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Healthcare Innovation | December 28, 2021
The year 2021 has been a dramatic one for the evolution of alternative payment models (APMs) in U.S. healthcare, from every type of accountable care organization (ACO) to bundled payments, to the rollout of the Direct Contracting program for physician groups under Medicare. That has been true both in the public and private spaces, but policy changes on the federal level have involved the most dramatic developments.
To begin with, one must start with the change in administrations. The change from the Trump administration to the Biden administration in January was dramatic.
Managed Healthcare Executive | December 23, 2021
Despite major reports in 2019 and 2021 from National Academies of Science, Engineering, and Medicine (NASEM) calling on the integration of social care into healthcare delivery, the lack of payment reform has stymied efforts by clinicians and healthcare systems to address social barriers to care and social determinants of health (SDOH), according to authors in a paper published in JAMA Health Forum. Previous research has shown that comparable countries that spend more on social services versus healthcare services had better outcomes in infant mortality, life expectancy, and potential life-years lost, compared with the United States.
Healthcare IT Today | December 30, 2021
Acquiring knowledge through advanced analytics on value-based care is a critical success factor in today’s healthcare market. Value-based care aligns diverse interests, including payers, providers, self-funded employers, third-party administrators, brokers, consultants, and patients—value-based care empowers them to deliver, manage, and drive higher patient outcomes while meaningfully managing and decreasing healthcare costs. A recent study of healthcare consumers found that 62% of respondents were unfamiliar with the term “value-based care” as it relates to their healthcare experience. Yet, the survey also listed lower costs and improved care quality as the highest priority when payers and patients consider insurance plans...
HealthPayerIntelligence | December 23, 2021
Medicaid managed care organizations (MCOs) may be better equipped to address members’ social determinants of health and health equity compared to fee-for-service models, according to a report from Health Management Associates (HMA) and Together for Better Medicaid. State Medicaid programs send requests for proposals (RFPs) to managed care organizations when preparing to enter a new contract. The report focused on 10 state RFPs from 2020 and 2021 and found that many included key policies that centered around advancing...
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January 24 & 26, 2022 | Virtual

NAACOS 2022 Spring Conference
April 27 - 29, 2022 | Baltimore, MD

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October 31 - November 2, 2021 | Washington, D.C.
Special Announcement from the ACOExhibitHall Team
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