Where will the next generation of health leadership come from?
Accessing More of the Health Premium: The Transition into Population Health and Value-based Payment*
Heads You Win, Tails You Win – Roadmap to a Win-Win Path to Downside Risk in Medicare Alternative Payment Models
ACOs that started in the Medicare Shared Savings Program’s Track 1 in either 2012 or 2013must determine whether to move to a risk-based model by their third contract periods, whichbegin in 20191. A number of the MSSP ACOs are making strides in improving quality, reducinghospitalization and waste in Medicare. The Centers for Medicare and Medicaid […]
Learning From Kaiser and Optum
A recent headline, “With 8k more physicians than Kaiser, Optum is ‘scaring the crap out of hospitals’1 is resonating within the hospital sector, as it reinforces what many hospital system executives are facing: either becoming a partner – or fearing becoming a “cost center.” The article’s premise – that two behemoths are battling it out for […]
Interim Evaluation Report on California’s Health Care Coverage Initiative
Supporting Transformation through Delivery System Reform Incentive Payment Programs: Lessons from New York State
Abstract: The New York Delivery System Reform Incentive Payment (DSRIP) waiver was viewed as a prototype for Medicaid and safety net redesign waivers in the Affordable Care Act (ACA) era. After the insurance expansions of the ACA were implemented, it was apparent that accountability, value, and quality improvement would be priorities in future waivers in […]
Communicating a Value Proposition: Community Based Organizations as Key Actors of VBP
The Evolution and Future of the NY Health Home Program
Background In 2010, the Affordable Care Act provided states the option to implement a “health home” (HH) care management model, with the goal of improving care coordination, reducing costs and improving health outcomes for high-need Medicaid members with chronic conditions. In an attempt to bridge resource gaps for a particularly complex segment of the population, […]
CMS announces new Medicare-Medicaid ACO model
On Thursday, CMS announced the creation of a new ACO model geared toward patients who qualify for both Medicare and Medicaid, also known as dual eligible. Dual eligible patients typically have more complex health needs, chronic conditions and social issues than the general Medicare population. Consequently, they account for a disproportionate share of spending in […]
The Evolution and Future of the NY Health Home Program
Background In 2010, the Affordable Care Act provided states the option to implement a “health home” (HH) care management model, with the goal of improving care coordination, reducing costs and improving health outcomes for high-need Medicaid members with chronic conditions. In an attempt to bridge resource gaps for a particularly complex segment of the population, […]