ACOs

Columbia Southern MCOs Vs ACOs Comparison Paper | 11/12/2020

… fees, however the popularity of these plans ensure the providers receive a steady stream of income and new patients. Some common managed care plans are PPOs, POS plans, or HMOs. Accountable Care Organizations or ACOs originated from the Affordable Care Act. ACOs are groups of doctors, hospitals, and healthcare providers that collaborate to ensure the highest quality treatment for a population segment. Providers and pairs are incentivized to work together …

51 Organizations Join New Direct Contracting Opportunity from CMS | RevCycle Intelligence | 11/5/2020

… Generation ACO Model, which was slated to sunset at the end of the year until CMS extended the model because of COVID-19. However, the Direct Contracting Model options are aimed at more than ACOs , CMS says. Although Direct Contracting is an opportunity for ACOs to deepen their participation in Medicare risk arrangements, the agency explains on the model‚Äôs website , the model looks to attract a wide variety of …

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Caravan Health Announces 2020 Population Health Pioneer Awards | 11/5/2020

Population Health Champions to be Recognized for their Exemplary Work at the Fifth Annual Virtual Accountable Care Symposium KANSAS CITY, Mo. (PRWEB) November 04, 2020 Caravan Health today announced the winners of the annual Population Health Pioneer Awards , presented to Caravan Health ACOs and partners who have best served their patients, community, and the health care industry through their leadership, dedication, and innovation over the past year. This year‚Äôs …

Caravan Health Announces 2020 Population Health Pioneer Awards | PRWeb | 11/4/2020

… Äù commented Nicole Banister, Vice President, Practice Transformation, Caravan Health. KANSAS CITY, Mo. (PRWEB) November 04, 2020 Caravan Health today announced the winners of the annual Population Health Pioneer Awards , presented to Caravan Health ACOs and partners who have best served their patients, community, and the health care industry through their leadership, dedication, and innovation over the past year. This year‚Äôs awards highlight the nominees who have incorporated innovative …

Encompass Health Gaining Ground with ACOs, But Still Facing Assisted Living ‘Lockdowns’ | Wordpress.com | 10/30/2020

Encompass Health Gaining Ground with ACOs, But Still Facing Assisted Living ‚ÄòLockdowns‚Äô //bit.ly/3jBCwxT An analysis conducted by health economics and policy consulting firm Dobson DaVanzo & Associates previously found that the Patient-Driven ‚Ķ Share this …

Encompass Health Gaining Ground with ACOs, But Still Facing Assisted Living ‘Lockdowns’ | Home Health Care News | 10/30/2020

… your chaplains or social workers in.‚Äô‚Äù To overcome those two hurdles, Encompass Health has restructured its compensation policies for therapists and identified new referral sources, including alternate surgery centers. Gaining ground with ACOs, MA payers While Encompass Health leadership spent a good portion of Thursday‚Äôs call talking about hardships and operational realities, they also touched on multiple positives for the company. Work with accountable care organizations (ACOs …

25 key updates on Allscripts, Cerner, Epic, Meditech | Becker’s Hospital Review | 10/28/2020

… 13, Allscripts announced it formed an agreement to sell its care coordination company CarePort Health to home health software provider WellSky for $1.35 billion. CarePort provides post-acute outcomes management software to hospitals and ACOs and is included in Allscripts’ data, analytics and care coordination reporting segment.

  1. Strata Decision Technology completed its $365 million acquisition of Epsi, Allscripts’ healthcare decision analytics and budgeting business on Oct. 15. Epsi provides …

Arcadia Expands Partnership with PatientPing, Enhancing Access to Real-Time Patient Data for Healthcare Organizations | 10/27/2020

… directly to end-users, we’ll be able to not only support our mission, but create more seamless healthcare.” A Shared Commitment to Value-Based Care Success Arcadia and PatientPing are both committed to helping ACOs ‚Äîas well as other healthcare organizations‚Äîachieve value-based care outcomes. This October, PatientPing announced that its community of ACOs generated more than $517 million in shared savings for 2019 under the Centers for Medicare …

PatientPing Commends Its Community of MSSP Accountable Care Organizations for Generating Over $517 Million in Shared Savings – a 20% Improvement Over Last Year | 10/26/2020

TOPICS: ACOs MSSP Posted By: Dennis Dailey October 23, 2020 PatientPing‚Äôs ACO Provider Network Encompasses 50% of Top 15 MSSP ACOs That Earned Shared Savings in 2019 PatientPing , a comprehensive care collaboration platform, reports that its national network of Accountable Care Organizations (ACOs) generated more than $517 million in shared savings in 2019 under the Medicare Shared Savings Program (MSSP). With an expanding ACO network that includes thousands of …

PatientPing Commends Its Community of MSSP Accountable Care Organizations for Generating Over $517 Million in Shared Savings - a 20% Improvement Over Last Year | PR Newswire | 10/20/2020

… of providers participating in the MSSP and other value-based-care delivery models, PatientPing helps its partners meet their goals of reducing post-acute spending, patient hospitalizations, and emergency department visits. In 2019, the ACOs in the MSSP generated the largest annual savings for the program to date, a total of $1.19 billion in net savings to Medicare. PatientPing’s MSSP ACO provider network made up more than 43% of the …

PatientPing Commends Its Community of MSSP Accountable Care Organizations for Generating Over $517 Million in Shared Savings - a 20% Improvement Over Last Year | 10/20/2020

… of providers participating in the MSSP and other value-based-care delivery models, PatientPing helps its partners meet their goals of reducing post-acute spending, patient hospitalizations, and emergency department visits. In 2019, the ACOs in the MSSP generated the largest annual savings for the program to date, a total of $1.19 billion in net savings to Medicare. PatientPing’s MSSP ACO provider network made up more than 43% of the …

-$0.49 EPS Expected for MTBC, Inc (NASDAQ:MTBC) This Quarter | American Banking News | 10/18/2020

… circumstances healthcare processes are often blocked or impeded by more traditional methods of management. The pandemic has made it clear how important it is to leverage new technology in healthcare. Definitive Healthcare’s study of ACOs during the Covid-19 pandemic found that 36% of practices are at risk for closure due to the financial impact of the virus, and 69% of those are practices with 10 practitioners or less. With …

Seniors to Get COVID-19 Vaccine for Free, CMS Says | 10/15/2020

… Savings Program (MSSP) ACO results include total savings of $10.25 million and a quality score of 98.5, one of the highest in Florida, and ranked in the top 6% nationwide out of 541 participating ACOs . This press release features multimedia. View the full release here: https://www.businesswire.com/news/home/20201015005264/en/ HealthSync West Florida, a Navvis and Florida Medical Clinic Joint Venture, Achieves Top-Tier ACO Performance (Graphic: Business Wire …

Global and China Artificial Intelligence for Healthcare Applications Market Size, Status and Forecast 2020-2026 | 10/14/2020

… Size Artificial Intelligence for Healthcare Applications market is segmented by Type, Artificial Intelligence for Healthcare Applications Market segment by Type, the product can be split into - Hardware Market segment by Application, split into - Pharmaceutical - Acos and Mcos - Others Based on regional and country-level analysis, the Artificial Intelligence for Healthcare Applications market has been segmented as follows: - North America - - UAE - - Rest of Middle East & Africa In the competitive analysis section …

Lightbeam ACO Clients Generate Nearly $1 Billion in MSSP Savings | Business Wire | 10/14/2020

… end population health management solutions and services, announced that Accountable Care Organizations (ACOs) that achieved a positive savings rate using Lightbeam technology generated nearly $400 million in shared savings in the 2019 performance year. ACOs that used Lightbeam’s solutions managed 15% of the total patient lives covered under the 2019 MSSP program. ACOs engaged with Lightbeam’s Advisory Services achieved an average quality score of 95%. “The 2019 performance year marks …

Nonprofits Continue to Struggle With Technology – The Chronicle of Philanthropy | 10/14/2020

… end population health management solutions and services, announced that Accountable Care Organizations (ACOs) that achieved a positive savings rate using Lightbeam technology generated nearly $400 million in shared savings in the 2019 performance year. ACOs that used Lightbeam’s solutions managed 15% of the total patient lives covered under the 2019 MSSP program. ACOs engaged with Lightbeam’s Advisory Services achieved an average quality score of 95%. “The 2019 performance year marks …

HealthLynked Corp. Announces ACO Health Partners Earns $768k in Shared Savings Revenue and a Fourfold Growth in Covered Medicare Beneficiaries | PR Newswire | 10/8/2020

… the ACO’s covered beneficiary base to 11,500 going into the 2021 savings year. Savings are anticipated to grow at the same rate or better. A market-based solution to combat fragmented and costly care, ACOs empower local physicians, hospitals, and other providers to work together and take responsibility for improving quality, enhancing patient experiences, and keeping care affordable. The Medicare Shared Savings Program (MSSP) creates incentives for ACOs to invest …

HealthLynked Corp. Announces ACO Health Partners Earns $768k in Shared Savings Revenue and a Fourfold Growth in Covered Medicare Beneficiaries - GuruFocus.com | 10/8/2020

… the ACO’s covered beneficiary base to 11,500 going into the 2021 savings year. Savings are anticipated to grow at the same rate or better. A market-based solution to combat fragmented and costly care, ACOs empower local physicians, hospitals, and other providers to work together and take responsibility for improving quality, enhancing patient experiences, and keeping care affordable. The Medicare Shared Savings Program (MSSP) creates incentives for ACOs to invest …

Next Healthcare Solutions’ MSSP ACOs Achieve High Quality and Significant Cost Savings to Medicare | PRWeb | 9/30/2020

Next Healthcare Solutions’ MSSP ACOs Achieve High Quality and Significant Cost Savings to Medicare Share Article ACOs Improve Quality and Reduce Costs While Preserving Medicare Beneficiary Choice of Providers TAMPA BAY, Fla. (PRWEB) September 30, 2020 Next Healthcare Solutions’ (NHS) managed ACOs improved care for nearly 40,000 Medicare beneficiaries throughout the West, Central and Space Coast Regions of Florida. Collectively they saved Medicare $36 million by meeting quality and cost …

ACOs Generated $454 Million in Savings in 2019 Across Medicare, Commercial, and Employer Contracts With Innovaccer’s Data Activation Platform | Yahoo News | 9/30/2020

Mail Advertisement ACOs Generated $454 Million in Savings in 2019 Across Medicare, Commercial, and Employer Contracts With Innovaccer’s Data Activation Platform • September 30, 2020 With an average MSSP quality score of 94.66%, Innovaccer’s partner ACOs delivered top-notch quality care to over 465,000 Medicare beneficiaries with the platform. SAN FRANCISCO , Sept. 30, 2020 /PRNewswire/ – Innovaccer, Inc. , a leading healthcare technology company, announced today that its partner Accountable Care Organizations (ACOs …

Optum Complex Care Management Market Vice President Georgia - UnitedHealth Group - Atlanta, GA | 9/29/2020

… profitability - collaborating on bid filing strategies, benefit design, and distribution. The VP owns relationship management with the UHC Medicare and Medicaid business and external provider groups in the post-acute space (Home Health, Hospitals, ACOs , etc). The ideal candidate resides in Georgia but could have the flexibility to telecommute as taking on this complex and multi-faceted market. Primary Responsibilities: Has direct P&L impact including budgeting, forecasting and actual …

AdventHealth adds to long-term tele-ICU partnership with Advanced ICU Care | 9/29/2020

