If CMS aims to lower healthcare costs and improve quality, then the agency should use more population-based alternative payment models, like accountable care organizations (ACOs), according to a new analysis. The analysis of the evaluations for more than a dozen CMS value-based initiatives over the past eight years showed that no other alternative payment model came close to the cost savings associated with ACO models...READ MORE
The COVID-19 pandemic has impacted every aspect of life in the US and challenged the capacity of the health care system like no other event in modern times. While policy makers struggle with how to deploy and rebuild the public health infrastructure and the biomedical and pharma industries race to a vaccine and therapeutic cures, it is important to evaluate the best model for delivering care in the coming decades. Physicians, hospitals, and other providers work in a myriad of organizational structures ranging from single-person medical practices to massive multistate integrated delivery systems...READ MORE
Over the last decade, as health care solutions have become more specialized and fragmented, primary care physicians (PCPs) have frequently been cut out of the loop, particularly in coding initiatives. Retrospective and in-home risk assessment solutions work around PCPs. This dynamic further complicates PCPs' ability to thrive in value-based care, which hinges on primary care being underscored...READ MORE
A team of health policy researchers is arguing that, in order to optimize the Medicare Shared Savings Program (MSSP), policy leaders need to think in more complex, nuanced ways about the framework and goals of the program for accountable care organizations (ACOs)...READ MORE
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