Earlier this year, the Center for Medicare and Medicaid (CMS) announced five new payment models designed to transform primary care by paying providers for outcomes rather than services. Direct Contracting and Primary Care First are two of these models announced by CMS to help encourage providers and other eligible professionals to shift from FFS to value-based payments. HHS Secretary Alex Azar calls the new payment models "the biggest step ever taken toward" value-based payments in primary care...READ MORE
Members of the nation's largest association for accountable care organizations have asked CMS to make some suggested changes to the new direct contracting payment models and release additional details. Not doing so could "derail" the new payment reform, according to the National Association of Accountable Care Organizations (NAACOS)...READ MORE
In an attempt to improve patient outcomes and reduce care costs, ACOs in value-based care models across the country have devoted significant attention to the inpatient setting-focusing care management resources on inpatient discharges in particular. This is understandable, given the risk associated with that transition of care and potential for 30-day readmissions, which impact ACOs from a total medical expense (TME) perspective as well as quality measures performance...READ MORE
Patients receiving primary care outside of their defined accountable care organization (ACO) network drive up costs for ACOs, a recent study from Portland State University said.
The Medicare Shared Savings program sparked the growth of ACOs. These payment models intend to reduce healthcare costs while improving patient care through care coordination among a network of participating providers...READ MORE
HealthEC offers a KLAS-recognized, end-to-end population health management platform designed to help ACOs succeed with value-based care. Our HealthEC CareConnect® generates personalized, clinically-proven plans that enable teams, including community-based resources, to deliver patient-centric care. Advisory services are also available to guide our ACO partners in defining their strategic goals as they transition from volume to value.
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