… and services. This represents an average of $4.7 million per ACO, while generating more than $161 million in gross shared savings over the last five performance years in the MSSP. HealthEC also reported that ACOs utilizing HealthEC’s software and services generated a net savings (for both legacy track and new participation options) per member per year (PMPY) of $685, which was 3.7 times higher than the amount generated by ACOs

CMS Releases 2019 Medicare Shared Savings Program Accountable Care Organization Program Results | 9/28/2020

CMS Administrator Seema Verma announced the 2019 financial and quality results for Accountable Care Organization (ACOs) in the Medicare Shared Savings Program (MSSP) in a Health Affairs Blog post on September 14, 2020. According to Verma, the 541 ACOs in the MSSP generated $1.19 billion in total net savings for Medicare in 2019—the largest annual savings to date. These savings were largely driven by reductions in spending on post …

Value as a business differentiator: 6 execs on what makes their ACOs high-performing | Becker’s Hospital Review | 9/25/2020

Value as a business differentiator: 6 execs on what makes their ACOs high-performing Morgan Haefner - Print Email In mid-September, CMS released 2019 results from its Medicare Shared Savings Program ACOs, with participants generating a record $1.2 billion in total net savings for the program. Becker’s reached out to executives from ACOs that earned some of the most shared savings in 2019 to share what strategies and best practices …

By Helping Nearly a Million Patients Get Better Care, Aledade ACOs Have Saved More Than $400 Million in Wasteful Health Care Spending | PR Newswire | 9/23/2020

… more than $200 million in health care spending while delivering better care to more than 620,000 Americans. New data from the Centers for Medicare and Medicaid Services (CMS) show that, in 2019, Aledade’s MSSP ACOs prevented 10,000 hospitalizations for Medicare beneficiaries and saved Medicare more than $180 million in unnecessary health care spending. Nearly half of these savings were kept by CMS and the American taxpayer, and the majority ( $55 …

Virtual Care

Caravan Health Announces 2020 Population Health Pioneer Awards | 11/5/2020

… November 04, 2020 Caravan Health today announced the winners of the annual Population Health Pioneer Awards , presented to Caravan Health ACOs and partners who have best served their patients, community, and the health care industry … individuals and health systems. As a group, they ramped up virtual care services, supported patients with complex medical needs, addressed social needs, and implemented innovative ways to connect with their patients and their communities throughout …

Population Health

Caravan Health Announces 2020 Population Health Pioneer Awards | 11/5/2020

Population Health Champions to be Recognized for their Exemplary Work at the Fifth Annual Virtual Accountable Care Symposium KANSAS CITY, Mo. (PRWEB) November 04, 2020 Caravan Health today announced the winners of the annual Population Health Pioneer Awards , presented to Caravan Health ACOs and partners who have best served their patients, community, and the health care industry through their leadership, dedication, and innovation over the past year. This year‚Äôs …

Home Health

25 key updates on Allscripts, Cerner, Epic, Meditech | Becker’s Hospital Review | 10/28/2020

home health software provider WellSky for $1.35 billion. CarePort provides post-acute outcomes management software to hospitals and ACOs and is included in Allscripts’ data, analytics and care coordination reporting segment.

  1. Strata Decision Technology completed its $365 million acquisition of Epsi, Allscripts’ healthcare decision analytics and budgeting business on Oct. 15. Epsi provides financial decision support and planning tools for hospitals and health systems while Strata offers a cloud …

EMR

-$0.49 EPS Expected for MTBC, Inc (NASDAQ:MTBC) This Quarter | 10/18/2020

… The pandemic has made it clear how important it is to leverage new technology in healthcare. Definitive Healthcare’s study of ACOs during the Covid-19 pandemic found that 36% of practices are at risk for … For providers, patient care has been improved by technologically enabled EMR systems as well as payment portals, patient communication tools, and revenue cycle management. These technology or cloud-based tools allow providers to work more …

Revenue Cycle Management

-$0.49 EPS Expected for MTBC, Inc (NASDAQ:MTBC) This Quarter | 10/18/2020

… The pandemic has made it clear how important it is to leverage new technology in healthcare. Definitive Healthcare’s study of ACOs during the Covid-19 pandemic found that 36% of practices are at risk for … systems as well as payment portals, patient communication tools, and revenue cycle management. These technology or cloud-based tools allow providers to work more closely with patients. During a healthcare crisis, communicating effectively with patients …

COVID-19

-$0.49 EPS Expected for MTBC, Inc (NASDAQ:MTBC) This Quarter | 10/18/2020

… watched a global pandemic impact every facet of American life — and American healthcare. When it became clear in March that Covid-19 was going to hit the U.S. hard, healthcare organizations scrambled to prepare for … to leverage new technology in healthcare. Definitive Healthcare’s study of ACOs during the Covid-19 pandemic found that 36% of practices are at risk for closure due to the financial impact of the virus, and …

Shared Savings Program

HealthSync West Florida, a Navvis and Florida Medical Clinic Joint Venture, Achieves Top-Tier ACO Performance | Business & Finance | manchestertimes.com | Business Wire | 10/15/2020

Shared Savings Program (MSSP) ACO results include total savings of $10.25 million and a quality score of 98.5, one of the highest in Florida, and ranked in the top 6% nationwide out of 541 participating ACOs. This press release features multimedia. View the full release here: https://www.businesswire.com/news/home/20201015005264/en/ HealthSync West Florida, a Navvis and Florida Medical Clinic Joint Venture, Achieves Top-Tier ACO Performance (Graphic: Business …

Medicare Advantage

HealthSync West Florida, a Navvis and Florida Medical Clinic Joint Venture, Achieves Top-Tier ACO Performance | Business & Finance | manchestertimes.com | Business Wire | 10/15/2020

… score of 98.5, one of the highest in Florida, and ranked in the top 6% nationwide out of 541 participating ACOs. This press release features multimedia. View the full release here: https://www.businesswire.com/news/home … MSSP ACO and over 15,000 lives under a full risk Medicare Advantage program, all in the greater Tampa market and in addition to other value-based contracts across all lines of business. “We have an …

Medicare

HealthSync West Florida, a Navvis and Florida Medical Clinic Joint Venture, Achieves Top-Tier ACO Performance | Business & Finance | manchestertimes.com | Business Wire | 10/15/2020

Medicare Shared Savings Program (MSSP) ACO results include total savings of $10.25 million and a quality score of 98.5, one of the highest in Florida, and ranked in the top 6% nationwide out of 541 participating ACOs. This press release features multimedia. View the full release here: https://www.businesswire.com/news/home/20201015005264/en/ HealthSync West Florida, a Navvis and Florida Medical Clinic Joint Venture, Achieves Top-Tier ACO Performance (Graphic …

Health Management

Lightbeam ACO Clients Generate Nearly $1 Billion in MSSP Savings | Business Wire | 10/14/2020

IRVING, Texas–(BUSINESS WIRE)–Oct 14, 2020– Lightbeam Health Solutions, the leader in end-to-end population health management solutions and services, announced that Accountable Care Organizations (ACOs) that achieved a positive savings rate using Lightbeam technology generated nearly $400 million in shared savings in the 2019 performance year. ACOs that used Lightbeam’s solutions managed 15% of the total patient lives covered under the 2019 MSSP program. ACOs engaged with …

Medicaid

HealthLynked Corp. Announces ACO Health Partners Earns $768k in Shared Savings Revenue and a Fourfold Growth in Covered Medicare Beneficiaries | PR Newswire | 10/8/2020

… reported its third consecutive year of shared savings. According to recently released performance results from the Centers for Medicare and Medicaid Services “CMS”, the federal agency that administers Medicare, ACO Health Partners improved care for … A market-based solution to combat fragmented and costly care, ACOs empower local physicians, hospitals, and other providers to work together and take responsibility for improving quality, enhancing patient experiences, and keeping care affordable. The …

Centers for Medicare and Medicaid Services

By Helping Nearly a Million Patients Get Better Care, Aledade ACOs Have Saved More Than $400 Million in Wasteful Health Care Spending | PR Newswire | 9/23/2020

BETHESDA, Md. , Sept. 23, 2020 /PRNewswire/ – Today, Aledade, Inc. announced that its accountable care organizations (ACOs) with commercial payers, Medicaid, Medicare Advantage, and the Medicare Shared Savings Program (MSSP) have saved more than $400 million … care to more than 620,000 Americans. New data from the Centers for Medicare and Medicaid Services (CMS) show that, in 2019, Aledade’s MSSP ACOs prevented 10,000 hospitalizations for Medicare beneficiaries and saved Medicare more than …

MACRA

Most ACOs Worried About Rising Advanced APM Thresholds Next Year | RevCycle Intelligence | 9/22/2020

Value-Based Care News Most ACOs Worried About Rising Advanced APM Thresholds Next Year By failing to meet new Advanced APM thresholds, the ACOs will not receive the 5% incentive payment, which they say has been key to value-based care advancements. A new survey confirms a growing concern among accountable care organizations (ACOs) – most ACOs are unlikely to meet rising participation thresholds for MACRA’s Advanced Alternative Payment Models (APMs …

Clinical Operations

R-Health Announces $9.2 Million in Shared Savings Through Care is Primary Accountable Care Organization | PR Newswire | 9/21/2020

… ACO’s reduction in the total cost of care for its Medicare beneficiaries placed it in the top 8% of all ACOs nationwide. Care is Primary ACO delivers value-based care by partnering with independent primary … is Primary ACO achieved in 2019,” said Nancy Meisinger , Chief Clinical Operations Officer at R-Health and Executive Director of Care is Primary ACO. “We achieved a 9% bend in the cost curve, dramatically lowering …

Patient Safety

Cleveland Clinic and Aetna form Accountable Care Organization | Healthcare Finance | 8/21/2020

… health systems to value-based care models in which hospitals are financially rewarded for better outcomes and lower costs. Recently, ACOs have been adapting to policy changes in financial performance. In December 2018, the Centers … hospitals say accountability, transparency key to surviving fallout from failing patient safety grades When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public ‘F’ grade casting a …

Patient Engagement

Caravan Health ACOs Continue to Score High on MIPS in 2019 | PRWeb | 8/13/2020

Caravan Health ACOs Continue to Score High on MIPS in 2019 Share Article For the third year in a row, Caravan Health ACOs scored near the top of all health care providers in the Merit … and our focus on care quality, cutting edge technology, and patient engagement ensures that our partners are well-prepared. Even in the midst of the COVID-19 pandemic, our ACOs fully reported MIPS measures and …

Community Health

CMS announces a new value-based payment model for rural healthcare providers | Healthcare Finance | 8/12/2020

… The Centers for Medicare and Medicaid Services today announced a new value-based payment model for rural healthcare providers. The Community Health Access and Rural Transformation (CHART) Model ties payment to value, increases choice and … the spring of 2021 and selecting up to 20 rural ACOs to participate in this track starting in January 2022. WHY THIS MATTERS Americans living in rural areas have worse health outcomes and higher rates …

Rural Health

CMS announces a new value-based payment model for rural healthcare providers | Healthcare Finance | 8/12/2020

… Susan Morse , Managing Editor The Centers for Medicare and Medicaid Services today announced a new value-based payment model for rural healthcare providers. The Community Health Access and Rural Transformation (CHART) Model ties payment to … the spring of 2021 and selecting up to 20 rural ACOs to participate in this track starting in January 2022. WHY THIS MATTERS Americans living in rural areas have worse health outcomes and higher rates …

