In an effort to encourage wider participation in value-based risk models, the Centers for Medicare & Medicaid Services announced a new Accountable Care Organization (ACO) Track 1+ Model with a
more limited downside risk design. This newly proposed model is a hybrid of Track 1 and Track 3 of the Medicare Shared Savings Program (MSSP) and will allow for smaller practices and hospitals,
especially in rural areas, to participate more readily..
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HealthPayer Intelligence | April 28 2017
Blue Cross-Blue Shield of Michigan has one of the nation's most successful patient-centered medical home (PCMH) networks. The model has improved patient outcomes, lowered payer costs and increased provider satisfaction and revenue. As healthcare across the nation moves to a
 more population-health management model, investment in the PCMH system has proven to bring quality and results..
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Upcoming Events
9th Partnering With ACOs & IDNs Summit
June 8-9, 2017 | Boston, MA
Population Health Management, Risk Modeling & Patient Stratification Conference
June 22-23, 2017 | Boston, MA
June 22-23, 2017 | Chicago, IL
June 25-28, 2017 | Orlando, FL
Eighth National ACO Summit
June 28-29, 2017 | Arlington, VA
FLAACOs 2017 Conference
October 19-20, 2017 | Orlando, FL
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RevCycle Intelligence | May 2, 2017
CMS recently proposed a rule that would put last year's MACRA's legislation into action. The proposal introduces several significant changes to the way providers will attest to quality improvements and technology use, but also includes a hea
vy emphasis on value-based reimbursements, alternative frameworks for payments, and patient-centered care
...
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At the 14
th Annual World Health Care Congress, held April 30-May 3 in Washington, DC, Ann E. Oasan, MBA, president of UniNet Healthcare Network, discussed the network's transition towards assuming full risk and building the infrastructure for success. Oasan explained that UniNet is a physician-led, clinically integrated network based in Nebraska and Iowa that incorporates hospitals, clinics, and 3000 in-network providers. It is moving toward more value-based contracting but still has some fee-for-service (FFS) contracts with payers like Blue Cross Blue Shield Nebraska.
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Vendor Spotlight
Lumeris works with our ACO partners to develop a strategic business plan for embarking on a long-term population health strategy. The business plan includes pro forma financial modeling, capability assessment and gap analysis, and opportunity assessments around specific populations. We engage as an operating partner to provide the people, processes and enabling technology essential to create new lines of business and deliver optimal Population Health Services Organization capabilities...
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