On Tuesday, December 1, officials at the federal Centers for Medicare & Medicaid Services (CMS) announced changes to the Medicare payment system that will extend payment for more than 60 telehealth-delivered services, beyond the current public health emergency (PHE). The changes have been incorporated into the Calendar year 2021 Physician Fee Schedule final rule. CMS also announced changes that will affect the accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP)...READ MORE
To successfully manage the 40 to 60 percent of costs of care driven by specialty physicians, your ACO must overcome one major obstacle when you begin to address specialty costs: the lack of information to guide your actions. Although ACOs have claims data to calculate total costs per ACO patient and totals for specialty services, you can't compare those costs...READ MORE
Several years ago in the early days of Accountable Care Organizations (ACOs), we worried and warned about the importance of how each organization should divide up potential savings. In a white paper published in Physician Leadership Journal and on the Salient Web site, co-author Stephen Sheiko and I called it an "Elephant in the ACO Waiting Room." In fact, today a new elephant is in the waiting room, and he is trumpeting a different warning message...READ MORE
In a completely unexpected move, on November 20, 2020, the Centers for Medicare & Medicaid Services ("CMS") and the Department of Health and Human Services ("HHS") Office of the Inspector General ("OIG") published advance copies of a collection of four rules focusing on two themes: (i) reducing prescription drug prices and (ii) advancing the transition to value-based care and modernizing the regulatory framework...READ MORE
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eMedApps is a healthcare technology company that provides solutions and integration services to ACOs and other healthcare organizations. With our Community Health Cloud solution we provide a community-based patient record for patients, a consolidated view of patient records for physicians, and a combined medical history that can be coordinated and shared across practices with the patient's consent.
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