ACOs: Loss of quality bonus could disrupt value-based care model, physician recruitment
Sep 13, 2022
Accountable care organizations must urge Congress to extend a dependable bonus payment to physicians that is ready to expire, advocates say.
Nursing homes become ‘high-risk,’ owners to be fingerprinted under new doc pay rule proposal
Jul 08, 2022
Nursing home owners could face heightened background screening requirements under a proposal tucked more than 1,000 pages into a huge new proposed physician pay rule released Thursday.
ACO REACH combines innovation with access for SNFs
Timothy Peck, MD
Mar 16, 2022
CMS’s new Direct Contracting Entity program, known as ACO REACH (Realizing Equity, Access, and Community Health) is among the most important developments in nursing home patient care in recent history.
What your therapy team should know about the CMS REACH Model
Mar 03, 2022
We all know it to be true. Common sense, really. When we as therapists coordinate our care more efficiently across teams and settings our patients excel. They feel supported. And in many cases, they...
ACOs don’t reduce burden of care for nursing home dementia patients: study
Jun 14, 2021
Nursing home dementia patients enrolled in Medicare Advantage plans had less burdensome care towards the end of their lives than residents with an accountable care organization, new study results show.
ACOs may be missing the mark with seniors who need complex care
Jul 15, 2019
Newer strategies to address high costs and gaps in care may be leaving out vulnerable seniors with complex care needs, a new study has revealed.
CMS proposes Medicare ACO overhaul to prod more risk-taking
James M. Berklan
Aug 10, 2018
“Pathways to Success” is predicted to save the Medicare program $2.2 billion over 10 years.
ACOs save on backs of SNFs
Apr 08, 2018
Providers taking part in a Medicare experiment saved money by funneling care away from skilled nursing facilities and toward physician services, according to a new analysis.
Instead of saving $2+ billion, early Medicare ACOs drove up federal healthcare costs $384 million, study...
Mar 30, 2018
An independent analysis from consulting firm Avalere finds the Medicare Shared Savings Program has underperformed when compared to the government’s own cost-saving predictions.
Sometimes a carrot is really a stick … but sometimes it’s 24-karat gold!
Nov 27, 2017
We all yearn for a time when value-based purchasing (and care) loses its originality. A time when motivations for providing excellent care and achieving excellent resident outcomes are aligned with reimbursement.