5 Things To Know About The New CMMI Model:Making Care Primary (MCP)
On June 8, 2023, CMS announced a new CMMI primary care model, Making Care Primary (MCP), coveringtraditional Medicare beneficiaries, that aims to strengthen primary care infrastructure through servicedelivery and care integration enhancements designed to improve an MCP entity’s care managementprogramming, specialty care integration and community supports connections closing social determinantof health gaps. The program is […]
The Value of FQHCs and CBOs to IPA Networks – Options and Keys to Success
Independent Physician/Provider Associations (IPAs) are key mechanisms for physicians, health systems and federally qualified health centers (FQHCs) to align and engage in value-based payment arrangements that add value to payors and attributed members. Here we discuss benefits to IPAs for engaging FQHCs and community-based organizations (CBOs) into their network, and care model and funds flow […]
2023 Health Care Forecast, Trends and Key Issues
1. Continued transition to more value-based payment and risk for all lines of business 2. Staffing crisis driving access challenges and financial pressures on hospitals and health systems in particular 3. Population health management/value-based payment EDW for health systems, IPAs, CINs is on the rise 4. Social Determinants of Health (SDoH) and the drive towards […]
CMS Direct Contracting Models Offer Promise of Expediting Shift to Value-Based Care
The Centers for Medicare and Medicaid Services’ (CMS) Direct Contracting (DC) Model Options, a new set of voluntary payment models announced this week by the U.S. Department of Health and Human Services (HHS) for Medicare fee-for-service patients and their health care providers, represent a major step forward for population health management and value-based care. Based […]