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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Social Determinants of Health (SDOH) | 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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Report: Revolutionizing Healthcare with Augmented Intelligence and Social Determinants of Health
New Innovaccer research report applies machine learning algorithms to 55+ factors to deliver one of the most accurate views ever for social determinants of healthUS clinicians are at a critical juncture, newly responsible for both the quality and value of care and expected to have a deeper understanding of their patients’ risk factors. The health impacts of the environment in which patients live affect their health and these health impacts need to be documented and studied properly.According to
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Salesforce Brings Social Determinants of Health Data to Caregivers
Today at HIMSS, Salesforce announced it is expanding its healthcare offering, including new innovations that bring Social Determinants of Health data to caregivers on a single platform, tackling a key gap in modern healthcare.Salesforce Health Cloud can now easily capture SDoH data and consolidate it in a single view of a patient, allowing caregivers, home health providers, and payers to collaborate on a single platform. And with new updates to Marketing Cloud, care providers can improve
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Former ONC Chief Karen DeSalvo Joins LRVHealth as Executive Advisor
Former ONC Chief and Assistant Secretary at HHS joins “Inside Healthcare” investing platform focused on identifying and nurturing digital health innovation. Dr. Karen DeSalvo, who served as National Coordinator for Health Information Technology and Assistant Secretary for Health (Acting) during the Obama administration is joining LRVHealth as an executive advisor. LRVHealth is an early-stage venture platform exclusively focused on finding, investing in and building disruptive new digital health,
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HMS’ Jennifer Forster Talks Leveraging Social Determinants of Health to Improve Population Health Outcomes
HMS’ Jennifer Forster explains how payers can cut costs and improve population health outcomes by incorporating social determinants of health (SDoH) into the mix.While the future of precision medicine is often associated with advances in genomics, there is more to consider when it comes to developing personalized treatment and PHM efforts. In fact, considering social determinants of health (SDoH), a recent and growing trend in predictive analytics, is gaining traction.A new study in Population
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Caradigm Sale – The Final Step in GE’s Exit From PHM/Value-based Care?
- On 13th June 2018, cancer informatics and digital pathology workflow vendor, Inspirata, announced that it was purchasing GE Healthcare’s remaining population health management (PHM) interest, Caradigm- This follows the announcement in April 2018 that GE Healthcare was selling its ambulatory value-based care business to Veritas Capital- This latest announcement now means that GE Healthcare has exited the population health management market from both an enterprise and ambulatory perspective- It
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Infographic: Using Social Determinants of Health Data to Generate Value
Up until somewhat recently, socioeconomic data wasn’t part of the conversation on how best to improve health outcomes. Where people live, learn, work and play – commonly known as social determinants of health (SDOH), are today, considered essential factors for gaining a more complete picture of members – revealing how members’ daily lives impact their mental and physical health.Take Larry and Bill for example, on the surface they appear equal, they are the same age, live in a similar area, both
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AMIA Urges Lawmakers to View Broadband Access as Social Determinant of Health
In comments submitted to the House Energy & Commerce Subcommittee on Communications and Technology on 4/16, the American Medical Informatics Association (AMIA) urged lawmakers to view broadband access as a social determinant of health, warranting a more nuanced approach to managing Internet traffic through tiered pricing, known as paid prioritization. The Federal Communications Commission (FCC) has finalized a rule, effective April 23, 2018, known as the Restoring Internet Freedom Order,
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