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Accenture, Loopback Analytics Collaboration Aims to Assess Value-Based Care Models

January 26, 2018  |  Heather Landi
news
Accenture has teamed up with health data analytics company Loopback Analytics in an initiative to support health systems aiming to participate in new value-based care models, such as the new Bundled Payments for Care Improvement (BPCI) Advanced program.

Associations Express Concerns to CMS over BPCI Advanced Model

January 26, 2018  |  Rajiv Leventhal
news
Leading healthcare associations are asking CMS to provide more information around the recently-announced voluntary Bundled Payment for Care Improvement-Advanced (BPCIA) model while also outlining concerns they have with its implementation.

Next Generation ACO Program Gets 17 New Participants

January 25, 2018  |  Rajiv Leventhal
news
The Centers for Medicare & Medicaid Services (CMS) has added 17 new participants to its Next Generation ACO (accountable care organization) program.

BREAKING: Alex Azar Confirmed by Senate as HHS Secretary

January 24, 2018  |  Rajiv Leventhal
article
Alex Azar, a former pharmaceutical industry executive, was confirmed by the Senate today by a roll call vote of 55-43 to become the next secretary of the Department of Health and Human Services (HHS).

An Industry Expert Shares Insights on the Challenges and Opportunities around Bundled Payments

January 24, 2018  |  Mark Hagland
article
Charlene Frizzera, a former senior CMS official, has been on the front lines in helping providers succeed in bundled-payment models—and she has insights to share around what the leaders in the industry have been learning

For North Carolina ACO, Tech-Enabled Patient Outreach Drives Continued Success

January 19, 2018  |  Heather Landi
article
At Triad Healthcare Network, technology has been a critical factor in the ACO’s success, specifically technology tools that help to identify gaps in care and scale patient engagement efforts, ultimately driving significant improvements in clinical outcomes.

Don't Tell This ACO MSSP Expectations Can’t Be Met

January 19, 2018  |  Faron Thompson, Chief Operating Officer, Innovation Care Partners
article
Innovation Care Partners (ICP), an affiliate of HonorHealth, is among the small number of MSSP ACOs that have achieved outstanding cost savings and clinical outcomes.

In Illinois, an MSSP ACO Proves its Worth Once Again

January 16, 2018  |  Rajiv Leventhal
article
Healthcare Informatics recently caught up with Lee B. Sacks, M.D., chief medical officer of Advocate Health Care, to talk about the ACO’s impressive 2016 results, reasons for its successful performance, challenges faced, and next steps.

MedPAC Votes 14-2 to Scrap MIPS, Recommends Alternative Program

January 12, 2018  |  Heather Landi
news
The Medicare Payment Advisory Commission (MedPAC), a nonpartisan legislative branch agency that provides the U.S. Congress with analysis and policy advice on the Medicare program, voted 14-2 on Thursday in favor of scrapping the Merit-based Incentive Payment...

ACO Company Caravan Health Touts Continued Growth

January 11, 2018  |  Rajiv Leventhal
news
Kansas City-based Caravan Health, a builder of accountable care organizations (ACOs), today announced the addition of 103 new health systems and 15 ACOs to its group of partners.

MGMA Calls for CMS to Release 2018 MIPS Eligibility Notices

January 11, 2018  |  Heather Landi
news
In a letter to CMS Administrator Seema Verma, the Medical Group Management Association is calling for the agency to immediately release 2018 MIPS eligibility information, including exemptions under the low-volume threshold and special status as non-patient-facing...

CMS Announces New Voluntary Bundled Payment Model that Qualifies as Advanced APM

January 10, 2018  |  Rajiv Leventhal
article
The Centers for Medicare & Medicaid Services (CMS) yesterday announced the launch of a new voluntary bundled payment model called Bundled Payments for Care Improvement Advanced (BPCI Advanced).

HHS Nominee Alex Azar Signals Openness to Mandatory Payment Models

January 9, 2018  |  Heather Landi
news
During a Senate Finance Committee hearing, HHS nominee Alex Azar made comments indicating his openness to mandatory bundled payment models, which would represent, if Azar is confirmed, a potential shift in the Trump Administration’s policy.

Medicare Shared Savings Program Gets 124 New ACOs for 2018

January 9, 2018  |  Rajiv Leventhal
news
The Centers for Medicare & Medicaid Services (CMS) has said that there will be 124 new accountable care organizations (ACOs) that will participate in the Medicare Shared Savings Program (MSSP) in 2018.

Healthcare Informatics Podcast: John Halamka on Precision Medicine and the Wide-Ranging Future of Health IT

January 9, 2018  |  Rajiv Leventhal
article
In the most recent Healthcare Informatics podcast, Managing Editor Rajiv Leventhal and Dr. John Halamka discuss the CIO’s latest takeaways on MACRA, and also touch on other key health IT topics such as the next frontier in innovation and precision medicine.

