Only about a third of the accountable care organizations (ACOs) in the Medicare Shared Savings Program (MSSP) qualified for bonuses in 2017. Our ACO, the Rio Grande Valley Health Alliance (RGVHA), was one of them. In fact, we’ve generated enough MSSP savings to net bonuses for five years in a row.
In 2015, RGVHA saved Medicare $14.2 million, of which our providers received half. In 2016, our ACO’s first year in Track 3 of the MSSP, we received 75% of the $8.5 million we saved. And in 2017,
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ACO | Accountable Care Organization | Policy, News, Analysis, Insights - HIT Consultant
Stanford Health Taps Lumeris to Optimize Medicare Advantage Plan
Stanford Medicare Advantage plan seeks sustainable value-based care growth and continued innovations to serve seniors in collaboration with Lumeris.Lumeris, a provider of value-based care, and Stanford Health Care are partnering on a long-term collaboration for the further development of Stanford Health Care Advantage, a Medicare Advantage (MA) plan in Northern California. Once finalized, Lumeris will help optimize and grow the MA plan throughout the region and support Stanford Health Care's
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PatientPing Tool Tags BPCI Advanced Patients in Real-Time to Improve Outcomes
As CMS moves its bundled programs focus form Bundled Payments for Care Improvement (BPCI) “classic” to BPCI Advanced, hospitals and providers are agreeing to take on more risk in return for the potential financial rewards. In order to do this successfully, they need the new, innovative technology tools to succeed.That’s why PatientPing, a health technology company that connects providers to seamlessly coordinate patient care, announced a major care coordination enhancement to its product suite
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AMA-RAND Study: Physician Payment Models are Becoming More Complex
According to a new joint study by the RAND Corporation and the American Medical Association, physician payment models are becoming more complex and the pace of change is increasing, creating challenges for physician practices that might hamper their ability to improve the quality and efficiency of care despite their willingness to change.The study is a follow-up to a similar one conducted in 2014 to assess how physician practices were responding to alternative payment models. These models are
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Mingle Analytics, SilverVue Merge to Form Mingle Health to Focus on Value-based Care Delivery
Mingle Analytics Inc., a provider of Medicare quality reporting, and SilverVue, Inc., a supplier of care management software, today announce their merger. Mingle Health is a new company focused on transforming value-based care delivery by solving the pain points in quality reporting while improving patient outcomes and strengthening practice health.Together, Mingle Health will deliver an all-in-one platform that includes the consulting, analytics, and tools to streamline medical practices,
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Innovaccer’s Healthcare Data Platform Helps ACOs Save More Than $264M Annually
Innovaccer, a San Francisco-based healthcare data platform company, proudly announced the success of its partner accountable care organizations (ACOs) that achieved over $264 million in savings across 1 million managed lives. The data has been gathered from different commercial insurance providers and the Medicare Shared Savings Program performance data for 2017.According to CMS’ results, ACOs in P.Y. 2017 have achieved about $314 million in Medicare savings. More than 60% of the 472 ACOs
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Innovaccer Unveils Potential Savings Advisor for Accountable Care Organizations
Despite the numerous interventions by the government to reinforce value-based care, the transformation of the healthcare ecosystem has been slow. As of 2018, there are around 400 ACOs under Medicare Shared Savings Programs alone and only 31% of them could generate shared savings.Additionally, ACOs are under immense pressure with an increased shift towards assuming more financial accountability. The reality is that every year ACOs end up leaving money on the table due to lack of awareness about
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Premier Launches Physician Enterprise Collaborative to Identify Margin Improvements for Medical Groups
Premier Inc., a healthcare improvement company, is launching a new performance improvement collaborative to help health systems navigate the integration and alignment of employed and affiliated medical groups while optimizing overall practice performance. The Physician Enterprise Collaborative seeks to help medical groups identify margin improvements equivalent to 5 to 7 percent of professional net patient revenue (cash collections of billing activity).Officially beginning in June 2018,
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OnlyBoth Launches AI-Driven Home Health Agency Benchmarking Engine
Pittsburgh-based OnlyBoth Inc., today announced the launch of its no-cost Home Health Agency benchmarking engine, which applies innovative artificial intelligence (AI) technology to Medicare data previously gathered about providers. The unique engine delivers text-based insights so users can easily compare and contrast home health agency performance for informed decision-making.As transparency becomes more of a requirement, particularly with the CMS news about the prices this week, so will
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Survey: 64% of Executives Believe EHRs Have Failed to Deliver Critical VBC Tools
64 percent of healthcare executives say EHRs have failed to deliver better PHM tools, and about half claim they would be willing to switch EHRs to get these capabilities, according to new data from Sage Growth Partners (SGP). The EHR market is maturing at the same time that value-based care has grown more permanent roots. As the inpatient EHR market begins to consolidate, SGP conducted an online survey of 100 healthcare executives (87% C-suite) to understand their perspectives about what EHRs
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