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Value-based care
Accurate, Specific and Comprehensive Documentation Moves the Needle in Value-based Care
March 07, 2023
Proper documentation and coding provide better patient care and help plans optimize revenue.
Outlook Bright for CMS ACO Programs, Says Signify’s Gronniger
January 20, 2023
Participation in the main Medicare Shared Savings Program is decreasing but 132 accountable care organizations with 2.1 million assigned beneficiaries are participating in the ACO REACH model this year.
A Dip in MSSP ACO Numbers, But Up Is the Direction in ACO Reach, CMS Announces
January 17, 2023
CMS announced today that 456 accountable care organizations (ACOs) will participate in Medicare Shared Savings Plan program in 2023, a decrease from the 483 ACOs that participated last year. But 132 ACOs have signed up to participate in the ACO REACH, an increase from 99 last year.
Walgreens' VillageMD and Cigna's Evernorth Acquire Summit Health-CityMD
November 07, 2022
The $8.9 billion deal comes on the heels of multibillion dollar healthcare acquisitions this year by Amazon and CVS Health. Will the spree continue?
Price and End Points. For Cancer Drugs, There Is a Disconnect, Research Finds
October 31, 2022
Overall survival is considered a more definitive end point. But according to Vinay Prasad, M.D., M.P.H., and colleagues , drugs approved based on progression-free survival and overall response rate were priced higher than those approved based on overall survival.
Bundled Payment Program Cost CMS $279 Million: JAMA Study
October 28, 2022
The program reduced per-episode spending as intended, the researchers found. But those savings were offset by bonuses paid to hospitals for beating financial benchmarks, leading to a net loss.
Gregory Warren Discusses Measuring Value and Scaling Up Value-Based Contracting
September 13, 2022
Thus far, value-based contracts for prescription drugs has not been transformative because of the scalability challenge for payers, explained Gregory Warren, FSA, FCA, MAAA, partner and consulting actuary with Axene Health Partners.
The “Risk” of Value-Based Care
September 07, 2022
Risk adjustment is a central feature of value-based care, but it can be abused. Natural language processing can make the process efficient and steer it clear of fraud and other problems.
Low-revenue MSSP ACOs Produced Better Results in 2021 Than High-revenue ACOs: CMS
August 30, 2022
The Centers for Medicare and Medicaid Services released results today showing that on a per capita basis, the net savings for low-revenue accountable care organizations (ACOs) was higher than the net savings for high-revenue ACOs.
Amazon Among Possible Buyers of Signify Health: Wall Street Journal
August 22, 2022
CVS Health and United Health Group are also reportedly among the bidders.