Department of Health and Human Services

CMS launches new alternative payment model for rural healthcare providers | FierceHealthcare | 8/11/2020

… an executive order issued by President Donald Trump issued last week to support healthcare in rural areas. Trump directed the Department of Health and Human Services (HHS) to set up a new voluntary pilot payment … Spring 2021 and plans to select up to 20 rural ACOs to participate starting in January 2022. An executive order issue by President Trump last week also expands some telehealth services beyond the COVID-19 …

CMS Innovation Center

CMS unveils new alternative payment model for rural health | Modern Healthcare | 8/11/2020

… community transformation track, up to 15 rural communities will receive as much as $2 million in initial funding from the CMS Innovation Center to reform care delivery and make capitated payments to providers. Each community … the Medicare Shared Savings Program. According to the agency, participating ACOs will get a one-time upfront payment of at least $200,000 per beneficiary and monthly prospective payments for each beneficiary for up to two …

Electronic Medical Record

Medicare ACOs raise concerns about proposed quality reporting changes | Modern Healthcare | 8/7/2020

… proposed physician fee schedule rule released Aug. 3, CMS proposed three main changes related to quality: a new mechanism for ACOs to report quality measures, a reduction in the Medicare Shared Savings Program’s required measures … quality measures there is still work to be done by electronic medical record vendors. Some EMR vendors are better than others at searching medical records to fulfill measures, which can lead to errors in how …

Quality Payment Program

Medicare ACOs raise concerns about proposed quality reporting changes | Modern Healthcare | 8/7/2020

… proposed physician fee schedule rule released Aug. 3, CMS proposed three main changes related to quality: a new mechanism for ACOs to report quality measures, a reduction in the Medicare Shared Savings Program’s required measures … CMS to align the Medicare Shared Savings Program with the Quality Payment Program, which includes the Merit Based Incentive Payment System, in order to reduce burden. “We believe that using a single methodology to measure …

American Medical Association

Providers support Value in Health Care Act that amends MACRA payment model | Healthcare Finance | 7/28/2020

… ACOs, addresses ACOs’ “rural glitch,” and restarts the ACO Investment Model, the providers said. The letter was signed by the American Academy of Family Physicians , American College of Physicians , American Hospital Association , American Medical Association , America’s Essential Hospitals, America’s Physician Groups, AMGA, Association of American Medical Colleges , Federation of American Hospitals, Health Care Transformation Task Force, Medical Group Management Association, National Association of ACOs and Premier. The Value in Health …

Federation of American Hospitals

Providers support Value in Health Care Act that amends MACRA payment model | Healthcare Finance | 7/28/2020

… ACOs, addresses ACOs’ “rural glitch,” and restarts the ACO Investment Model, the providers said. The letter was signed by the American Academy of Family Physicians , American College of Physicians , American Hospital Association , American Medical Association , America’s Essential Hospitals, America’s Physician Groups, AMGA, Association of American Medical Colleges , Federation of American Hospitals, Health Care Transformation Task Force, Medical Group Management Association, National Association of ACOs and Premier. The Value in Health …

HIMSS

Cecelia Health welcomes Dan Dwyer as Senior Vice President, Sales | PRWeb | 7/23/2020

… US Navy and US Army, a graduate of Rutgers University, and an active member of several professional associations, which include HIMSS and HFMA. Dan is also a cancer survivor and an active volunteer at his … live rich, healthy and fulfilling lives. Cecelia Health partners with ACOs seeking to improve quality measures, and pharmaceutical and medical device companies seeking to improve adherence. Cecelia Health has also engaged in numerous joint initiatives …

Allscripts

25 key updates on Allscripts, Cerner, Epic, Meditech | Becker’s Hospital Review | 10/28/2020

… launched new products and continued go-lives at hospitals and health systems across the U.S. Here are 25 updates on Allscripts, Cerner, Epic and Meditech’s operations since August. Allscripts

  1. Allscripts partnered with health IT … CarePort provides post-acute outcomes management software to hospitals and ACOs and is included in Allscripts’ data, analytics and care coordination reporting segment.
  2. Strata Decision Technology completed its $365 million acquisition of Epsi, Allscripts

Cerner

25 key updates on Allscripts, Cerner, Epic, Meditech | Becker’s Hospital Review | 10/28/2020

… new products and continued go-lives at hospitals and health systems across the U.S. Here are 25 updates on Allscripts, Cerner, Epic and Meditech’s operations since August. Allscripts

  1. Allscripts partnered with health IT firm … CarePort provides post-acute outcomes management software to hospitals and ACOs and is included in Allscripts’ data, analytics and care coordination reporting segment.
  2. Strata Decision Technology completed its $365 million acquisition of Epsi, Allscripts …

HealthLynked

HealthLynked Corp. Announces ACO Health Partners Earns $768k in Shared Savings Revenue and a Fourfold Growth in Covered Medicare Beneficiaries | PR Newswire | 10/8/2020

NAPLES, Fla. HealthLynked Corp. (OTCQB: HLYK ), a global healthcare network focused on the care management of its members and healthcare technologies by connecting doctors, patients, and medical data, today announced ACO Health Partners, LLC, a … A market-based solution to combat fragmented and costly care, ACOs empower local physicians, hospitals, and other providers to work together and take responsibility for improving quality, enhancing patient experiences, and keeping care affordable. The …

Optum

Optum Complex Care Management Market Vice President Georgia - UnitedHealth Group - Atlanta, GA | 9/29/2020

… Apply Now Description The Market Vice President (VP) for Georgia Complex Care Management reports to the Regional President (RP) of Optum Complex Care Management for the East/Southeast Region. The VP is responsible for developing … provider groups in the post-acute space (Home Health, Hospitals, ACOs, etc). The ideal candidate resides in Georgia but could have the flexibility to telecommute as taking on this complex and multi-faceted market. Primary …

UnitedHealth

Optum Complex Care Management Market Vice President Georgia - UnitedHealth Group - Atlanta, GA | 9/29/2020

… management with the UHC Medicare and Medicaid business and external provider groups in the post-acute space (Home Health, Hospitals, ACOs, etc). The ideal candidate resides in Georgia but could have the flexibility to telecommute … to maximize revenue and profit Promotes a positive image of UnitedHealthcare and Optum with local providers, state regulators, and customers Ensures regulatory compliance Reviews expense drivers and create plans to reduce waste and increase the …

Aledade

By Helping Nearly a Million Patients Get Better Care, Aledade ACOs Have Saved More Than $400 Million in Wasteful Health Care Spending | PR Newswire | 9/23/2020

BETHESDA, Md. , Sept. 23, 2020 /PRNewswire/ – Today, Aledade, Inc. announced that its accountable care organizations (ACOs) with commercial payers, Medicaid, Medicare Advantage, and the Medicare Shared Savings Program (MSSP) have saved more than $400 million across the health care system in five years by helping patients receive higher-quality care, with over half of that value created in the past year. In 2019 alone, independent primary care practices in Aledade

Caravan Health

Caravan Health Collaborative ACOs Save Medicare $154 million, Earn $50+ million | PRWeb | 9/15/2020

Caravan Health Collaborative ACOs Save Medicare $154 million, Earn $50+ million Share Article Caravan’s ACOs brought home $50 million in shared savings and earned 94% in quality scores in 2019 “As we continue to face an extended public health emergency, our clients’ focus on delivering for their patients in unconventional ways helps them weather the unexpected,” said Tim Gronniger, Caravan Health President and CEO. KANSAS CITY, Mo. Medicare Shared Savings …

Privia Health

Privia Health Delivers CMS’ Medicare Shared Savings Program (MSSP) Results Demonstrating Improved Care and Lower System Costs Across All Markets | Business Wire | 9/15/2020

ARLINGTON, Va.–(BUSINESS WIRE)–Sep 15, 2020– Privia Health (“Privia”) announced today that each of its Accountable Care Organizations (ACOs) across the national Privia Quality Network delivered quality care and improved patient outcomes, achieving shared savings of $57 million through the Medicare Shared Savings Program (MSSP). The Privia Health ACOs provided high-value, cost-efficient care to more than 119,000 Medicare beneficiaries in 2019. These company-wide results reflect Privia’s …

Centene

Collaborative Health Systems ACOs Deliver $335 Million in Total Savings to Medicare Since 2012 | PR Newswire | 9/14/2020

Collaborative Health Systems ACOs Deliver $335 Million in Total Savings to Medicare Since 2012 89% of CHS ACOs Generate $41 Million in Total Savings for Medicare in 2019 News provided by Sep 14, 2020, 16:51 … Polen , Senior Vice President and CEO of Medicare Solutions for Centene Corporation. “Together, we have not only improved quality outcomes but delivered millions of dollars in shared savings to our provider partners and the Medicare …

4medica

Lyniate and 4medica Announce Referral Partnership to Enhance Data Integrity and Interoperability | PRWeb | 9/10/2020

Lyniate and 4medica Announce Referral Partnership to Enhance Data Integrity and Interoperability Share Article Leaders in Healthcare Data Interoperability, Patient Identification and Matching Establish Agreement to Help Provider Organizations Eliminate Duplicate Patient Files, Facilitate Seamless … identities. The company connects 40,000-plus physicians to hundreds of ACOs, HIEs, HINs, hospitals, health systems, laboratories, radiology imaging centers and payers nationwide. Learn more at http://www.4medica.com . Share article on social media or …

CVS

Cleveland Clinic and Aetna form Accountable Care Organization | Healthcare Finance | 8/21/2020

… health systems to value-based care models in which hospitals are financially rewarded for better outcomes and lower costs. Recently, ACOs have been adapting to policy changes in financial performance. In December 2018, the Centers … Toronto; Abu Dhabi, UAE; and London. Aetna is owned by CVS Health. ON THE RECORD “Given the current economic climate, employers are looking for a cost-effective, high quality insurance plan that also provides access …

Kno2

Kno2 Growth Lands them on 2020 Inc. 5000 List | PRWeb | 8/13/2020

Kno2 Growth Lands them on 2020 Inc. 5000 List Share Article Ranked No. 2107 of America’s Fastest-Growing Private Companies by Inc. Magazine Kno2’s inclusion in Inc 5000 is a direct result of the … messaging, Fast Interoperability Healthcare Resources (FHIR), patient care networks (Referrals, ACOs, HIEs), and other forms of exchange are standardized into simple send and receive workflows, from virtually any source. The innovative technology has the intelligence …

Cecelia Health

Cecelia Health Completes $13 Million Series B Financing to Transform Lives of People Living with Diabetes and Other Chronic Conditions | PRWeb | 8/13/2020

Cecelia Health Completes $13 Million Series B Financing to Transform Lives of People Living with Diabetes and Other Chronic Conditions Share Article Rittenhouse Ventures and Endo Investors lead oversubscribed round, joined by Boston Millennia Partners … and provide unique data-driven insights to health plans and ACOs seeking to improve quality measures, and pharmaceutical and medical device companies seeking to improve adherence. We employ an optimized mix of personal and digital …

Microsoft Health

Kno2 Growth Lands them on 2020 Inc. 5000 List | PRWeb | 8/13/2020

… at the most successful companies within the American economy’s most dynamic segment—its independent small businesses. Intuit, Zappos, Under Armour, Microsoft, Patagonia, and many other well-known names gained their first national exposure as honorees … messaging, Fast Interoperability Healthcare Resources (FHIR), patient care networks (Referrals, ACOs, HIEs), and other forms of exchange are standardized into simple send and receive workflows, from virtually any source. The innovative technology has the intelligence …

