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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Healthcare Policy Regulation & Reform | 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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The Blueprint to Scaling Social Determinants of Health (SDOH) Data Collection
In the value-based care world, cost-effective treatment, quality of care, and patient outcomes determine payment. Social determinants of health (SDOH) represent the economic, psychological, educational, environmental and social barriers that limit healthy behaviors, access to care and adherence to treatment resulting in poor health outcomes. Many stakeholders in health care are trying to address social determinants as part of their value-based care strategy. However, many organizations are
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Missouri Health Connection, DrFirst Partner to Offer Clinicians Turnkey Access to Medication History Data
DrFirst, a provider of e-prescribing, price transparency, and medication management solutions, announced today that it has successfully implemented an interoperability gateway with Missouri Health Connection (MHC) that will give clinicians easy access to medication data history. MHC is the only secure, statewide HIE in Missouri supporting over 8,000 clinicians, hundreds of clinics and community health centers and more than 75 hospitals, and health plans with access to comprehensive patient
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Allina Health and PatientWisdom Partner to Improve Patient Engagement
Today, Allina Health announced a new partnership with PatientWisdom, Inc. to improve patient engagement through the use of the digital platform, PatientWisdom. The platform is integrated with electronic health record (EHR) systems and patient portals and allows patients to share personal/health details before their clinical encounter. PatientWisdom then distills the information into an at-a-glance inSIGHT summary which is sent to care teams before the visit to understand what matters to their
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Why Walmart Centers of Excellence Model Could Redefine How Employers Deliver Quality Care
Mitigating the cost of healthcare expenses has long been an uphill battle for employers, though the problem has become particularly pressing in recent years. The price tags for routine treatments and specialty services alike are on the rise; patients and payers alike shoulder heavy cost burdens for everyday care needs. The benefits packages that may have provided sufficient coverage a decade ago are now stretching to cover costs -- and the companies paying out those benefits are desperately
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eHealth Exchange Integrates FHIR Directory with InterSystems to Power Network Expansion
eHealth Exchange, a nationwide health information networks connecting the public and private sectors, announced it will integrate its FHIR Healthcare Directory with InterSystems solutions. The integration will enable the HIE network to enhance its patient-centric services while also completing its implementation of the Carequality Interoperability Framework, which is used by an estimated 600,000 physicians to share data today across and among networks. Integration DetailsThe eHealth Exchange
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Survey: Executives Predict Accelerated Shift to Value-based Payments in 2019
According to a recent Lumeris-sponsored survey, forty-six percent of healthcare executives believe their organization’s pace of change toward value-based payment is moving quickly or very quickly, up 14 points from Q2 2018. Additionally, sixty-two percent of health systems indicated that they plan to assume additional risk in the next 12 months. Of these, ACOs (46%), Medicare Advantage (31%), and bundled payments (23%) were common methods for increased risk assumption. The Lumeris-sponsored
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Why It’s Time to Take a More Adult Approach to Healthcare Policy
One of President Harry Truman’s most famous quotes was “It is amazing what you can accomplish if you do not care who gets the credit.” Yet historically, the political approach to healthcare has been less like colleagues working toward an intelligent, practical solution and more like two children fighting over a favorite toy. Both sides wanted the credit for delivering a comprehensive healthcare plan and policy themselves, so they did all they could to prevent the other side from winning. Even
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How Improving Primary Care Can Drive Innovation in Care Delivery
Despite having some of the most advanced healthcare tools and highly-trained practitioners, the United States has one of the least efficient healthcare systems of all developed countries.Over the years, I have come to realize that it’s not the development of devices or the medical prowess that makes the difference: it is the delivery of these services and the impact it creates on the population. Moreover, it is our delivery of care to patients which is often inefficient and ineffective, leaving
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