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 […]
Lessons for Adding or Building New Health Plans That Can Successfully Compete for Providers and Patients
If you’re thinking about starting a new health plan or expanding your offerings, you are not alone. Take Medicare Advantage. In response to the fast growth in the Medicare-eligible population and strong interest in Medicare Advantage, both new and established insurers have seized this opportunity. In the past five years, the number of MA plans […]
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, […]
NEW MEDICAL ASSISTANT PROGRAMBOOSTS ADVENTIST HEALTH’SEMPLOYMENT PIPELINE
The COPE Health Scholars Medical Assistant Program is a hybridmodel education initiative to develop a new generation ofhealthcare workers.
As CMS Pauses, Providers Must Move Forward with Risk-Based Payments
Under the Biden administration, the Centers for Medicare & Medicaid Services has paused its 2021-22 contracting cycle for Medicare Direct Contracting and is assessing its other alternative payment programs. While many are busy trying to read the tea leaves as to which programs will survive and which will be cut, two patterns are clear: Further, […]
How Montefiore Uses Data Analytics to Reduce Network Leakage
Network leakage is a priority for 96% of health system and hospital executives, and more than 79% have been working to decrease leakage for more than three years.1 For those searching for a solution to address this pressing issue, Montefiore Medical Center Bronx has cracked the code. The academic medical center in the Bronx is reducing […]
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. […]
Medicare Direct Contracting: The First Five Things a Direct Contracting Entity Should Do
The Center for Medicare and Medicaid Innovation (CMMI) has announced the 51 Direct Contracting Entities (DCEs) selected to participate in the initial 2021 Implementation Period (IP) for the Direct Contracting Model Global and Professional Options. The IP began on October 1, 2020, and will run through March 31, 2021. The first Performance Year (PY) begins on April […]