SPH Analytics

Quality Reviews and SPH Analytics Partner to Offer One Integrated Platform for Real-time Patient Experience and Hospital CAHPS Feedback | PRWeb | 8/12/2020

Quality Reviews and SPH Analytics Partner to Offer One Integrated Platform for Real-time Patient Experience and Hospital CAHPS Feedback Share Article Empowers health systems to conduct real-time service recovery while fulfilling CMS regulatory … Nexus Platform, providing insights and impact to integrated health networks, ACOs, hospitals, ambulatory care providers, physician groups, and health plans. SPH’s quality measure dashboards, financial risk measurement, healthcare survey and patient outreach solutions, and consulting …

Audacious Inquiry

Audacious Inquiry Marks a Decade as one of America’s Fastest-Growing Private Companies | PR Newswire | 8/12/2020

BALTIMORE , Aug. Audacious Inquiry, a national leader in care coordination technology and Inc. 5000 Hall of Fame member , today announced inclusion in the Inc. 5000 list for the 10th consecutive year. The Inc. 5000 ® is … and smart health information exchange among physicians, hospitals, health plans, ACOs, MCOs, and public health agencies for the benefit of over 60 million patients across the United States . Most recently, the company has been noted …

McKesson

Worldwide Healthcare Analytics Industry to 2027 - Growing Application of Analytics in Precision Medicine Presents Opportunities | PR Newswire | 7/24/2020

… financial analytics, clinical analytics, operational analytics & administrative analytics, and population health analytics), end-user (payer, provider, and accountable care organizations (ACOs)) and by geography. An in-depth analysis of the geographic scenario of the market … Corporation (U.S.), Health Catalyst (U.S.), IBM Corporation (U.S.), Inovalon (U.S.), McKesson Corporation (U.S.), MedeAnalytics, Inc. (U.S.), Microsoft Corporation (U.S.), UnitedHealthcare Group (U.S.), Oracle Corporation (U.S.), SAP SE ( Germany ), SAS Institute Inc. (U.S.), SCIOInspire, Corp. (U.S …

MedeAnalytics

Worldwide Healthcare Analytics Industry to 2027 - Growing Application of Analytics in Precision Medicine Presents Opportunities | PR Newswire | 7/24/2020

… financial analytics, clinical analytics, operational analytics & administrative analytics, and population health analytics), end-user (payer, provider, and accountable care organizations (ACOs)) and by geography. An in-depth analysis of the geographic scenario of the market … Catalyst (U.S.), IBM Corporation (U.S.), Inovalon (U.S.), McKesson Corporation (U.S.), MedeAnalytics, Inc. (U.S.), Microsoft Corporation (U.S.), UnitedHealthcare Group (U.S.), Oracle Corporation (U.S.), SAP SE ( Germany ), SAS Institute Inc. (U.S.), SCIOInspire, Corp. (U.S.), Tableau Software, Inc …

Epic Systems

Worldwide Healthcare Analytics Industry to 2027 - Growing Application of Analytics in Precision Medicine Presents Opportunities | PR Newswire | 7/24/2020

… financial analytics, clinical analytics, operational analytics & administrative analytics, and population health analytics), end-user (payer, provider, and accountable care organizations (ACOs)) and by geography. An in-depth analysis of the geographic scenario of the market … market are Allscripts Healthcare Solutions, Inc. (U.S.), Cerner Corporation (U.S.), Epic Systems Corporation (U.S.), Health Catalyst (U.S.), IBM Corporation (U.S.), Inovalon (U.S.), McKesson Corporation (U.S.), MedeAnalytics, Inc. (U.S.), Microsoft Corporation (U.S.), UnitedHealthcare Group (U.S.), Oracle …

McKesson Corporation

Worldwide Healthcare Analytics Industry to 2027 - Growing Application of Analytics in Precision Medicine Presents Opportunities | PR Newswire | 7/24/2020

… financial analytics, clinical analytics, operational analytics & administrative analytics, and population health analytics), end-user (payer, provider, and accountable care organizations (ACOs)) and by geography. An in-depth analysis of the geographic scenario of the market … Corporation (U.S.), Health Catalyst (U.S.), IBM Corporation (U.S.), Inovalon (U.S.), McKesson Corporation (U.S.), MedeAnalytics, Inc. (U.S.), Microsoft Corporation (U.S.), UnitedHealthcare Group (U.S.), Oracle Corporation (U.S.), SAP SE ( Germany ), SAS Institute Inc. (U.S.), SCIOInspire, Corp. (U.S …

GlaxoSmithKline

Microsoft deepens its healthcare presence: A timeline of the past year | Becker’s Hospital Review | 6/19/2020

… AI to address issues in healthcare. Sept. 19, 2019: Microsoft nominates Emma Walmsley, CEO of vaccine and medicine development company GlaxoSmithKline, to join its board of directors. Oct. 1, 2019: Novartis taps Microsoft to help … from EHRs, medical claims and lab systems to provide hospitals, ACOs and other healthcare organizations with a comprehensive, unified patient record. Feb. 24: Microsoft and Nuance make its jointly developed AI software, which listens to …

GE Healthcare

Healthcare IT Market Worth $511.06 Billion by 2027, Growing at a CAGR of 13.8% from 2019- Global Opportunity Analysis and Industry Forecasts by Meticulous Research® | Globe Newswire | 6/16/2020

… that support those models. Download Free Sample Report Now @ https://www.meticulousresearch.com/download-sample-report/cp_id=5084 Accountable Care Organization (ACOs) and value-based payment models are spurring the trend towards payer-provider mergers, partnerships … Inc. (U.S.), Epic Systems Corporation (U.S.), Dell Technologies Inc. (U.S.), GE Healthcare (U.S.), Cerner Corporation (U.S.), Oracle Corporation (U.S.), Cognizant Technology Solutions Corporation (U.S.), Nuance Communications, Inc. (U.S.), eClinicalWorks (U.S.) NextGen Healthcare, Inc. (U.S.), Computer …

Secure Exchange Solutions

ClinicalConnect HIE Launches Critical Real-Time Alerts | PR Newswire | 5/28/2020

ClinicalConnect HIE Launches Critical Real-Time Alerts Secure Exchange Solutions Notify Platform Delivers Enhanced Care Coordination to western Pennsylvania and Beyond News provided by May 28, 2020, 08:34 ET Share this article ROCKVILLE, Md. , May … post-acute care facilities, as well as Accountable Care Organizations (ACOs), public health and health plans. The technology delivers timely clinical data into provider workflows to improve efficiencies, quality of care and care coordination, while …

Updox

Aledade Empowers Primary Care ACOs With Updox’s Telehealth Virtual Office Visits | PR Newswire | 3/23/2020

BETHESDA, Md. and DUBLIN, Ohio Today, Aledade announced an arrangement with Updox to offer a comprehensive telehealth solution to Aledade’s national network of physician-led Accountable Care Organizations (ACOs). As physicians across the nation manage growing demands due to the COVID-19 pandemic, those practicing as part of Aledade’s network will now be able to offer patients timely telehealth visits. “While our partner physicians across the country manage an unprecedented …

Evolent Health

ACOs seek flexibility from CMS to mitigate losses due to coronavirus | FierceHealthcare | 3/16/2020

Accountable care organizations (ACOs) are seeking flexibility from the Trump administration on mitigating any financial losses that could arise from treating the burgeoning coronavirus outbreak. The concerns come as the coronavirus has spread to more … said Ashley Ridlon, senior vice president of health policy at Evolent Health, a value-based care consulting and services company. ACOs are also concerned about the calculation of the benchmark, which is what ACO healthcare …

Echo Health Ventures

Aledade Raises $64 Million Series C on Nationwide Growth of Value-Based Care Network | 4/20/2020

… ACOs). OMERS Growth Equity led the round, which included strategic investors California Medical Association , and returning investors Meritech Capital , Echo Health Ventures , CVF, and GV . “When we started Aledade nearly six years ago, we believed that value-based care was the only path forward for our health care system and a sustainable business model for independent primary care practices,” said Farzad Mostashari, MD, CEO and co-founder of Aledade. “Our …

Symphony Technology Group

SPH Analytics Ranked as Top Patient Experience Measurement Vendor in the Payer Market for the Third Consecutive Year | PRWeb | 11/26/2019

… Value™, and Population Engage™ solutions are built on the innovative Nexus™ Platform, providing insights and impact to integrated health networks, ACOs, hospitals, ambulatory care providers, physician groups, and health plans. SPH’s quality measure dashboards, financial … SPH Analytics is a portfolio company of the $3 billion Symphony Technology Group. For more information, call 1-866-460-5681 or visit SPHAnalytics.com. Share article on social media or email: View article via …

HCAP Partners

TCS Healthcare Technologies Releases ACUITYnxt 1.6 | PR Newswire | 11/26/2019

ACOs and other risk-bearing organizations. The TCS team of US-based clinicians and developers are recognized for their best-in-class managed care expertise and customer support. TCS Healthcare Technologies is an HCAP Partners portfolio company. SOURCE TCS Healthcare Technologies Related Links http://www.tcshealthcare.com …

Spectrum Equity

Boston Globe Names Definitive Healthcare a 2019 Top Place to Work | PRWeb | 11/21/2019

ACOs and HIEs; more than 4 billion commercial medical and Rx claims; 115,000 clinical trials; and 900 Canadian hospitals. The company’s data provides its 2,200+ clients with the analytics and insight needed to effectively segment and research the healthcare provider market. Definitive Healthcare is backed by 22C Capital, Advent International, and Spectrum Equity. For more information, or to trial the service, visit https://www.definitivehc.com/ . Media Contact Tory Waldron PR Manager …

Advent International

Boston Globe Names Definitive Healthcare a 2019 Top Place to Work | PRWeb | 11/21/2019

ACOs and HIEs; more than 4 billion commercial medical and Rx claims; 115,000 clinical trials; and 900 Canadian hospitals. The company’s data provides its 2,200+ clients with the analytics and insight needed to effectively segment and research the healthcare provider market. Definitive Healthcare is backed by 22C Capital, Advent International, and Spectrum Equity. For more information, or to trial the service, visit https://www.definitivehc.com/ . Media Contact Tory Waldron PR Manager …

William Blair

LHC Group, Inc. (LHCG) CEO Keith Myers on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 11/11/2019

… Call Participants Brian Tanquilut - Jefferies Joanna Gajuk - Bank of America Scott Fidel - Stephens Inc. Justin Bowers - Deutsche Bank Matt Larew - William Blair Frank Morgan - RBC Capital Markets Benjamin Mayo - UBS Operator Ladies and gentlemen, thank … of preferred provider agreements that we have entered into with ACOs across the country up to now around 40 of those. So we’ve got a lot of activity going on in that area. Operator Our …

Piper Jaffray

Viemed Healthcare, Inc. (VMD) CEO Casey Hoyt on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 11/10/2019

… 11:00 AM ET Company Participants Todd Zehnder - Chief Operating Officer Casey Hoyt - Chief Executive Officer Conference Call Participants Sarah James - Piper Jaffray Brooks O’Neil - Lake Street Capital Markets Nick Corcoran - Acumen Capital Doug Cooper - Beacon … Payors are more engaged than ever to form relationships with ACOs who are truly set up to save money. We are positioned with our data and service to be the value-based provider that these …

