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Healthpayer Intelligence | August 10, 2021
The way to determine the quality of a Medicare Advantage health plan is simple: look at the five-star rating on the Medicare website. However, the Medicare Advantage Star Rating methodology that produces that star indicator is much more complex.
A Medicare Advantage plan is a private payer health plan which the federal government funds and regulates. Medicare Advantage plans are considered....
Skilled Nursing News | August 8, 2021

Although accountable care organizations (ACOs) have never been particularly popular among skilled nursing facilities, timing may be ripe to take on more risk to stay competitive in the market. ACO participation may help operators maintain referrals when so many potential residents are being diverted to home health care, hospice and other tracks along the continuum of care.
The industry’s move toward value-based care makes it more imperative to strengthen physician relationships too....
In order to stay healthy, patients need to receive proper testing and follow-up care from other providers after seeing their Primary Care Provider (PCP). However, disruption between PCPs and referred specialists often threatens that care quality. Healthcare analytics can provide insight for primary care providers and specialists to identify areas in which they can improve referrals, reduce out-of-network leakage, and pinpoint referral opportunities.
Telling a complete patient story requires capturing the social determinants that influence overall health. Evidence suggests that focusing on “upstream” interventions outside of traditional clinical care—such as housing, neighborhood conditions, and increased socioeconomic status—can lead to overall improvements in health and reduce health disparities and inequities.
Sponsored Webinars

Leveraging AI-Enabled Remote Patient Management for Preventative Care in the Fight Against Diabetes
Sponsored by: Mozzaz
August 19, 2021 | 1 PM EST

Using Your 2020 MSSP Settlement Pt 2: What can still be done to impact 2021 shared savings
Sponsored by: Validate Health
August 19, 2021 | 1 PM EST

Using Your 2020 MSSP Settlement Pt 3: Calculating accurate and fair shared savings contribution by provider with CMS’s 2020 COVID rule changes
Sponsored by: Validate Health
August 26, 2021 | 1 PM EST

Post-Acute Analytics – What’s in It for My ACO?
Sponsored by: PointRight
August 31, 2021 | 1 PM EST


Laboratory Diagnostics: An Overlooked Solution to Reduce ACO Member Cost and close the gap between data and diagnosis 

Upcoming Conferences
11th National ACO Summit
September 20-23, 2021 (Virtual)

FLAACOS Fall Conference
November 4-5, 2021 | Orlando, FL

American Physician Groups Annual Conference
December 9-11, 2021 | San Diego, CA

This week's focus: From General Data to Sophisticated Analytics
Each week we showcase one of our solution providers in a 4-5 minute interview and ask them what they bring to the ACO Community and what sets them apart. Today's guest:
Platinum Level Exhibitors
Thank you to our Platinum Level exhibitors. These organizations offer the absolute highest quality products & services to the ACO & IPA community. To learn more & visit their interactive booths, click on the logos below:
Gold Level Exhibitors
Thank you to our Gold Level exhibitors. To learn more & visit their interactive booths, click on the logos below:
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