Both the greatest strength and weakness of the ACO shared savings (MSSP) model is its focus on primary care, particularly chronic disease. ACOs have put patients with diabetes, hypertension, and other conditions usually handled through primary care physicians at the center of care coordination, population health, and care management. But as CMS Value-Based Care’s central goal has shifted to cost control, ACOs will need to broaden scope to optimize specialty care. TEAM (Transforming Episode
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ACO | Accountable Care Organization | Policy, News, Analysis, Insights - HIT Consultant
athenahealth Released Enhanced Capabilities for Value-Based Care
What You Should Know:
- athenahealth, a provider of network-enabled software and services for healthcare practices nationwide releases new and enhanced capabilities designed to further help practices succeed in value-based care (VBC).
- Practices across athenahealth’s network can now use the athenahealth Marketplace to easily find, choose, and integrate with risk-bearing organizations, including Accountable Care Organizations (ACOs), that align with their goals. The initiative aims
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Aledade Expands Humana Value-Based Care Agreement to Serve FQHCs
What You Should Know:
- Aledade has announced an expanded collaboration with Humana, designed to bolster the ability of Federally Qualified Health Centers (FQHCs) and rural health clinics to succeed in value-based care.
- The enhanced partnership aims to improve health outcomes, enhance quality of life, and increase healthcare affordability and accessibility for patients.
Empower FQHCs and Rural Clinics in Value-Based Care
By providing upfront resources, comprehensive
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Strategic Cost Management Ensures ACO Viability
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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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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