Merrill Lynch

Community Health Systems, Inc. (CYH) CEO Wayne Smith on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 10/30/2019

… Officer Conference Call Participants A.J. Rice - Credit Suisse Josh Raskin - Nephron Research Ralph Giacobbe - Citi Kevin Fischbeck - Bank of America Merrill Lynch Anthony Makdessi - JPMorgan Steve Tanal - Goldman Sachs Operator Ladies and gentlemen, thank you … including physician practices, the transfer program, accountable care organizations or ACOs, inpatient investments, access point development, as well as others. Key to our same-store volume improvements include targeted access point investments, as well as …

Goldman Sachs

Community Health Systems, Inc. (CYH) CEO Wayne Smith on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 10/30/2019

… Suisse Josh Raskin - Nephron Research Ralph Giacobbe - Citi Kevin Fischbeck - Bank of America Merrill Lynch Anthony Makdessi - JPMorgan Steve Tanal - Goldman Sachs Operator Ladies and gentlemen, thank you for standing by and welcome to Community … including physician practices, the transfer program, accountable care organizations or ACOs, inpatient investments, access point development, as well as others. Key to our same-store volume improvements include targeted access point investments, as well as …

Morgan Stanley

UnitedHealth Group Incorporated (UNH) CEO David Wichmann on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 10/15/2019

… Wells Fargo Josh Raskin - Nephron Research Frank Morgan - RBC Capital Markets Lance Wilkes - Bernstein Steve Tanal - Goldman Sachs Ricky Goldwasser - Morgan Stanley Charles Rhyee - Cowen Sarah James - Piper Jaffray Kevin Fischbeck - Bank of America A.J … had for a while. But, as is the case of ACOs, they’ve had to be shipped down over time to make those performance-based networks more effective. And so, that is starting to gain nice …

Citigroup

Evolent Health, Inc. (EVH) CEO Frank Williams on Q2 2019 Results - Earnings Call Transcript | Seeking Alpha | 8/7/2019

… Gillmor - Robert W. Baird & Co. Richard Close - Canaccord Genuity Corp. Mohan Naidu - Oppenheimer Charles Rhyee - Cowen and Company Stephanie Demko - Citigroup Operator Welcome to Evolent Health Earnings Conference Call for the quarter ended June 30 … were providing our full suite of health plan services. Medicare ACOs that need to integrate solutions to effectively engage patients with chronic conditions, and comprehensive Oncology Specialty Management Services for Medicaid plan with rapidly rising …

RBC Capital Markets

Community Health Systems’ (CYH) CEO Wayne Smith on Q2 2019 Results - Earnings Call Transcript | Seeking Alpha | 8/6/2019

… Hingtgen – President and Chief Operating Officer Tom Aaron – Executive Vice President and Chief Financial Officer Conference Call Participants Frank Morgan – RBC Capital Markets A.J. Rice – Credit Suisse Josh Raskin – Nephron Research Brian Tanquilut – Jefferies Ralph … operating initiatives, including the transfer program, accountable care organizations or ACOs, inpatient investments, access points, patient connectivity, our service line enhancements and others, are helping to drive improved performance. On today’s call, I will talk …

Veritas Capital

Two months after going private, Athenahealth trims workforce as part of reorganization | FierceHealthcare | 4/24/2019

… decrease bureaucracy and consolidate capabilities” as part of a reorganization just two months after the company was taken private by Veritas Capital. The company said the layoffs, announced to employees on April 23, would impact … assets that Veritas acquired in 2018. Conference 13th Partnering with ACOS & IDNS Summit This two-day summit taking place on June 10–11, 2019, offers a unique opportunity to have invaluable face-to-face time …

Arsenal Capital Partners

Petsky Prunier Advises Hayes on its Sale to TractManager | Business Wire | 11/17/2017

NEW YORK- Petsky Prunier is pleased to announce it has advised Hayes, Inc., an industry leader in providing clinically-focused, evidence-based research and analysis to health plans, insurers, hospitals, healthcare systems, accountable care organization (ACOs), and government agencies, on its sale to TractManager, Inc., the healthcare industry’s largest supplier of strategic sourcing and contract lifecycle management (CLM) solutions, a portfolio company of Arsenal Capital Partners. Hayes, based in Lansdale …

Mercy Health

10 ACOs with the most shared savings in 2019 | Becker’s Hospital Review | 9/15/2020

10 ACOs with the most shared savings in 2019 Morgan Haefner - Print Email Medicare Shared Savings Program ACOs generated a record $1.2 billion in net savings for the Medicare program across 541 ACOs in 2019 … 4. Millennium Accountable Care Organization (Fort Myers, Fla.) — $26.3 million5. Mercy Health ACO (St. Louis) — $24.2 million6. Silver State ACO (Las Vegas) — $23.4 million 7. McLaren High Performance Network (Auburn Hills, Mich.) — $17.3 million 8 …

Cleveland Clinic

Cleveland Clinic and Aetna form Accountable Care Organization | Healthcare Finance | 8/21/2020

They are also launching a co-branded commercial insurance plan called the Aetna Whole Health-Cleveland Clinic plan. Susan Morse , Managing Editor Photo of Cleveland Clinic by Douglas Sacha The Cleveland Clinic and Aetna have … are financially rewarded for better outcomes and lower costs. Recently, ACOs have been adapting to policy changes in financial performance. In December 2018, the Centers for Medicare and Medicaid Services finalized rules forcing ACOs to …

Cleveland Clinic, Cleveland OH

Cleveland Clinic and Aetna form Accountable Care Organization | Healthcare Finance | 8/21/2020

They are also launching a co-branded commercial insurance plan called the Aetna Whole Health-Cleveland Clinic plan. Susan Morse , Managing Editor Photo of Cleveland Clinic by Douglas Sacha The Cleveland Clinic and Aetna have … are financially rewarded for better outcomes and lower costs. Recently, ACOs have been adapting to policy changes in financial performance. In December 2018, the Centers for Medicare and Medicaid Services finalized rules forcing ACOs to …

Mount Sinai Health System

Medicare ACOs raise concerns about proposed quality reporting changes | Modern Healthcare | 8/7/2020

… proposed physician fee schedule rule released Aug. 3, CMS proposed three main changes related to quality: a new mechanism for ACOs to report quality measures, a reduction in the Medicare Shared Savings Program’s required measures … Dr. Robert Fields, chief medical officer of population health at Mount Sinai Health System in New York, which has a Medicare ACO with just under 50,000 Medicare beneficiaries. “You can sometimes water down a program …

Ascension

Lakeland Medical Center has the best value outcomes for Renal Failure in Saint Joseph, MI | PRWeb | 7/21/2020

Ascension Borgess Hospital , and Bronson Methodist Hospital . Dexur’s value analysis tracks a patient’s episode of care from the date of admission for 90 days and includes the index hospitalizations, rehospitalization, home health, nursing home, and ED costs. Total cost of care data helps patients make appropriate choices and helps local ACOs, such as Federation ACO, LLC, make appropriate referral choices. The analysis was risk-adjusted, for alive and non-hospice …

Medical Center, Macon GA

Lakeland Medical Center has the best value outcomes for Renal Failure in Saint Joseph, MI | PRWeb | 7/21/2020

Lakeland Medical Center has the best value outcomes for Renal Failure in Saint Joseph, MI Share Article Dexur analyzed Medicare claims data of hospitals within a 50-mile radius of Saint Joseph, Michigan, to rank … care data helps patients make appropriate choices and helps local ACOs, such as Federation ACO, LLC, make appropriate referral choices. The analysis was risk-adjusted, for alive and non-hospice patients and was done at …

Intermountain Healthcare

Castell Partners with Arcadia to Elevate Value-Based Care Performance | PR Newswire | 6/30/2020

GDPR Castell Partners with Arcadia to Elevate Value-Based Care Performance Castell, a new healthcare platform company from Intermountain Healthcare, successfully used Arcadia Analytics COVID-19 Surveillance and Engagement Toolkit; will share lessons for recovery … capabilities for providers, payers, healthcare systems and accountable care organizations (ACOs). Castell selected Arcadia Analytics as the healthcare technology and analytics foundation to support its comprehensive approach to helping organizations accelerate the transition from volume …

MaineHealth

MaineHealth ACO execs show how they used predictive analytics to reduce ED utilization | Healthcare IT News | 6/25/2020

They dug in to find data that showed their emergency department usage rate per thousand was significantly higher compared to other ACOs. Then it was time to strategize. June 25, 2020 12:07 PM MaineHealth Accountable Care Organization is a network of 10 hospitals, 378 practice locations and 1,600 healthcare providers dedicated to measurably increasing the quality and decreasing the cost of care for 380,000 patients in Maine and northern New …

LHC Group

Home Health Providers Near Turning Point in ACO Relationships | Home Health Care News | 6/11/2020

Many agencies have struggled to be chosen for ACOs, and those who have been chosen have struggled to be compensated fairly. There are a few exceptions. For example, New England home health provider VNA Care’s involvement with nonprofit ACO Atrius Health has helped generate millions in savings . Massachusetts-based home health provider Nizhoni Health has similarly had success working with ACO partners. Then there’s LHC Group. The Lafayette, Louisiana-based …

Atrius Health

Home Health Providers Near Turning Point in ACO Relationships | Home Health Care News | 6/11/2020

Many agencies have struggled to be chosen for ACOs, and those who have been chosen have struggled to be compensated fairly. There are a few exceptions. For example, New England home health provider VNA Care’s involvement with nonprofit ACO Atrius Health has helped generate millions in savings . Massachusetts-based home health provider Nizhoni Health has similarly had success working with ACO partners. Then there’s LHC Group. The Lafayette, Louisiana-based …

Memorial Healthcare System

Memorial Healthcare System Acquires Broward Guardian to Further Innovate within Value-Based Care Model | PRWeb | 5/27/2020

Memorial Healthcare System Acquires Broward Guardian to Further Innovate within Value-Based Care Model Share Article The acquisition allows Memorial to support the continued development of a vibrant network of community-based, primary care physicians to coordinate care for Medicare patients, while providing physicians the necessary resources to become successful in the emerging value-based healthcare model. Memorial Regional Hospital, the flagship hospital of the Memorial Healthcare System “We’re positioned …

Lake Chelan Community Hospital, Chelan WA

Wanda Health’s Rapid Deployment Telehealth for COVID-19 Screening and Care Management Selected by FL and WA Providers | 4/9/2020

… ACOs, MSOs. The second provider is Washington based Lake Chelan Community Hospital and Clinics providing care for patients in rural communities. These providers are using the COVID-19 Telehealth programs and Wanda Health’s other chronic disease management programs, to help extend their ability to readily provide patients and quarantined individuals with automated symptom screening and remote ongoing care management for those who are symptomatic or have tested positive to the …

WakeMed Health & Hospitals

WakeMed Joins Caravan Health Collaborative ACO for 2020 | PRWeb | 3/11/2020

… patients,” said Tim Gronniger, Caravan Health CEO and President. KANSAS CITY, Mo. Today, Caravan Health announced a new collaboration with WakeMed Health & Hospitals , a leading health system based in Raleigh, N.C., to provide patients greater … make even better decisions for our patients.” Caravan Health-affiliated ACOs are national leaders in delivering quality and reducing total costs for Medicare, saving the program an average of $173 per patient each year, and …

Trinity Health

Trinity Health ACO Delivers $22.4M in Share Shavings, 98% Quality Performance Score | HIT Consultant | 1/16/2020

