ MORE    
 


Home Health Care News | January 27, 2019  
 
Home health agencies are still unsure what a recent overhaul of Medicare's accountable care organization (ACO) program means for them. They will be affected, experts say, but how and to what extent remains unclear.  Called "Pathways to Success," the new policies for ACOs were announced by the Centers for Medicare & Medicaid Services (CMS) about a month ago. Among other changes, the new policies shorten risk-free periods and offer more regulatory flexibility, including for providing telehealth to people in their homes. . . READ MORE    
 


MedPage Today | January 24, 2019  
 
Accountable care organizations (ACOs) expressed concern over new Trump administration regulations that reduced the amount of time they can remain in upside-only models.  Last month, the Centers for Medicare & Medicaid Services (CMS)  finalized a new rule  that forces ACOs onto a two-sided risk track after a maximum of 2 or 3 years instead of 6 years. Roughly 12% of doctor-led ACOs and about 22% of health centers in the Medicare Shared Savings Program (MSSP) will have to move onto a two-sided risk track more quickly than in previous years. . . READ MORE    
 


Health Affairs | January 29, 2019 
    
Performance measurement is central to the promise of better care, better health and lower cost that alternative payment models (APMs) seek to deliver. The Healthcare Payment Learning and Action network's (LAN) annual progress report showed increased uptake of APMs, with 34 percent of 2017 payments in category 3 and 4 APMs and with payers anticipating continued APM expansion... READ MORE    
 


Vendor Spotlight
New Listing!!    

Enjoin delivers our ACO clients complete solutions to support the capture of patient complexity, accurate Risk Adjustment Factor (RAF) scores and capture of Hierarchical Condition category (HCCs). With physician-led education, program development, Pre-visit Planning, and our CDocT web-based module, we ensure evidenced-based care is accurately reflected through precise documentation and coding.  With over 30 years of direct physician leadership, choose the industry experts in coding, documentation, education and risk adjustment methodologies.  
 
    
Platinum Level Vendors 
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Gold Level Vendors
Thank you also to our Gold Level Vendors. To learn more & visit their interactive booths, click on the logos below:


                  

                       

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