Strategic Relationships in Partnerships
As in any relationship, strategic relationships require time and commitment to develop a partnership with mutual benefits. It all begins with an introduction which will test the chemistry and the objectives between the two parties. At times, even when all the strategies are aligned, the interactions may not be comfortable. It’s an indication that the […]
4 Things to Know About the CMS MCP Request for Application
On August 14, CMS published the Request For Application (RFA) for Making Care Primary (MCP), a progressive roadmap to value-based payment for primary care providers with little-to-no VBP experience. The eight states selected for the MCP model are: Colorado, North Carolina, New Jersey, New Mexico, upstate New York, Minnesota, Massachusetts, and Washington. MCP’s payment, quality […]
4 Things for Washington Providers to Know About the CMS MCP Request for Application
On August 14, CMS published the Request For Application (RFA) for Making Care Primary (MCP), a progressive roadmap to value-based payment for primary care providers with little-to-no VBP experience. CMS has indicated that the program may be aligned with the upcoming Washington 1115 Medicaid Waiver amendment which will have its own primary care enhancement program […]
5 Things To Know About The New CMMI Model:Making Care Primary (MCP)
On June 8, 2023, CMS announced a new CMMI primary care model, Making Care Primary (MCP), coveringtraditional Medicare beneficiaries, that aims to strengthen primary care infrastructure through servicedelivery and care integration enhancements designed to improve an MCP entity’s care managementprogramming, specialty care integration and community supports connections closing social determinantof health gaps. The program is […]
5 Things to Know About ACO REACH Health Equity Data Reporting Submissions
On October 3rd, 2023, CMS published an ACO REACH Newsletter providing PY23 HEDR submission procedure and timeframe updates. Health Equity advancement is a fundamental component of the ACO REACH model and a key differentiator from its predecessor, the Global and Professional Direct Contracting Model (GPDC). CMS established HEDR requirements for REACH ACOs as part of […]
5 Things to Know about Medicaid Redetermination
As of August 2022, preliminary federal estimates showed that Medicaid enrollment stood at more than 90.9 million people, or more than one in four Americans, following the impact of the Families First Coronavirus Response ACT, which enabled continuous enrollment for Medicaid beneficiaries through the COVID-19 pandemic. Information beneficiaries should know: CHS has deep expertise in redetermination […]
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 […]
The Value of FQHCs and CBOs to IPA Networks – Options and Keys to Success
Independent Physician/Provider Associations (IPAs) are key mechanisms for physicians, health systems and federally qualified health centers (FQHCs) to align and engage in value-based payment arrangements that add value to payors and attributed members. Here we discuss benefits to IPAs for engaging FQHCs and community-based organizations (CBOs) into their network, and care model and funds flow […]
2023 Health Care Forecast, Trends and Key Issues
1. Continued transition to more value-based payment and risk for all lines of business 2. Staffing crisis driving access challenges and financial pressures on hospitals and health systems in particular 3. Population health management/value-based payment EDW for health systems, IPAs, CINs is on the rise 4. Social Determinants of Health (SDoH) and the drive towards […]
Why You Should Apply for ACO REACH
Health care providers have a narrow window to decide to take advantage of the newest alternative payments program from the Center for Medicare and Medicaid Innovation (CMMI). Just two weeks ago, CMMI announced it is replacing the Medicare Direct Contracting program with the ACO Realizing Equity, Access, and Community Health (ACO REACH), an accountable care […]