Trinity Health ACO achieved a nearly 98 percent quality performance score and $22.4 million in shared savings in the performance year 2018. The Next Generation ACO Model was created by the Centers for Medicare & Medicaid … percent quality performance in the performance year 2018. Next Generation ACOs like Trinity Health ACO are patient-centered organizations in which providers have access to better information about their patients’ medical histories and better relationships …

Geisinger

Five Health Care Trends For 2020 | Health Affairs | 1/13/2020

… new approaches like direct contracting , which blend program aspects of the Medicare Shared Savings Program, Next Generation Accountable Care Organizations (ACOs), and risk-sharing models prevalent in Medicare Advantage to expand capitated and global payment … own, like Advent Health, Banner Health, Texas Health Resources and Geisinger Health have done. Or they can be ready to make the case for their inclusion in an insurance company’s network with demonstrable results related …

Hartford HealthCare

Innovaccer Ranked Among Fastest Growing Companies in North America on Deloitte’s 2019 Technology Fast 500™ | PR Newswire | 11/15/2019

… been deployed across more than 500 locations with over 10,000 providers leveraging it at institutions, governmental organizations, and several corporate enterprises such as Mercy ACO, StratiFi Health, UniNet Healthcare Network, Catalyst Health Network, Hartford Healthcare, and Osler Health Network. Innovaccer is based in San Francisco with offices around the United States and Asia . About Deloitte Deloitte refers to one or more of Deloitte Touche Tohmatsu Limited, a UK private company …

Premier Health

Chapters Health System Names New Chief Business Development Officer | PRWeb | 11/12/2019

… added Dave O’Neil, chief financial officer at Chapters Health. For the past eight years, Delp consulted in the areas of ACOs, population health and value-based outcomes for healthcare organizations across the United States. Prior … payors. About Chapters Health System As a progressive leader and premier health system, Chapters Health System is dedicated to delivering innovative home health, palliative and hospice care along with durable medical equipment and pharmacy services …

Harvard Medical School

Viemed Healthcare, Inc. (VMD) CEO Casey Hoyt on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 11/10/2019

… of studies, Dr. Frazier worked very hard in the third quarter to produce a poster presentation at the Precision and Harvard Medical School study and he presented at the world’s largest pulmonary conference, CHEST. The … Payors are more engaged than ever to form relationships with ACOs who are truly set up to save money. We are positioned with our data and service to be the value-based provider that these …

Dignity Health

American Well® Acquires Aligned Telehealth to Expand Behavioral Health Virtual Care | PR Newswire | 11/7/2019

… Client Satisfaction – Leading healthcare organizations have achieved proven success using Aligned Telehealth’s behavioral telehealth and telepsychiatry services. Key accounts include Dignity Health, Christus Health and many others. “The increased utilization of telehealth is re-shaping … programs. The company provides customized programs for accountable care organizations (ACOs) and health plans tailored toward delivering high-quality and cost-effective behavioral health solutions that put the patient at the center of care. Through …

Franciscan Health

Franciscan ACO High-Quality Performance Results in $14.4 Million Savings | Globe Newswire | 11/7/2019

November 07, 2019 11:30 ET Source: Franciscan Health INDIANAPOLIS, Indiana, Nov. 07, 2019 (GLOBE NEWSWIRE) – Franciscan Accountable Care Organization (ACO) Inc . – a statewide care coordination initiative of Franciscan Health – has earned high marks for its … 100 percent, outperforming the average quality score of 559 MSSP ACOs, and generating a savings of $14.4 million for CMS in 2018. Franciscan ACO is among only 37 percent of MSSP participating health systems to …

Kaiser Permanente

Going Below The Surface Forum Targeting Low-Value Care, Spurring Dialogue to Help Contain Health Costs | PR Newswire | 11/6/2019

Kaiser Permanente National Association of ACOs National Coalition on Health Care National Comprehensive Cancer Network National Health Council National Pharmaceutical Council NEHI (Network for Excellence in Health Innovation) Pharmacy Quality Alliance Walgreens Boots Alliance The Forum was borne from the National Pharmaceutical Council’s Going Below the Surface initiative, a research-first endeavor intended to engage stakeholders across the health care ecosystem in conversation about health care spending in the United …

Community Health Systems

Community Health Systems, Inc. (CYH) CEO Wayne Smith on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 10/30/2019

Community Health Systems, Inc. (NYSE: CYH ) Q3 2019 Earnings Conference Call October 30, 2019 11:00 AM ET Company Participants Ross Comeaux - Vice President of Investor Relations Wayne Smith - Chairman & Chief Executive Officer Tim Hingtgen - President … including physician practices, the transfer program, accountable care organizations or ACOs, inpatient investments, access point development, as well as others. Key to our same-store volume improvements include targeted access point investments, as well as …

Howard University Hospital

Howard University Hospital Opens New Women, Infants and Children (WIC) Center for Military Families | PR Newswire | 6/28/2019

WASHINGTON , June 28, Howard University Hospital (HUH) today announced the opening of a new Women, Infants and Children (WIC) Family Center at the Joint Base Anacostia –Bolling (JBAB), located at 53 MacDill Boulevard (Building 53) SW, Washington, D.C. The new center will provide low income, military families with infants and children access to healthy foods, nutritional and educational counseling, breastfeeding support, health care and immunization resources, and community-based social …

Department of Veterans Affairs

Senators move to ramp up oversight of VA’s $16B EHR project | FierceHealthcare | 4/19/2019

by Heather Landi Apr 19, 2019 1:30pm Lawmakers are taking steps to provide more oversight of the Department of Veterans Affairs’ implementation of a new electronic health records system. (vadimguzhva/Getty Images) Lawmakers have made … Defense, according to a press release. Conference 13th Partnering with ACOS & IDNS Summit This two-day summit taking place on June 10–11, 2019, offers a unique opportunity to have invaluable face-to-face time …

Atlantic Health System

Atlantic Health System Opens Scoliosis and Spinal Deformity Center | PRWeb | 12/19/2017

Atlantic Health System today announced the opening of the Scoliosis and Spinal Deformity Center at Atlantic Orthopedic Institute. The Center was developed to provide exemplary medical care and care management to adults and children with … sponsors the Atlantic Accountable Care Organization, one of the larger ACOs in the nation, and Optimus Healthcare Partners …

Centene Corp

Collaborative Health Systems ACOs Deliver $335 Million in Total Savings to Medicare Since 2012 | PR Newswire | 9/14/2020

Collaborative Health Systems ACOs Deliver $335 Million in Total Savings to Medicare Since 2012 89% of CHS ACOs Generate $41 Million in Total Savings for Medicare in 2019 News provided by Sep 14, 2020, 16:51 … Polen , Senior Vice President and CEO of Medicare Solutions for Centene Corporation. “Together, we have not only improved quality outcomes but delivered millions of dollars in shared savings to our provider partners and the Medicare …

Aetna

Cleveland Clinic and Aetna form Accountable Care Organization | Healthcare Finance | 8/21/2020

They are also launching a co-branded commercial insurance plan called the Aetna Whole Health-Cleveland Clinic plan. Susan Morse , Managing Editor Photo of Cleveland Clinic by Douglas Sacha The Cleveland Clinic and Aetna have … are financially rewarded for better outcomes and lower costs. Recently, ACOs have been adapting to policy changes in financial performance. In December 2018, the Centers for Medicare and Medicaid Services finalized rules forcing ACOs to …

Independent Health

Blue Cross NC to pay primary care practices to weather COVID-19 | Modern Healthcare | 6/24/2020

… for primary care. A growing number of insurers are helping providers stay open during the COVID crisis. Buffalo, N.Y.-based Independent Health increased its payments to primary care practices to help them maintain a monthly … company that helps primary care practices form commercial and Medicare ACOs. Blue Cross NC’s value-based program holds physicians accountable for the total cost and quality of care through upside and downside risk. “Independent primary …

Health Net

MIB Partners with the Utah Health Information Network | PR Newswire | 6/23/2020

… disparate health systems, EHRs, PMs and other IT systems. By driving the adoption of innovative technologies and promoting a community of collaboration and inclusiveness, we are bringing together healthcare providers, hospitals, health plans, ACOs, government organizations and more to share vital patient information. For more information, visit www.uhin.org . Media Contacts: David O. Aronson, MIB Group, Inc. [email protected] , 781.751.6130 Spencer Healey, UHIN, [email protected] , 801.227.9650 SOURCE MIB Group, Inc. Related …

Humana

Humana and Healthmap Solutions Sign Agreement for Kidney Disease Care Coordination Services in Florida | Business & Finance | heraldchronicle.com | Business Wire | 5/20/2020

Humana and Healthmap Solutions Sign Agreement for Kidney Disease Care Coordination Services in Florida May 20, 2020 Save LOUISVILLE, Ky. & TAMPA, Fla.–(BUSINESS WIRE)–May 20, 2020– Leading health and well-being company Humana Inc … disease, serving health plans, as well as accountable care organizations (ACOs) and provider groups seeking value-based solutions that improve the clinical care and financial performance for high-risk, high-cost kidney patient populations. The …

MassHealth

Community Servings Completes $25 Million Expansion Project to Transform Medically Tailored Meals Program | PR Newswire | 12/17/2019

… ACOs) that will soon begin covering health-related social needs for certain members of MassHealth (Medicaid). Community Servings prepares meals to meet 15 types of diets, all overseen by registered dietitian nutritionists, for clients battling 35 different illnesses, including HIV/AIDS, cancer, kidney disease, diabetes and heart disease. More than half of the clients have multiple illnesses, and 94 percent are living in poverty. Meals are made from scratch, delivered …

Prominence Health Plan

UHS ACOs Saved Medicare $65.2 million in 2018 | 11/22/2019

Prominence Health Plan, a subsidiary of Universal Health Services (UHS), announced the 2018 results of its seven UHS Accountable Care Organizations (ACOs) showing a continued trend of increased cost savings and improved quality. In 2018, the ACOs saved Medicare $65.2 million, earning $30 million for its 3,000 participating physicians. Since the establishment of the first UHS ACO in 2014, the entities have saved more than $113M and averaged a 96 …

The Health Plan

SPH Analytics Announces Launch of IgniteMIPS Next Generation User Experience | PRWeb | 11/12/2019

… Value™, and Population Engage™ solutions are built on the innovative Nexus™ Platform, providing insights and impact to integrated health networks, ACOs, hospitals, ambulatory care providers, physician groups, and health plans. SPH’s quality measure dashboards, financial … health vendor by KLAS, top-ranked satisfaction measurement firm in the health plan market by Modern Healthcare, and ranked number one in MACRA and MIPS Support Technology for Value-Based Care by Black Book Research …

UnitedHealthcare

SMALL GROUP SURVEY 2019 compiled by Thora | 11/7/2019

… even if they have to pay for some of those benefits themselves. Tim Rhatigan , Senior Vice President of Small Business UnitedHealthcare of California: Employers are increasingly looking for ways to help provide their workforces with … instance, UnitedHealthcare has developed more than 1,000 accountable care organizations (ACOs). We have seen that the most effective ACOs perform better than non-ACOs on 87% of the most common quality measures, including reducing hospital …

Wellcare

Collaborative Health Systems Launches New Population Health Management Platform, Supports Physician Groups in Advancing Value-Based Care | PR Newswire | 11/4/2019

