Accountable Care

Accountable Care

The National Association of ACOs is urging CMS to make program permanent.

Jan 15 | Susan Morse

Updated with list: Majority of Next Generation ACOs earned shared savings

The National Association of ACOs is urging CMS to make program permanent.

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The PHE has extended telehealth flexibilities.

Jan 12 | Susan Morse

Telehealth flexibilities continue and ACOs are held harmless under public health emergency extension

Wednesday is the deadline to comment on NCQA's Telehealth Module in Health Plan…

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An individual diabetes patient can expect to pay about $9,600 each year on diabetes medical costs alone.

Dec 28, 2020 | Mallory Hackett

Highmark and Boehringer Ingelheim value-based arrangement yields cost savings for diabetes patients

An individual diabetes patient can expect to pay about $9,600 each year on diabetes…

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The move to value and care coordination is expected to accelerate in 2021.

Dec 23, 2020 | Susan Morse

The move to value accelerates in 2021, spurred by lack of fee-for-service payments during pandemic

CMMI is expected to release fewer, but bigger payment models and more that are mandatory.

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Negotiations of drug prices are to be based on clinical outcomes; if the drug is not effective, the payer is not held accountable for the full price.

Dec 22, 2020 | Mallory Hackett

CMS finalizes rule to promote value-based drug purchasing agreements

Negotiations of drug prices are to be based on clinical outcomes; if the drug is not effective, the payer is not held…

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Dec 22, 2020 | Susan Morse

UPDATE: $900 billion COVID-19 relief bill in doubt as President Trump refuses to sign

The president wants Congress to amend the bill to increase stimulus funds for individuals from $600 to…

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Person in white jacket talks to seated person

Dec 18, 2020 | Mallory Hackett

CMS creates direct contracting model to serve individuals dually eligible for Medicare and Medicaid

The new opportunity will test how financial risk-sharing can reduce Medicare expenditures…

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The initiative was born out of a realization that the health system needed to do more to improve outcomes and eliminate health disparities.

Dec 11, 2020 | Mallory Hackett

RWJBarnabas launches initiative to address systemic racism

The initiative was born out of a realization that the health system needed to do more to improve outcomes and eliminate health…

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Although people aged 65 years and older make up more than 80% of deaths caused by COVID-19, younger adults make up the largest portion of cases.

Dec 11, 2020 | Mallory Hackett

The response to COVID-19 was ageist, expert says

Although people aged 65 years and older make up more than 80% of deaths caused by COVID-19, younger adults make up the largest portion of…

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Dec 10, 2020 | Bill Siwicki

ACO saves $600,000 and improves patient outcomes with pop health platform

Amarillo Legacy Medical ACO made that savings in just one quarter. If that trend continues, it's on track for a…

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Featured Resources

Improving the Patient Financial Experience Throughout the Patient Journey While many healthcare providers believe that improving the patient financial experience is a critical step for their organization, few have done so successfully. Read this brief to learn strategies that increase patient ...

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

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CMS issues final rule on healthcare technology access for seniors The rule is meant to ease undue burden for innovators and speed access to potentially lifesaving technologies.

Healthcare M&A's down in 2020 but analysts say COVID-19 is a catalyst for future deals Forty-four percent of healthcare CFOs say the pandemic will drive an increase in partnerships across the healthcare ecosystem.

HHS extends COVID-19 public health emergency declaration until April This action marks the fourth time HHS has extended the declaration that has paid parity for telehealth and continues reporting waivers.

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Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data ...

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