5 Key Considerations of the New CMS AHEAD Model
Yesterday, September 5, 2023, the CMS Innovation Center released the AHEAD Model focused on improving overall population health of a specific state or region, advancing health equity by reducing disparities in health outcomes and curbing the growth of health care costs. Key aspects of the model: All states required to in one of two windows […]
Lessons for Adding or Building New Health Plans That Can Successfully Compete for Providers and Patients
If you’re thinking about starting a new health plan or expanding your offerings, you are not alone. Take Medicare Advantage. In response to the fast growth in the Medicare-eligible population and strong interest in Medicare Advantage, both new and established insurers have seized this opportunity. In the past five years, the number of MA plans […]
NEW MEDICAL ASSISTANT PROGRAMBOOSTS ADVENTIST HEALTH’SEMPLOYMENT PIPELINE
The COPE Health Scholars Medical Assistant Program is a hybridmodel education initiative to develop a new generation ofhealthcare workers.
As CMS Pauses, Providers Must Move Forward with Risk-Based Payments
Under the Biden administration, the Centers for Medicare & Medicaid Services has paused its 2021-22 contracting cycle for Medicare Direct Contracting and is assessing its other alternative payment programs. While many are busy trying to read the tea leaves as to which programs will survive and which will be cut, two patterns are clear: Further, […]
How Montefiore Uses Data Analytics to Reduce Network Leakage
Network leakage is a priority for 96% of health system and hospital executives, and more than 79% have been working to decrease leakage for more than three years.1 For those searching for a solution to address this pressing issue, Montefiore Medical Center Bronx has cracked the code. The academic medical center in the Bronx is reducing […]
Medicare Direct Contracting: The First Five Things a Direct Contracting Entity Should Do
The Center for Medicare and Medicaid Innovation (CMMI) has announced the 51 Direct Contracting Entities (DCEs) selected to participate in the initial 2021 Implementation Period (IP) for the Direct Contracting Model Global and Professional Options. The IP began on October 1, 2020, and will run through March 31, 2021. The first Performance Year (PY) begins on April […]
Key Considerations to Maximize 1115 Waiver Quality Performance: The Challenge, The Opportunity, The Future
With all of the challenges that 2020 has injected into health system operations and priorities, providers and payers are appropriately focused on Covid-19 prevention and treatment, organizational preparedness and mitigation of financial impact. Texas providers participating in the Medicaid 1115 demonstration waiver Delivery System Reform Incentive Payment (DSRIP) also have a unique opportunity in the […]
Evaluation of Care Management for the Uninsured
Background: In 2008, Kern Medical Center established a CareManagement Program (CMP) for low-income adults identified asfrequent users of hospital services. Frequent users are defined ashaving 4 or more emergency department (ED) visits or admissions,3 or more admissions, or 2 or more admissions and 1 ED visit within1 year. The CMP helps patients access primary care […]
Key Questions and Strategic Considerations for MCP Practices Over MCP End in December 2025
MCP practices should consider and begin to plan for a transition to enter the MSSP ACO program for 2026 and choose stable, long-term partners to take control over your VBP future. CHS can support you in your MSSP ACO journey through flexible partnership models that provide you with our expertise, analytics and operational support while […]
To Succeed at Managing Population Health, Adopt a Health Plan Mindset
Value-based payment models are forcing hospitals and health systems to assume increasing levels of financial risk, prompting many to adopt population health management as a means for controlling costs and improving patient outcomes. Many of these organizations are just beginning to explore the world of population health management, whereas others are increasing their investments in […]