Serving the Value-Based Care Community
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Healthcare Innovation | August 30, 2022
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On Tuesday, Aug. 30, officials at the Centers for Medicare & Medicaid Services (CMS) announced the latest financial and quality results from the Medicare Shared Savings Program (MSSP), touting the overall savings to the Medicare program that the participating accountable care organizations (ACOs) participating in the program have achieved over the past program year. Meanwhile, the major national association representing ACOs weighed in, and the leaders of numerous ACOs around the country boasted of their savings in the program.
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JAMA Network | September 1, 2022
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The Centers for Medicare & Medicaid Services (CMS) is committed to advancing health equity, expanding coverage, and improving health outcomes. To support this vision, the CMS Innovation Center announced an ambitious goal for the year 2030: to have 100% of beneficiaries in traditional Medicare and most Medicaid beneficiaries in accountable care relationships with providers who are responsible for the quality and the total cost of care, mostly through advanced primary care or accountable care organizations. The National Academies of Sciences, Engineering, and Medicine (NASEM) report on primary care in 2021 highlighted its vital role in the health care system in promoting better population health and equitable outcomes. However, Medicare beneficiaries are facing greater clinical and system complexity requiring better coordination of primary and specialty care. Nearly 30% of beneficiaries have 2 or 3 chronic conditions, 22% have 4 or 5, and 18% have 6 or more.
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Whether it is through the Medicare Shared Savings Program (MSSP), the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, or any other value-based care program, an organization seeking strong performance and improved health outcomes will need to invest in a well-developed specialist network. While not a compliance requirement for value-based care programs, building out a specialist network that encompasses enough providers to adequately treat the needs of your patient population is crucial to developing the networks and pathways of care that will allow your organization to produce high quality, low cost care. This is your network’s “Amplitude”.
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HealthPayerIntelligence | August 31, 2022
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Three major social determinants of health factors are particularly predominant barriers to care for America’s seniors: economic instability, loneliness, and food insecurity, according to a study sponsored by Alignment Healthcare. Researchers from Toluna conducted an online survey from July 24 to August 13, 2022, which reached 2,600 seniors ages 65 and older. Most respondents identified as white. Half were in Medicare Advantage and this population was divided primarily between preferred provider organizations and health maintenance organizations. Economic instability—specifically, challenges in paying medical bills—was a widespread issue for respondents. One out of six seniors shouldered medical debt and one out of five reported that finances were their biggest barrier to care.
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UPCOMING WEBINARS:
How a Shared Care Program Can Save People’s Vision While
Improving ROI
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Topic: How shared care programs can be enabled to help patients with diabetic retinopathy
September 13, 2022 | 12 PM EST
What can still be done to impact 2022 shared savings
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Topic: How to make the most of the remainder of 2022 to improve shared savings
September 14, 2022 | 1 PM EST
Technology Trends to Bridge the Interoperability Gap & Support
Patient-Friendly Healthcare
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Topic: Successfully implementing technology strategies to support patients and interoperability
September 29, 2022 | 1 PM EST
RECORDED WEBINARS:
Using Your PY 2021 Settlement for PY 2023 Selections by Sept 9th
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Topic: Common questions about settlement calculations and specific examples of settlement reports
Solving Your Interoperability Issues: How to Integrate Data and Not Break the Bank
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Topic: Solving interoperability issues, including evaluating vendors, keeping projects on track and on time, and proactively planning for data drifts
Last chance to decide between MSSP and REACH
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Topic: Considerations from financial opportunity and risk exposure perspective in choosing MSSP or REACH
Check our our Webinar Archive to view past webinars on a variety of value-based care related topics!
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Florida Association of ACOs (FLAACOs) Annual Conference
October 17 - 19, 2022 | Orlando, FL
22nd Population Health Colloquium
November 7 - 9, 2022 | Philadelphia, PA
HLTH 2022
November 13 - 16, 2022 | Las Vegas, NV
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This week's focus: Simplifying Value-Based Contracts for Practitioners
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Each week we showcase one of our solution providers in a 4-5 minute interview and ask them what they bring to the VBC Community and what sets them apart.
Today's guest:
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Stellar Health partners with both payers and value-based care organizations to develop a tailored incentive program to reward the completion of granular value-based care actions by primary care providers. The Stellar Health Platform includes the web-based Stellar Application, which delivers a simple checklist of recommended clinical actions to practices based on each patient’s medical history.
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Platinum Level Exhibitors
Thank you to our Platinum Level exhibitors. These organizations offer the absolute highest quality products & services to the ACO & IPA comty. To learn more & visit their interactive booths, click on the logos below:
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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:
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Our thoughts and prayers are with the people of Ukraine
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