ACOs have big decisions to make regarding CMS’s Pathways to Success value-based initiative. With new rules dictating how long they can stay in the Shared Savings track before moving towards a risk arrangement, eligible ACOs must now determine:
Trouble Ahead for Some Medicare Shared Savings Program Providers
A healthcare storm is brewing between CMS and Medicare Shared Savings Program providers who have not engaged with the agency’s value-based care efforts, an essential step in readying for the new “Pathways to Success” initiative.
Supporting Managed care organization | Medicaid Agencies With MCO Analytics
“Easy” isn’t a term that government healthcare professionals throw around very often. In fact, when you consider the constantly changing dynamics of the healthcare landscape — especially Medicaid — nothing is easy.
Year in Review and a Look Toward 2019
We strive each day to help healthcare organizations succeed with value-based care and population health management (PHM), but let’s take our foot off the gas for just a moment to reflect on the past year, with an eye on what’s coming in 2019.
It’s Too Early for ACO Pathways to Success under MSSP
When it comes to the proposed “Pathways to Success” for accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP), my suggestion is this: Don’t throw the baby out with the bathwater.
Helping Prince George’s County With Population Health Management Solutions
Prince George’s County Health Department partnered with HealthEC in 2016 to begin to collect, analyze and use the data from an assessment for social determinants of health (SDoH) to change the department’s approach to population health within their community.
Benefits of a Well-Designed Care Coordination Strategy
Navigating today’s healthcare landscape can be tough, especially for high-risk Medicare and Medicaid patients who have to go it alone.
A Closer Look at Transitional Care, Primary Care Providers, and HIPAA
Despite efforts to make the healthcare system more transparent, significant gaps persist. This is no more evident than in transitional care, the process of moving a patient from the hospital to a sub-acute rehab facility, or skilled nursing facility (SNF), as a permanent patient.
Helping FQHCs Care for the Most Vulnerable with PHM Technology
While no one could argue the benefits of Federally Qualified Health Centers (FQHCs) and the important services they provide to under-insured or uninsured patients in low-income communities, keeping them afloat in the rapidly-changing healthcare market is difficult.
HealthEC Helps ACOs Generate MSSP Savings and Boost Performance
Last month HealthEC reported that we helped our accountable care organization (ACO) clients achieve $21.4 million in Medicare Shared Savings Program (MSSP) savings and receive reimbursements totaling more than $9.5 million for the 2017 performance year. We also announced a 100% client success rate for the MSSP program.