One Expert Looks at the CVS/Aetna Combination through the Broader Lens of Health Industry Change

January 6, 2018  |  Mark Hagland
article
David Friend, M.D., the chief transformation officer in the BDO Center for Healthcare Excellence and Innovation, shares his perspectives on some of the new business combinations that are disrupting all healthcare sectors

Massachusetts ACO Certification Program Now Includes 17 Members

January 5, 2018  |  Rajiv Leventhal
news
Netwon, Mass.-based Atrius Health has been certified as an accountable care organization (ACO) by the Massachusetts Health Policy Commission (HPC) in what officials call is a first-in-the-nation certification program.

Seven Healthcare Predictions for 2018

January 4, 2018  |  Dave Levin, M.D.
commentary
As we start off 2018, let’s dust off the crystal ball and make some healthcare predictions. What can you expect for healthcare this year? Here are my seven predictions for the coming year.

What’s the Driving Force Behind UnityPoint Health’s Continued ACO Success?

January 3, 2018  |  Rajiv Leventhal
article
Leaders point to past experiences in value-based care programs, being data-driven, and having a strong focus and consistent messaging as reasons for strong ACO results

CMS Launches Data Submission System for Quality Payment Program

January 3, 2018  |  Rajiv Leventhal
news
CMS has announced that doctors and other eligible clinicians participating in MACRA’s Quality Payment Program can begin submitting their 2017 performance data using a new system on the program’s website.

How One Family Practice is Effectively Navigating MU/MIPS

December 21, 2017  |  Rajiv Leventhal
article
Switching IT platforms three years ago has been a welcome relief for one practice in Florida, which went from failing to attest to MU Stage 1 to this year hoping to report a full year of MIPS data

Rasu Shrestha, M.D. on Value-Based Imaging: “Radiologists Need to Become Part of the Care Team”

December 20, 2017  |  Heather Landi
article
Rasu Shrestha, M.D., chief innovation officer at Pittsburgh-based UPMC, shares his perspectives on what's at stake for the imaging industry in the ongoing evolution of healthcare and the path forward toward value-based imaging.

In New York State, a Unique MSSP ACO Cares for Patients with Intellectual Disabilities

December 20, 2017  |  Mark Hagland
article
In New York state, the Alliance for Integrated Care of New York (AICNY) is leveraging data and analytics in order to optimize care delivery to patients with intellectual and developmental disabilities

California Stakeholders Endorse Plan to Standardize ACO Benchmarking

December 19, 2017  |  Rajiv Leventhal
news
The Integrated Healthcare Association (IHA) and Pacific Business Group on Health (PBGH) have announced that they are working together to develop a benchmarking framework for California ACOs (accountable care organizations).

HHS OIG Report Cites Concerns with MACRA Implementation

December 18, 2017  |  Heather Landi
news
The U.S. Department of Health and Human Services (HHS) Office of the Inspector General issued a report of its review of the Centers for Medicare & Medicaid Services’ (CMS) management of the Quality Payment Program and cited specific concerns regarding the...

Humana’s Chief Medical Officer Shares his Perspectives on Driving Forward into Value-Based Care

December 15, 2017  |  Heather Landi
article
Humana chief medical officer Roy Beveridge, M.D., shares his perspectives on the findings of a recent value-based care study and the implications for providers making the transition to value-based reimbursement model agreements.

Former Michigan Governor to Serve as Chair of DRIVE Health

December 14, 2017  |  Rajiv Leventhal
news
Former Michigan Governor John Engler will serve as chair of the DRIVE Health Initiative, a campaign aimed at accelerating the U.S. health system's transition to value-based care.

Survey: By 2019, 60% of Medicare Revenues will be Tied to Risk

December 13, 2017  |  Rajiv Leventhal
news
Medical groups and health systems that are members of AMGA (the American Medical Group Association) expect that nearly 60 percent of their revenues from Medicare will be from risk-based products by 2019, according to the results from a recent survey.

The Leapfrog Group and a Chicago Community Hospital Square Off in a Lawsuit Over Quality Grading

December 11, 2017  |  Mark Hagland
article
St. Anthony Hospital in Chicago is suing the Leapfrog Group over a dispute about the Leapfrog Hospital Safety Grade that it received this fall, opening a new, legal, front in the discussion around quality ratings

Lawmakers Introduce Legislation Aimed at Improving Medicare ACO Program

December 8, 2017  |  Heather Landi
news
U.S. Representatives Peter Welch (D-VT) and Rep. Diane Black (R-TN) have introduced H.R. 4580, the ACO Improvement Act of 2017 that makes changes to the Medicare accountable care organization (ACO) program.

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