Partners HealthCare has transitioned to a Medicare Shared Savings Program (MSSP) through the Centers for Medicare and Medicaid Services (CMS), from its previous Medicare ACO, the Next Generation Accountable Care model, without disruption to patient care. The Medicare Shared Savings Program (MSSP) is an alternative payment model that promotes accountability for a patient population, coordinates items and services for Medicare fee-for-service beneficiaries, and encourages investment in high
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ACO | Accountable Care Organization | Policy, News, Analysis, Insights - HIT Consultant
ACO Investment Model Reduced CMS Expenditures by $48M
The Accountable Care Organization (ACO) Investment Model (AIM) saved the Centers for Medicare & Medicaid Services (CMS) more than $48M in its first year while promoting improved health care in rural and underserved areas, according to a new study from Abt Associates.The new study reveals that after accounting for the $82.4 million provided to ACOs, AIM reduced CMS expenditures by $48.6 million. Decreases in the number of hospitalizations and use of institutional post-acute care contributed
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Innovaccer Launches Data Solution to Enable ACOs’ Seamless Transition to Value-Based Care
A survey suggests that 71% of accountable care organizations would rather quit the Medicare Shared Savings Program than assume down risks. Although ACOs are leading the transition from volume-based care to value-based care, a lot of them face the lack of confidence in meeting the quality and cost benchmarks. When ACOs don’t have adequate knowledge and control over the network, earning shared savings can be quite challenging. Data from disparate sources such as EHRs, payer claims, PMS and HIEs
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Innovaccer Launches ACO Comparison & Performance Enablement Tool
Innovaccer Inc., a San Francisco-based data activation company, today announced the launch of the brand new version of its ACO comparison and performance enablement tool, ACO Compare. With Innovaccer’s latest offering, ACOs can figure out concrete strategies and build comprehensive roadmaps to achieve their goals based on in-depth analysis and regression on critical data points.Growing Importance of Understanding The Value-based Care LandscapeWhile ACOs have traditionally been considered to be
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RSIP Vision Launches AI-Driven Solution for Knee Replacement Patients
RSIP Vision, a provider artificial intelligence (AI), computer vision, and image processing technology, has announced the release of a new AI module that promises a life-changing impact on the millions of patients who undergo knee surgery every year. For most, knee replacement surgery is a difficult option, with a painful recovery and a long, rigorous rehabilitation period. Now the superior accuracy and precision of the RSIP Vision AI solution, unmatched in the market today, revolutionizes knee
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Value-based Care in America: A Table View of State-by-State Initiatives
Value-based care programs are flourishing across the U.S., with a seven-fold increase in the number of states implementing such initiatives in the past five years, according to a new Change Healthcare report. The report, Value-Based Care in America: State-by-State is the second national study of state healthcare payment programs that reveal 48 states have now implemented value-based care or payment programs, 50% of those programs are multi-payer in scope, and just four states have little or no
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GlobalHealth to Launch Medicare Advantage (MA) Marketplace with Evolent Health
GlobalHealth, an Oklahoma-based health maintenance organization, today announced it has entered into a definitive agreement to create a partnership in the Medicare Advantage (MA) plan marketplace with Evolent Health, a company providing an integrated value-based care platform to the nation's leading providers and payers. Together, both companies will launch and scale MA health plans under the True Health brand in targeted geographies. True Health Medicare Advantage (MA) Marketplace DetailsThe
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FHA and Caravan Health Partner to Sponsor Statewide Medicare ACO in Florida
Caravan Health and the Florida Hospital Association (FHA) have teamed up to sponsor a statewide accountable care organization (ACO) under which hospitals throughout the state will work together to provide coordinated, high-quality healthcare while delivering lower costs for patients. Statewide ACO Model to Build Primary Care Through the statewide ACO, hospitals in Florida can access Caravan Health's proven population health management model to build primary care capacity and
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How Our Texas ACO Saved Medicare $14M with Population Health Approach
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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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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