What You Should Know:
- A new article published in JAMA Internal Medicine reignites the debate about Medicare Advantage and traditional Medicare.
- Dr. Sachin H. Jain, CEO of SCAN Group and SCAN Health Plan, argues in favor of Medicare Advantage, while Drs. Adam Gaffney, David Himmelstein, and Steffie Woolhandler advocate for traditional Medicare.
Traditional Medicare: Lower Costs, Fewer Benefits
Traditional Medicare offers beneficiaries lower premiums, but it comes with
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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
How Skilled Nursing Facilities Can Navigate New Value-Based Purchasing Rules
Post-acute care facilities for years have been preparing for the impact that value-based purchasing (VBP) programs would have.
The Affordable Care Act of 2010 (ACA) and the Medicare Access and CHIP Reauthorization Act of 2015 put providers on notice that quality of care measures, like reducing hospital readmissions and improving patient outcomes, would take precedence over fee-for-service models.
In 2024, the stakes have gotten much higher for post-acute care facilities. Understanding
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Beyond the EHR: Why We Need a Patient Communication Layer
Healthcare looks a lot different than it did a few years ago. Healthcare leaders need to address rising consumerism, persistent labor shortages, systemic equity gaps, and a critical shift toward value-based care.
It’s worth asking: If the healthcare landscape has changed so much, why do foundational electronic health record (EHR) systems stand largely unchanged?
Sure, the walled gardens surrounding the EHR have dropped a bit, as the EHR giants have been badgered into interoperability
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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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3 Lessons in Digital Patient Engagement from Healthcare’s ‘Most Wired’ Organizations
Digital patient engagement is a balancing act of determining where resources should be deployed and how to create cheer-worthy experiences.
The stakes for delivering the right mobile experience in healthcare have never been higher. A recent Accenture survey found digital engagement has a significant influence on patient retention. This raises pressure for health systems to design digital tools and experiences that strengthen patient loyalty and protect or increase revenue.
Meanwhile,
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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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Elevating Healthcare Through Risk Stratification: Lessons from North Carolina’s Value-Based Initiatives
As the healthcare landscape continues to evolve, there's a clear trend towards value-based care (VBC). This significant shift, which places a premium on patient health outcomes, diverges from the traditional fee-for-service approach. The aftermath of the COVID-19 pandemic has mainly catalyzed the adoption of VBC models, highlighting the importance of care quality and effectiveness rather than the sheer volume of services. This change reshapes healthcare, aligning it more closely with patient
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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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