TAMPA and ORLANDO, Fla. , Nov. 4, Collaborative Health Systems (CHS), a WellCare Health Plans, Inc. (NYSE: WCG ) company, announced today it has invested in a new population health management software platform through a partnership with … care models, including those who participate in Accountable Care Organizations (ACOs), Independent Practice Associations (IPAs) and the Maryland Primary Care Program. Through the platform, providers will have access to the following tools: Care Coordination and …

Cigna

The speed of transformation: Preparing for the payment models of tomorrow | Modern Healthcare | 11/4/2019

… is crucial to every organization’s sustainability and success. Value-based care no longer qualifies as an experiment. Accountable care organizations (ACOs) already cover nearly 33 million Americans — about 10% of the population. 1 All but … tied to such arrangements every year. 8 Other payers — Aetna, Cigna and Humana among them — are on a similar trajectory. 9 The Blue Cross Blue Shield plans say their value-based care programs now reach …

WellCare Health

Collaborative Health Systems Launches New Population Health Management Platform, Supports Physician Groups in Advancing Value-Based Care | PR Newswire | 11/4/2019

TAMPA and ORLANDO, Fla. , Nov. 4, Collaborative Health Systems (CHS), a WellCare Health Plans, Inc. (NYSE: WCG ) company, announced today it has invested in a new population health management software platform through a partnership with … care models, including those who participate in Accountable Care Organizations (ACOs), Independent Practice Associations (IPAs) and the Maryland Primary Care Program. Through the platform, providers will have access to the following tools: Care Coordination and …

Fidelis Care

Healthy Alliance Independent Practice Association, Innovative Health Alliance of New York, and Fidelis Care Join Forces to Improve Health by Addressing Social Determinants of Health | PR Newswire | 9/23/2019

… N.Y. , Sept. 23, 2019 /PRNewswire/ – Healthy Alliance Independent Practice Association (IPA), Innovative Health Alliance of New York , LLC (IHANY), and Fidelis Care are partnering to provide critical funding and careful coordination of services to Medicaid … a central point of contact to connect medical providers, CBOs, ACOs such as IHANY, and managed care organizations such as Fidelis Care , together. By serving as a central point of contact between these diverse organizations …

Seema Verma

CMS Releases 2019 Medicare Shared Savings Program Accountable Care Organization Program Results | 9/28/2020

CMS Administrator Seema Verma announced the 2019 financial and quality results for Accountable Care Organization (ACOs) in the Medicare Shared Savings Program (MSSP) in a Health Affairs Blog post on September 14, 2020. According to Verma, the 541 ACOs in the MSSP generated $1.19 billion in total net savings for Medicare in 2019—the largest annual savings to date. These savings were largely driven by reductions in spending on post …

Farzad Mostashari

By Helping Nearly a Million Patients Get Better Care, Aledade ACOs Have Saved More Than $400 Million in Wasteful Health Care Spending | PR Newswire | 9/23/2020

BETHESDA, Md. , Sept. 23, 2020 /PRNewswire/ – Today, Aledade, Inc. announced that its accountable care organizations (ACOs) with commercial payers, Medicaid, Medicare Advantage, and the Medicare Shared Savings Program (MSSP) have saved more than $400 million … practices you could change the face of health care,” said Farzad Mostashari , MD, CEO and co-founder of Aledade. “Those primary care practices are delivering on that promise. Thanks to years of hard work and …

Clif Gaus

Most ACOs Worried About Rising Advanced APM Thresholds Next Year | RevCycle Intelligence | 9/22/2020

Value-Based Care News Most ACOs Worried About Rising Advanced APM Thresholds Next Year By failing to meet new Advanced APM thresholds, the ACOs will not receive the 5% incentive payment, which they say has … period. “These bonuses are critical to Medicare’s value movement,” said Clif Gaus, ScD, NAACOS president and CEO. “The current thresholds are a challenge for many ACOs. To increase them again in 2021 would put the …

Robert King

Lawmakers seek to ease increase in threshold for quality bonus payments due to COVID-19 | FierceHealthcare | 9/21/2020

by Robert King Sep 21, 2020 4:40pm Lawmakers are pressing House leadership to include a provision in the next COVID-19 relief package that eases the qualifying thresholds to get advance payment model bonus payments … in advance payment models (APMs) such as accountable care organizations (ACOs). Currently, to get a bonus for participation in an advance APM, 50% of a provider’s revenue must come through the APM and the rest …

Peter Welch

Lawmakers seek to ease increase in threshold for quality bonus payments due to COVID-19 | FierceHealthcare | 9/21/2020

… issues with COVID-19 could make it harder for participants in advance payment models (APMs) such as accountable care organizations (ACOs). Currently, to get a bonus for participation in an advance APM, 50% of a … signers on the letter are Reps. Roger Marshall, R-Kansas; Peter Welch, D-Vermont; and Darin LaHood, R-Illinois. Lawmakers call for House leadership to include a fix for the qualification cliff in the next …

Shawn Morris

Privia Health Delivers CMS’ Medicare Shared Savings Program (MSSP) Results Demonstrating Improved Care and Lower System Costs Across All Markets | Business Wire | 9/15/2020

ARLINGTON, Va.–(BUSINESS WIRE)–Sep 15, 2020– Privia Health (“Privia”) announced today that each of its Accountable Care Organizations (ACOs) across the national Privia Quality Network delivered quality care and improved patient outcomes, achieving shared … where and how patients want to receive their care,“ said Shawn Morris, CEO, Privia Health. “These results are continued proof that the Privia national physician platform is transforming the healthcare delivery experience for patients and …

Tim Gronniger

Caravan Health Collaborative ACOs Save Medicare $154 million, Earn $50+ million | PRWeb | 9/15/2020

Caravan Health Collaborative ACOs Save Medicare $154 million, Earn $50+ million Share Article Caravan’s ACOs brought home $50 million in shared savings and earned 94% in quality scores in 2019 “As we continue to face an extended public health emergency, our clients’ focus on delivering for their patients in unconventional ways helps them weather the unexpected,” said Tim Gronniger, Caravan Health President and CEO. KANSAS CITY, Mo. Medicare Shared Savings …

Gregg Church

Lyniate and 4medica Announce Referral Partnership to Enhance Data Integrity and Interoperability | PRWeb | 9/10/2020

… integration and integrity solutions on the market. “We are excited to formalize our relationship with Lyniate through this partnership,” said Gregg Church, President at 4medica. “High data integrity and quality, as well as seamless integration … identities. The company connects 40,000-plus physicians to hundreds of ACOs, HIEs, HINs, hospitals, health systems, laboratories, radiology imaging centers and payers nationwide. Learn more at http://www.4medica.com . Share article on social media or …

Susan Morse

Cleveland Clinic and Aetna form Accountable Care Organization | Healthcare Finance | 8/21/2020

They are also launching a co-branded commercial insurance plan called the Aetna Whole Health-Cleveland Clinic plan. Susan Morse , Managing Editor Photo of Cleveland Clinic by Douglas Sacha The Cleveland Clinic and Aetna have … are financially rewarded for better outcomes and lower costs. Recently, ACOs have been adapting to policy changes in financial performance. In December 2018, the Centers for Medicare and Medicaid Services finalized rules forcing ACOs to …

Jon Elwell

Kno2 Growth Lands them on 2020 Inc. 5000 List | PRWeb | 8/13/2020

… and our customers that use Kno2 daily to assist in providing high quality care to their patients”, said Kno2 CEO Jon Elwell. “Kno2’s growth is not only a numerical achievement; more importantly, it demonstrates … messaging, Fast Interoperability Healthcare Resources (FHIR), patient care networks (Referrals, ACOs, HIEs), and other forms of exchange are standardized into simple send and receive workflows, from virtually any source. The innovative technology has the intelligence …

David Weingard

Cecelia Health Completes $13 Million Series B Financing to Transform Lives of People Living with Diabetes and Other Chronic Conditions | PRWeb | 8/13/2020

… Conditions Share Article Rittenhouse Ventures and Endo Investors lead oversubscribed round, joined by Boston Millennia Partners, SustainVC and G100 Capital David Weingard The market opportunity and demand for Cecelia Health’s telehealth solutions has grown exponentially … and provide unique data-driven insights to health plans and ACOs seeking to improve quality measures, and pharmaceutical and medical device companies seeking to improve adherence. We employ an optimized mix of personal and digital …

Amy Amick

Quality Reviews and SPH Analytics Partner to Offer One Integrated Platform for Real-time Patient Experience and Hospital CAHPS Feedback | PRWeb | 8/12/2020

… health systems increase their focus on performance improvement, real-time experience tracking becomes a valuable supplemental strategy for them,” said Amy Amick, President and CEO of SPH Analytics. “The needs of our health system clients … Nexus Platform, providing insights and impact to integrated health networks, ACOs, hospitals, ambulatory care providers, physician groups, and health plans. SPH’s quality measure dashboards, financial risk measurement, healthcare survey and patient outreach solutions, and consulting …

Donald Trump

Can CMS’ New CHART Model Add Telehealth to the Rural Health Agenda? | mHealth Intelligence | 8/12/2020

… Health Access and Rural Transformation) Model , unveiled this week by the Centers for Medicare & Medicaid Services in response to President Donald Trump’s Executive Order, “will empower rural communities to develop a system of care to … Request for Application (RFA) for up to 20 rurally focused ACOs expected to take part in the ACO Transformation Track will be posted in early 2021. Tagged …

Allison Brennan

Medicare ACOs raise concerns about proposed quality reporting changes | Modern Healthcare | 8/7/2020

… proposed physician fee schedule rule released Aug. 3, CMS proposed three main changes related to quality: a new mechanism for ACOs to report quality measures, a reduction in the Medicare Shared Savings Program’s required measures … do in terms of quality, it’s really too much,” said Allison Brennan, senior vice president of government affairs at the National Association of ACOs. The proposed changes to quality reporting and measures are part of …

Bruce Siegel

Providers support Value in Health Care Act that amends MACRA payment model | Healthcare Finance | 7/28/2020

… Bruce Siegel, president and CEO of America’s Essential Hospitals. It modifies performance metrics so participants aren’t competing against their own past success. It also provides greater technical support to ACO participants to cover the significant startup costs associated with program participation. It relaxes current thresholds for Advanced APM qualification. The bill also eliminates the artificial distinction between “high” and “low” revenue ACOs, addresses ACOs’ “rural glitch,” and restarts the ACO …

Jerry Penso

AMGA Calls for Medicare Shared Savings Program Changes Amid COVID-19 | RevCycle Intelligence | 7/14/2020

… CMS has instituted a number of changes to support providers and their patients during the national public health emergency,” CEO Jerry Penso, MD, MBA, AMGA president and CEO, in a press release . “But the work … 2020. However, a closer look by the National Association of ACOs (NAACOS) put that number closer to 35 after it determined that some of the “new entrants” had participated in the MSSP before. READ MORE …

Sean Carr

Castell Partners with Arcadia to Elevate Value-Based Care Performance | PR Newswire | 6/30/2020

… healthcare platform company from Intermountain Healthcare that elevates value-based capabilities for providers, payers, healthcare systems and accountable care organizations (ACOs). Castell selected Arcadia Analytics as the healthcare technology and analytics foundation to support its … performance in value-based care,” said Arcadia chief executive officer Sean Carroll . “We are excited to partner with an organization that combines proven clinical and operational insights from Intermountain with a fresh vision for engaging …

Sean Carroll

Castell Partners with Arcadia to Elevate Value-Based Care Performance | PR Newswire | 6/30/2020

