Social determinants of health contracting with community-based organizations remains a complex and challenging task for payers as the demand for answers grows more pressing. As the industry’s awareness of social determinants of health expands, so does the need for evidence-based solutions. Often, these solutions require health insurers and health systems to contract with community-based organizations that can address the issues more closely.
There is growing concern among many well-respected providers about the consequences of fewer preventive services over the past 1½ years as a result of the COVID-19 pandemic. As patients slowly start to resume care throughout 2021 and into 2022, experts predict we will see a spike in the number of severe or late-stage diagnoses that normally would have been caught much earlier. As a result, we may face more complex situations and costlier treatments in terms of their economic, physical, and mental health impact.
The Medicare Shared Savings Program (MSSP) is the largest value-based care program from the Center for Medicare & Medicaid Services (CMS) to date. As of 2020, there were 513 ACOs participating in the program, with a total shared savings of $2.28 billion.8 This program seeks to accomplish the following: Promote accountability among healthcare institutions for the care delivered to a patient population. Coordinate items and services to ensure that patients get the right care at the right time while avoiding unnecessary duplication of services and preventing medical errors. Encourage investment in high quality healthcare and efficient healthcare services.
The Department of Health and Human Services wants to test models that would pay drugs based on their clinical value as part of a new plan to tackle high prices. The plan released Thursday lays out several administrative tools the agency plans to take to address high prices. It also calls on Congress to adopt several reforms...
Topic: options for working capital that are available to ACOs, including traditional bank financing, accounts receivable line of credit or equity investment
The True Story of How One Health System moved the Patient Experience Needle
Topic: how to use digital outreach strategies and technology to coordinate communication, increase member experience and satisfaction, and improve CAHPS scores
Highly-Personalized Patient Experiences: The Key to an Effective Engagement Strategy
Topic: how to use clinical AI including multi-variate data approaches, omnichannel engagement strategies, and personalized virtual care experiences to understand and engage with more patients
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:
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Gold Level Exhibitors
Thank you to our Gold Level exhibitors. To learn more & visit their interactive booths, click on the logos below:
