January 11, 2019
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CHCS | January 8, 2019    
With the publication of the  Medicare Shared Savings Program (MSSP) Final Rule on December 21, the Centers for Medicare & Medicaid Services (CMS)  clearly signaled that the Trump administration is serious about holding accountable care organizations (ACOs) in Medicare more financially accountable for costs and quality. However, Medicare ACOs may not be the only ACOs affected by this change... READ MORE 

Roji Health Intelligence | January 9, 2019  
CMS closed 2018 with a farewell to upside-only ACOs. Perhaps the biggest surprise in the   "Pathways to Success" Final ACO Rule  is its consistency with the Proposed Rule, which floated the revamped ACO Track back in August. Citing superior performance among two-sided participants, as well as the belief that upside-only tracks reduce patient choice and increase costs, CMS has finalized its proposal to   push all ACOs into two-sided arrangements.. . READ MORE   

The Commonwealth Fund | January 3, 2019     
Five percent of the U.S. population has complex medical and behavioral or social needs, but this group accounts for 50 percent of the country's health care spending. New payment and care delivery models such as accountable care organizations (ACOs) have prompted decision-makers at health care delivery systems to seek the best ways to meet these patients' needs while controlling costs.. . READ MORE   

RevCycle Intelligence | January 9, 2019  
We are quickly heading to the value-based purchasing tipping point, according to the Vice President of Network Management at Health Partners Plans in Pennsylvania. "While adoption rates are still relatively low in some regions of the country, almost all health plans and providers are doing work in this space and the percentage of spending in the value-based care space will continue to increase,".. . READ MORE   

Vendor Spotlight

Health Endeavors offers practical and effective solutions for Medicare ACOs to deliver actionable data to provider teams at the point of care using their EHR API Connector. The EHR API Connector brings cost, utilization, quality, benchmarking and care gaps to the EHR with clearly defined action items. Easily accessible provider scorecards keep the entire team on track for performance.  Their patient data-driven intelligent medical text alert program prompts patients to complete their quality, disease, wellness and medication gaps in care...  
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