Despite holding the promise of delivering superior patient outcomes while lowering healthcare costs, many providers remain reluctant to embrace value-based care (VBC) reimbursement models. Progress toward VBC adoption hasn’t achieved its potential yet, hovering around 60% of all payment models from 2018 to 2021, with the remaining 40% comprised of traditional fee for service (FFS).
Though some providers simply are hesitant to abandon the FFS model that has served them well, others are leery
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CMS Innovation Center
CMS Direct Contracting Model Options for Value-Based Care
The Centers for Medicare and Medicaid Innovation (CMMI) created the Direct Contracting Model to expand opportunities for more diverse providers and healthcare organizations to participate in value-based care arrangements for Medicare fee-for-service (FFS) beneficiaries.
The goal of the new model is to create the next generation of risk-sharing arrangements to improve outcomes for patients, lower costs, and ensure high-quality care. In developing the Direct Contracting model and associated
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How ADT-Based E-Notifications Can Enable Better Safety for COVID-19 Patients
As COVID-19 continues to impact the country, providers across the continuum face new challenges delivering care and ensuring safety for their patients and themselves. During this period, sharing real-time information about patients’ care encounters across provider types and care settings matter more than ever. In particular, hospitals sharing admission, discharge, and transfer (ADT) events with COVID-19 patients’ community-based providers is critical to ensure the best treatment course and
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Geisinger, Medial EarlySign Advances to First Stage of CMS AI Health Outcomes Challenge
- Geisinger Health was recently named by the Centers for Medicare & Medicaid Services among the 25 candidates advancing to the first stage of its AI Health Outcomes challenge.- The CMS AI Health Outcomes challenge provides innovators with the opportunity to demonstrate how AI tools may be implemented to predict health outcomes and keep patients healthy in hopes of more AI tools being considered for potential use in CMS Innovation Center payment and service delivery models. Geisinger, an
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CMS Launches $1.65M Artificial Intelligence Health Outcomes Challenge
This week, the Centers for Medicare & Medicaid Services (CMS) announced the launch of their first-ever Artificial Intelligence Health Outcomes Challenge. The three-stage competition accelerates artificial intelligence (AI) solutions to better predict health outcomes such as unplanned hospital and skilled nursing facility admissions and adverse events for potential use by the Innovation Center in testing innovative payment and service delivery models under the authority of section 1115A of
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CMS Unveils “New Direction” for Innovation Center to Promote Patient-Centered Care
The Centers for Medicare & Medicaid Services (CMS) has unveiled a “new direction for the Innovation Center” to promote patient-centered care and test market-driven reforms. The goal of this new direction for the CMS Innovation Center will empower beneficiaries as consumers, provide price transparency, increase choices and competition to drive quality, reduce costs, and improve outcomes.The CMS Innovation Center will carefully evaluate how models developed consistent with the new directions
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NantCare Unveils Solutions to Support CMS Oncology Care Model
NantCare, a member of the NantWorks will be providing community oncology practices with solutions and resources that will help these practices comply with the administrative and clinical requirements put forth by the CMS’ new Oncology Care Model (OCM). Typically only available at large cancer institutions, NantCare will provide access to clinical trials through facilitation of participation in Cancer MoonShot 2020’s QUILT Trials, eliminating the need for patients to travel to major cancer
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