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Program Structure and Features CMS launched Medicare Direct Contracting (MDC) in 2019, giving providers and payers an opportunity to take risk and manage population health for Medicare fee-for-service (FFS) beneficiaries. Although the program builds on existing features of accountable care organization (ACO) models, payments under MDC will be based on partial or full capitation. To […]

The Covid-19 pandemic has spurred rapid implementation of virtual health across the country. Many providers quickly launched telehealth and remote patient monitoring to free up capacity for Covid-19 surges, manage their chronic and high-risk patients from the safety of their homes, and provide an alternative means to access care for those patients fearful or unable […]

Take a look at how the CHART Model compares with other CMS accountable care programs, such as Medicare Direct Contracting, NextGen ACO, and Shared Savings.

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. […]

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 […]

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, […]

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 […]

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 […]

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 […]

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 […]