For ACOs to remain relevant as leaders of Value-Based payment models, they must step up now to generate more cost savings for Medicare patient care. Budget cuts for Medicare are once again under discussion by conservatives as political pressure mounts to lower governmental spending. Meanwhile, CMS is expanding risk in Medicare value-based payment models, moving quickly away from Fee-for-Service reimbursement. The new ACO PC Flex model is designed to create per-patient reimbursement for
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ACO | Accountable Care Organization | Policy, News, Analysis, Insights - HIT Consultant
Astrana Health Acquires Collaborative Health Systems to Expand Care Delivery Network
What You Should Know:
- Astrana Health, a leading technology-powered healthcare company acquires Collaborative Health Systems (CHS), a management services organization serving over 129,000 beneficiaries across 17 states.
- The strategic move will significantly expand Astrana’s care delivery capabilities and solidify its position as a key player in the value-based care market.
Expanding Geographic Footprint and Enhancing Care Delivery
CHS brings a strong
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Astrana Health and Elation Health Partner to Build Value-Based ACOs, CINs
What You Should Know:
- Astrana Health (NASDAQ: ASTH), a provider-centric healthcare company, today announced a strategic partnership with Elation Health, a clinical-first technology company specializing in primary care.
- The partnership focuses on supporting independent physicians by providing them with the tools necessary to thrive in value-based care arrangements. Astrana and Elation plan to establish risk-bearing entities, such as accountable care organizations (ACOs) and
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M&A: Aledade Acquires Michigan’s Medical Advantage
What You Should Know:
- Aledade, the nation's leading network of independent primary care practices, announced today the acquisition of Michigan-based Medical Advantage.
- This strategic acquisition further solidifies Aledade's position as the preeminent Accountable Care Organization (ACO) network and a driving force in value-based care.
Expanding Physician Partnerships in Michigan
The acquisition significantly expands Aledade's network in Michigan, bringing the number of
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inVio Health Network and CVS Accountable Care Partner to Improve Medicare Patient Care in South Carolina
What You Should Know:
- inVio Health Network and CVS Accountable Care Organization, a division of CVS Health, have announced a collaboration to participate in the new Medicare Accountable Care Organization (ACO) REACH program. This initiative focuses on improving access to high-quality healthcare for traditional Medicare beneficiaries in South Carolina.
- The collaboration builds upon the past achievements of Prisma Health Upstate and Prisma Health Midlands Networks, which merged in
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Demystifying VBC Contracting: Key Considerations for Quality & Data Success
In the ongoing transition to value-based care (VBC), provider contracting poses challenges for health plans and providers. In my past role as the VP of Quality at a large health plan, I was part of the team that reviewed provider contracts that included risk around quality. Adding my role to the review process reduced the frustration of the Network and Quality teams because I could identify the reporting requirements that the health plan couldn't meet and create alignment with measure
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Medical Home Network Expands Value-Based Care Reach with 64 FQHCs in New ACOs
What You Should Know:
- Medical Home Network (MHN), a leader in transforming care in the safety net, announced today its partnership with 64 federally qualified health centers (FQHCs) across seven states. These FQHCs will participate in two key CMS value-based care programs: ACO REACH and MSSP (Medicare Shared Savings Program).
- This expansion comes on the heels of an impressive achievement by existing MHN partners: $10.1M in gross savings and a perfect quality score in the 2022
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Ohio State & CVS Form ACO to Elevate Medicare Care in Central Ohio
What You Should Know:
The Ohio State University Wexner Medical Center and CVS Accountable Care, part of CVS Health® (NYSE: CVS), today announced the creation of an accountable care organization (ACO) to improve the quality of care for Medicare beneficiaries by Ohio State providers in central Ohio.This coordinated approach to delivering care is centered around each patient’s unique needs and emphasizes preventive wellness and proactive treatment of chronic conditions.
CVS ACO and
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FQHCs Shine in Value-Based Care: MHN Partners Achieve $10M Savings and Perfect Quality Score
What You Should Know:
- Medical Home Network (MHN), a leading care enablement partner for FQHCs, announced that its partners participating in the NeueHealth Premier ACO achieved $10.1 million in gross savings and a perfect 100% quality score in the 2022 performance year.
- This accomplishment, under the ACO Realizing Equity, Access, and Community Health (REACH) Model, involved 20 FQHCs across Ohio, Missouri, and Illinois serving approximately 10,000 Medicare beneficiaries. The success
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Clover Health Exits CMS ACO REACH Program to Focus on Medicare Advantage
What You Should Know:
- Clover Health, a physician enablement company committed to bringing access to great healthcare to everyone on Medicare announced that it has delivered notice to the Centers for Medicare and Medicaid Services (“CMS”) that it will exit the CMS ACO REACH Program at the end of the 2023 performance year.
- Written notification will also be sent to all participating physicians in accordance with CMS requirements.
- The decision will have no impact on its ACO REACH
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