On Wednesday, P3 Health Partners and Commonwealth Primary ACO announced the formation of a Joint Venture Management Services Organization for its ACO lines of business.
P3 Health Partners is a leading population health management company founded and led by physicians with more than 2,800 affiliated primary care providers nationwide...
The Centers for Medicare and Medicaid Services (CMS) announced last week that it would cut four Medicare payment models, including Maryland Total Cost of Care, Primary Care First, ESRD Treatment Choices and Making Care Primary.
The models will end at the close of 2025, a year earlier than anticipated for all programs. According to...Top of The Day
Accountable care organizations (ACOs) and their practices have taken on the full focus of Medicare's value-based care initiatives through the Medicare Shared Savings Program (MSSP) and the ACO Realizing Equity, Access and Community Health (ACO REACH) programs.
A new study published in the JAMA Health Forum looks at survey results from...
On Monday, the Centers for Medicare and Medicaid Services (CMS) announced a remarkable increase in participation in accountable care organization (ACO) programs in 2024.
The CMS press release boasts that 19 newly formed ACOs will join the new Medicare Shared Savings Program (MSSP) permanent payment option that grants ACOs $20 million...
A bipartisan group of lawmakers have reintroduced a bill that would reform alternative payment models (APM) and allow the Centers for Medicare and Medicaid Services to extend APM incentives. Also, the agency's Innovation Center provides an update on the Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health...National News
The Center for Medicare and Medicaid Innovation (CMMI) was accused of harming access to innovative drugs during a House Ways and Means Health Subcommittee meeting last week. GOP lawmakers are taking issue on a proposed CMMI model designed to test strategies to make it easier for Medicare patients to afford and access needed prescriptions...
On Tuesday, the Centers for Medicare and Medicaid Services (CMS) announced the participants for the Medicare Shared Savings Program (MSSP), the Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) Model, and the Kidney Care Choices (KCC) Model.
CMS boasted more than 700,000 providers and...
Last year, the Centers for Medicare and Medicaid Services (CMS) announced a roadmap for its strategic vision and priorities to expand equitable access to health coverage and promote value-based, person-centered care. The Center for Medicare and Medicaid Innovation (CMMI) illustrated its vision through five main objectives to guide its...National News
Insuretech companies have suffered some huge financial losses this year, as a result some of them are pulling away from certain Medicare markets and pivoting to other methods of improving business.
For the third quarter of 2022, Clover Health posted a $75.3 million net loss, but doubled its total revenue year-over-year from $427...National News
After a long wait, the Centers for Medicare and Medicaid Innovation (CMMI) announced that it has provisionally accepted 128 participants for the Participation Year 2023 cohort of the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) model. The ACO REACH model is the redesign of the Global and...National News
This week, value-based care (VBC) is frequently seen as a method for primary care providers to best serve patients, but increasingly more facets of the healthcare industry are investigating how technology, data analytics and value-based insurance design can help swap volume for value and deliver results for their patients.
Hospitals...News
This week in value-based care (VBC), the Biden Administration is making headway on its goal to reform alternative payment models (APMs) for the Medicare program to boost program savings and advance the administration's goal of health equity in medicine.
MIPS
To get a refresh on value-based care models including the Quality Payment...Arizona News
Equality Health, a popular value-based contracting partner in Arizona, is now seeking primary care providers and specialists to join its new direct contracting entity: Equality Health Direct, which began operations in January 2022.
Direct contracting entities (DCEs) participate in the Global and Professional Direct Contracting...National News
This week, the Center for Medicare hinted at new value-based approaches to palliative care; health equity takes precedence in the national conversation on rural payment models; and value-based contracts are analyzed for their ability to mitigate drug costs.
The Medicare Shared Savings Program (MSSP) is now ten years old, and with it...National News
This week in value-based care, CMMI director Elizabeth Fowler defends criticism of the ACO REACH payment model, CMS improves ACO quality care reporting and data aggregation, the White House moves to support a value-based program for skilled nursing facilities, FQHCs struggle to keep up with systemic transformation and MedPAC moves to...National News
In late February, the Centers for Medicare and Medicaid Services (CMS) announced that after a full year of review, it would overhaul the Global Professional Direct Contracting Model and create the Accountable Care Organization (ACO) Realizing Equity, Access and Community Health (REACH) model. The redesign was intended to address...CMS Rules
On February 24, the Centers for Medicare and Medicare Services (CMS) gave a long-awaited announcement regarding the future of the Global and Professional Direct Contracting Model (GPDC). The existing model will phase out by December 31, 2022 and will be redesigned to create the Accountable Care Organization Realizing Equity, Access and...
