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CMS CHART Model Fact Sheet: Community Transformation Track

August 27, 2020

CMS CHART Model Fact SheetIn August 2020, the Centers for Medicare & Medicaid Services (CMS) announced Community Access and Rural Transformation (CHART) Model. This model is designed to support rural communities and providers in improving quality and access to care, while providing financial stability and upfront payments to support the transition to value-based payment models. […]

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Five Ways to Know if the CMS CHART Model’s Community Transformation Track Is Right for You

August 27, 2020

In early August 2020, the Centers for Medicare and Medicaid Services (CMS) announced the Community Health Access and Rural Transformation (CHART) Model. This model aligns well with the overall momentum toward value-based payment from CMS, states, employers and health plans that has grown incrementally for several years. This particular program is targeted at reducing disparities […]

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Webinar: Mitigate the Financial Impact of Covid-19 by Reducing Your Out-of-Network Leakage

August 7, 2020

Hospitals and health systems across the country are grappling with the financial impact of Covid-19. One critical strategy to combat lost revenue is to reduce out-of-network leakage. Understanding in real time where the leakage is occurring and developing strategies to bring the patients back into your own network can increase revenue, close quality care gaps, […]

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Physician Compensation Models and Crisis Resilience: A Call to Action

July 30, 2020

Introduction Since March of 2020, the entire health care system supply chain has been disrupted due to the impact of the Covid-19 pandemic. Stay-at-home orders, unemployment and a surge of Covid-19 patients suppressed outpatient volumes, acutely altered payer mix and constrained hospital capacity. Fee-for-service (FFS) primary care was hit especially hard by this seismic shift […]

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Key Considerations to Maximize 1115 Waiver Quality Performance: The Challenge, The Opportunity, The Future

July 13, 2020

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 […]

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Webinar: Updates to Medicare Direct and Medicare Shared Savings Programs and How They Fit in Your Overall Value-based Payment Strategy

June 29, 2020

The Centers for Medicare & Medicaid Services (CMS) has announced updates to the Medicare Shared Savings Program (Shared Savings Program) and Medicare Direct Contracting models due to the Covid-19 public health emergency (PHE), both of which require immediate action. These updates include an imminent deadline, as early as next month, for Shared Savings ACOs to […]

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Ask the Experts: Financial Sustainability Post-Covid-19

June 18, 2020

The Covid-19 public health crisis has had a substantial financial, economic, mental and physical health impact in the U.S. and around the world. Health systems and hospitals have had to increase hospital capacity, stop elective surgeries and adjust their workflows significantly to deal with the shifting needs of the community and patients serve. Outpatient and […]

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Observations and Post-Covid-19 Health Care in the United States

June 18, 2020

During the 20th century, two world wars and numerous regional military conflicts claimed more than 150 million lives and decimated entire countries. During the past 100 years, trillions of dollars have been expended assembling armies and building military preparedness to defend homelands and protect the citizenry. However, it has taken less than three months for […]

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Helping Patients Overcome Fear to Get Vital Care Back on Track: Six Things to Do

June 18, 2020

Introduction The Covid-19 pandemic has created a barrier to health care at a magnitude the likes of which our industry has never seen. Many patients are terrified to receive care in traditional health care settings. There are abundant anecdotal accounts of patients suffering from heart attacks, strokes and other severe illnesses due to fear of […]

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Webinar: Financial Sustainability Post-Covid: Maximizing Revenue From Fee-for-Service and Value-based Payment Contracts and Other Arrangements

June 5, 2020

Health systems, hospitals and medical groups have had to significantly adjust to the continued financial impact of Covid-19. Payor contracting, including expectations under existing agreements, has taken on a new dimension because of emergency regulations, waivers, use of numerous technologies and other short-term accommodations. It is more important than ever to identify and act on […]

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