… healthcare platform company from Intermountain Healthcare that elevates value-based capabilities for providers, payers, healthcare systems and accountable care organizations (ACOs). Castell selected Arcadia Analytics as the healthcare technology and analytics foundation to support its … performance in value-based care,” said Arcadia chief executive officer Sean Carroll . “We are excited to partner with an organization that combines proven clinical and operational insights from Intermountain with a fresh vision for engaging …

Dave Dirks

Castell Partners with Arcadia to Elevate Value-Based Care Performance | PR Newswire | 6/30/2020

… healthcare platform company from Intermountain Healthcare that elevates value-based capabilities for providers, payers, healthcare systems and accountable care organizations (ACOs). Castell selected Arcadia Analytics as the healthcare technology and analytics foundation to support its … in their time of need,” said Castell’s chief operating officer Dave Dirks . “Castell is designed to empower others as they shift to value and create future-proof care processes. Arcadia Analytics supplements our work in …

Jennifer Moore

MaineHealth ACO execs show how they used predictive analytics to reduce ED utilization | Healthcare IT News | 6/25/2020

… dug in to find data that showed their emergency department usage rate per thousand was significantly higher compared to other ACOs. Then it was time to strategize. June 25, 2020 12:07 PM MaineHealth Accountable Care … understand the root causes of their utilization. Kicking things off Jennifer Moore, president of MHACO, and her colleague Ashley Soule, senior program manager, ACO performance, discussed these efforts in a HIMSS20 Digital educational session, Tackling …

Kevin Conroy

What does the pandemic mean for NY’s accountable care organizations | Crain’s New York Business | 6/23/2020

… spending. They’re counting on Medicare to provide flexibility during an unprecedented year. Some patients of the more than 30 local ACOs have been hospitalized with serious cases of Covid-19 that will lead to expensive … a medical management—let alone a medical expense—perspective,” said Kevin Conroy, CareMount Medical’s chief financial officer and chief population health officer. CareMount ACO is part of Medicare’s Next Generation ACO program, in which providers …

Laura Dyrda

260+ Telehealth Companies to Know | 2020 | Becker’s Hospital Review | 6/22/2020

… working on complex cases or needing additional expertise and support. Here is a list of telehealth companies to know. Contact Laura Dyrda at to add a company to this list. 1-800MD (Charlotte, N.C.). 1.800MD offers … is a HIPAA compliant cloud-based platform that enables hospitals, ACOs, health plans, physicians and other authorized users to share a patient’s medical history. Ieso Digital Health (Cambridge, England). Ieso Digital Health provides digitally enhanced …

Dion Haynes

The Washington Post Names Aledade a 2020 Top Washington-Area Workplace | PR Newswire | 6/16/2020

… that are leaders in the Washington-area in terms of employee engagement and satisfaction,” said Washington Post Top Workplaces editor Dion Haynes. “We had a record number of employees participate in the survey this year … centers, and clinics to build and lead Accountable Care Organizations (ACOs) anchored in primary care. Through these ACOs, Aledade empowers physicians to stay independent, practice medicine like they’ve always wanted to, and thrive financially by …

Brad Smith

ACOs ask Innovation Center for clarity on payment models’ future | Modern Healthcare | 5/20/2020

Print Getty Images/Hero Images The National Association of ACOs sent a letter this week to the Center for Medicare and Medicaid Innovation seeking more information on the future of the direct contracting and Next … president of NAACOS, in a letter to Innovation Center Director Brad Smith. In the letter, Gaus asks Smith to extend the Next Generation ACO model for one more year in light of the absent Shared …

Jason Krantz

Definitive Healthcare’s Industry-Leading Customer Service and Satisfaction Recognized for the Second Consecutive Year | PRWeb | 5/18/2020

… how well and collaboratively we do it, is a tremendous point of pride for all of us at Definitive,” said Jason Krantz, founder and CEO of Definitive Healthcare. FRAMINGHAM, Mass. Definitive Healthcare , the leading provider … imaging centers; 85,500 long-term care facilities; 40,000 clinics; 1,800 ACOs and HIEs; and 5.7 billion medical commercial claims covering 315 million patient lives. The company’s data provides its 2,500 clients with the analytics and …

State of Washington

Mid-Atlantic Collaborative Care Generates $28 Million in Total Savings for the Medicare Shared Savings Program | PR Newswire | 9/14/2020

TAMPA, Fla. , FAIRFAX, Va. , ROCKVILLE, Md. , BALTIMORE and WASHINGTON Collaborative Health Systems announced today Mid-Atlantic Collaborative Care generated $28 million in total savings for the Medicare Shared Savings Program (MSSP) and $13.4 million in … outcomes for Medicare beneficiaries across the D.C. metro area.” Medicare ACOs are groups of doctors, hospitals and other healthcare providers who come together voluntarily to provide coordinated, high-quality care to their Medicare beneficiaries. The …

New York, New York

What does the pandemic mean for NY’s accountable care organizations | Crain’s New York Business | 6/23/2020

Reprints Print New York’s accountable care organizations are still unsure exactly how the pandemic ultimately will affect their patients’ health care spending. They’re counting on Medicare to provide flexibility during an unprecedented year. Some patients of the more than 30 local ACOs have been hospitalized with serious cases of Covid-19 that will lead to expensive medical bills. Others have been unable to visit their doctors, missing important health screenings …

State of New York

What does the pandemic mean for NY’s accountable care organizations | Crain’s New York Business | 6/23/2020

Reprints Print New York’s accountable care organizations are still unsure exactly how the pandemic ultimately will affect their patients’ health care spending. They’re counting on Medicare to provide flexibility during an unprecedented year. Some patients of the more than 30 local ACOs have been hospitalized with serious cases of Covid-19 that will lead to expensive medical bills. Others have been unable to visit their doctors, missing important health screenings …

Arcadia, California

Castell Partners with Arcadia to Elevate Value-Based Care Performance | PR Newswire | 6/30/2020

GDPR Castell Partners with Arcadia to Elevate Value-Based Care Performance Castell, a new healthcare platform company from Intermountain Healthcare, successfully used Arcadia Analytics COVID-19 Surveillance and Engagement Toolkit; will share lessons for recovery … capabilities for providers, payers, healthcare systems and accountable care organizations (ACOs). Castell selected Arcadia Analytics as the healthcare technology and analytics foundation to support its comprehensive approach to helping organizations accelerate the transition from volume …

State of Maine

MaineHealth ACO execs show how they used predictive analytics to reduce ED utilization | Healthcare IT News | 6/25/2020

They dug in to find data that showed their emergency department usage rate per thousand was significantly higher compared to other ACOs. Then it was time to strategize. June 25, 2020 12:07 PM MaineHealth Accountable Care Organization is a network of 10 hospitals, 378 practice locations and 1,600 healthcare providers dedicated to measurably increasing the quality and decreasing the cost of care for 380,000 patients in Maine and northern New …

York, Pennsylvania

260+ Telehealth Companies to Know | 2020 | Becker’s Hospital Review | 6/22/2020

… based behavioral healthcare staffing programs. The company partnered with Amwell in December 2018 to expand its capabilities. AMC Health (New York, N.Y.). For over 16 years, AMC Health has provided clinically proven, successful telehealth and … is a HIPAA compliant cloud-based platform that enables hospitals, ACOs, health plans, physicians and other authorized users to share a patient’s medical history. Ieso Digital Health (Cambridge, England). Ieso Digital Health provides digitally enhanced …

State of Texas

260+ Telehealth Companies to Know | 2020 | Becker’s Hospital Review | 6/22/2020

… 2 or level 3 NICU facilities and provides 24-hour access to advanced level 4 NICU specialists. Chiron Health (Austin, Texas). Chiron Health, a Medici company, offers technological solutions to improve patient satisfaction, streamline reimbursement … is a HIPAA compliant cloud-based platform that enables hospitals, ACOs, health plans, physicians and other authorized users to share a patient’s medical history. Ieso Digital Health (Cambridge, England). Ieso Digital Health provides digitally enhanced …

State of Massachusetts

Arcadia Adds Value-Based Care Operations Experts to Help ACOs & Health Plans Take on Greater Risk | PR Newswire | 6/16/2020

… Both leaders have deep, hands-on operational experience driving performance improvements under value-based contracting arrangements for accountable care organizations (ACOs) and health plans. Debbie Conboy is a key strategic partner for healthcare organizations implementing … 30 years of experience at Blue Cross Blue Shield of Massachusetts (BCBSMA), where she directed risk adjustment strategy and operations across all lines of BCBSMA and led risk adjustment initiatives that resulted in $50 million …

State of Utah

MIB Partners with the Utah Health Information Network | PR Newswire | 6/23/2020

… industry’s most trusted and secure resource for the exchange of medical information for underwriting, today announced an agreement with the Utah Health Information Network (UHIN) to securely make electronic health records available, upon patient consent … inclusiveness, we are bringing together healthcare providers, hospitals, health plans, ACOs, government organizations and more to share vital patient information. For more information, visit www.uhin.org . Media Contacts: David O. Aronson, MIB Group, Inc. [email protected …

Chicago, Illinois

25 key updates on Allscripts, Cerner, Epic, Meditech | Becker’s Hospital Review | 10/28/2020

… Israel, tapped Allscripts in August to provide and develop health IT software and solutions across its ARC Innovation Center in Chicago.

  1. Allscripts has contracted with 18 new physician practices for ambulatory and population health … CarePort provides post-acute outcomes management software to hospitals and ACOs and is included in Allscripts’ data, analytics and care coordination reporting segment.
  2. Strata Decision Technology completed its $365 million acquisition of Epsi, Allscripts …

Charlotte, North Carolina

260+ Telehealth Companies to Know | 2020 | Becker’s Hospital Review | 6/22/2020

… is a list of telehealth companies to know. Contact Laura Dyrda at to add a company to this list. 1-800MD (Charlotte, N.C.). 1.800MD offers businesses and individuals around-the-clock access to telehealth solutions throughout … is a HIPAA compliant cloud-based platform that enables hospitals, ACOs, health plans, physicians and other authorized users to share a patient’s medical history. Ieso Digital Health (Cambridge, England). Ieso Digital Health provides digitally enhanced …

Nashville, Tennessee

Ascension Saint Thomas West, Williamson Medical Center, and TriStar Southern Hills Medical Center have the best value outcomes for Sepsis in Nashville, TN | PRWeb | 6/30/2020

… Saint Thomas West, Williamson Medical Center, and TriStar Southern Hills Medical Center have the best value outcomes for Sepsis in Nashville, TN Share Article Dexur analyzed Medicare Claims data of hospitals within a 25-mile … care data helps patients make appropriate choices and helps local ACOs, such as Connected Care of East Tennessee, LLC, Ascension Care Management Health Partners Tennessee, and Cumberland ACO, LLC, make appropriate referral choices. The analysis …

Boston, Massachusetts

260+ Telehealth Companies to Know | 2020 | Becker’s Hospital Review | 6/22/2020

… via telehealth. It partnered with General Vision Services in 2018 to create a mobile eye center featuring ocular telehealth. 3Derm (Boston). 3Derm is an imaging system that takes pictures of a person’s skin and delivers … is a HIPAA compliant cloud-based platform that enables hospitals, ACOs, health plans, physicians and other authorized users to share a patient’s medical history. Ieso Digital Health (Cambridge, England). Ieso Digital Health provides digitally enhanced …