Medicare Direct Contracting Is Now ACO REACH: What You Need to Know
Despite pressure from some advocates to drop the Medicare Direct Contracting program, the Centers for Medicare and Medicaid Services’ (CMS) Centers for Medicare and Medicare Innovation (CMMI) has updated MDC into an accountable care organization program with an increased focus on health equity. It’s a win-win for providers looking to access value-based care and payments. […]
Maximizing Medicare Revenue Webinar: Key Takeaways and Next Steps
By 2030, one in every five Americans will be 65 or older, according to the U.S. Census Bureau. That year, Medicare spending will hit $1.7 trillion, up from $835 billion in 2020, estimates the Congressional Budget Office. But don’t expect business as usual. While The Centers for Medicare & Medicaid Services (CMS) have experimented with […]
Relieving Provider Pressures During COVID-19 Second Wave
Providers barely had time to take a breath before confronting a new round of COVID-19, driven primarily by the Delta variant. Above and beyond caring for COVID patients, this deadly scourge continues to tax our health systems and their health care workers: Collaborate with COPE Health Solutions As we did during the first COVID-19 round, […]
Kaiser Permanente Mobilizes COPE Health Scholars to Fill Pandemic Staffing Shortages
An innovative workforce development and training partnership with COPE Health Solutions’ COPE Health Scholars enabled Kaiser Permanente to quickly fill critical staffing gaps at several medical centers during the pandemic. Kaiser Permanente Irvine Medical Center, Kaiser Permanente Anaheim Medical Center and Kaiser Permanente Orange County hospitals tapped this unique solution to supplement depleted staff in […]
Providence Hospitals Leverage COPE Health Scholars to Manage COVID-19 Vaccinations
Like hospitals everywhere, St. Joseph Hospital Orange and Mission Hospital faced the challenge of meeting the demand for COVID-19 immunizations while concurrently balancing the impacts of pandemic-related staffing shortages. The two Providence hospitals in Southern California turned to COPE Health Scholars, aspiring health professionals already on site as part of hands-on experiential education courses, to […]
Aligning Your Medicare Direct Contracting Model with Your Value-based Payment Strategy
Medicare Direct Contracting (MDC) is a set of mature, capitated payment models for Medicare Fee for Service (FFS), evolved from legacy accountable care models (e.g. Next Generation, Medicare Shared Savings Program), and released by the Centers for Medicare and Medicaid Services (CMS) in November 2019. MDC has recently gone live with its first cohort of 51 […]
What You Need to Know About the CMS Geographic Direct Contracting Model
The Centers for Medicare and Medicaid Innovation (CMMI) has just announced that non-binding letters of intent (LOI) from health organizations who are serving Medicare beneficiaries in one of 15 different Core Based Statistical Areas (CBSA) around the country and are ready to participate in “Geographic Direct Contracting” must be submitted to CMS by 11:59 p.m. […]
CMS Provides Relief for Quality Reporting Amid COVID-19 Crisis
On March 22, 2020, the Centers for Medicare and Medicaid Services (CMS) offered some relief for the clinicians, providers, and facilities participating in Medicare quality reporting programs – including the 1.2 million clinicians in the Quality Payment Program and those fighting coronavirus (COVID-19). This unprecedented action by CMS has been applauded by the American Medical […]
MSO Build or Buy: Strategic Considerations
Traditional management service organization (MSO) models have shifted away from purely administrative and management services in support of physician practices to more population health services organization (PHSO) models for independent provider associations (IPAs), accountable care organizations (ACOs), health systems or other provider entities taking premium risk from payors. MSOs are now focused on helping organizations […]
Health care experts forecast how hospitals must prepare for the Post-Covid-19 Crisis – Six Things to Do
Covid-19 is not the great equalizer, it’s the great revealer. It has revealed social and economic inequalities to the public. The silver lining of the pandemic is that the public can see this now.” — Edward Shin, MD, CEO & Co-Founder, Quality Reviews “Any individual in this pandemic, without healthcare, is a threat to all of […]