CMS’s latest offering provides a significant opportunity for payers and providers, but those that can’t crack interoperability will struggle. On April 1, 2021, the first 53 organizations selected by CMS as Direct Contracting Entities (DCEs) kicked off their initial performance period. The second batch of DCEs will enter the model beginning their performance period in […]
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COVID-19 delivered a type of perfect storm filled with disrupted usage patterns and delayed elective surgeries with many opting for post-acute care at home due to fear of infection and facility lockdowns. Lower utilization rates meant that health plans found themselves falling below the medical loss ratio (MLR) limits—even as restrictions are gradually lifted, some […]
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According to a recent study, post-acute care (PAC) patient volumes decreased significantly during the COVID-19 pandemic. The cancellation of elective surgeries and decrease in non-urgent hospital admissions were the biggest drivers for provider loss of revenue. This was in part spurred on by the CMS guidelines recommending the cancellation or postponement of elective, non-essential procedures […]
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The value-based care market will increase by almost 50% in 2021. Here is how health systems and payors can prepare for this market growth.
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Business who leverage the power of data and analytics can obtain valuable insights to streamline and improve operations. In this podcast, Shakeeb Akhter, the Director of Enterprise Data Warehouse at Northwestern Medicine, speaks about “DataOps”, and why this such a crucial strategy for organizations in today’s marketplace.
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Accountable care organizations (ACOs) that started in 2012 – the first year of the Medicare Shared Savings Program (MSSP) – decreased their post-acute care spending by a 9 percent differential reduction in two years without compromising care quality. In dollars, that 9 percent comes to $106 per beneficiary. That’s the finding of a recent JAMA Internal […]
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