TFA Analytics’ Post

MA Star Ratings are changing, making it even more important to focus on the goals and values of people through processes like advance care planning. Advance care planning is an essential service all providers should deliver, especially when their clients are facing a serious medical illness or decision. It is being included more often as a component of bundled payment models for CMS, CMMI, and commercial payors. Not only does it help people feel heard and understood, but it improves the quality of care people receive. If you’re interested in how advance care planning can enhance your quality program, let’s talk! #advancecareplanning #healthequity #quality

CMS offers various ACO models such as MSSP, ACO REACH, and Primary Care Flex, designed to improve healthcare quality while lowering costs. Each model provides different levels of risk, reward, and flexibility, making them appealing to a wide range of providers. These ACO options are crucial for reaching the goal of having all Medicare beneficiaries in accountable care relationships by 2030. With the ACO REACH model scheduled to end in 2026, CMS should begin developing its transition plan for those organizations, prioritizing the continuation of key features that have proven successful in improving care and lowering costs. CMS should have a range of ACO model options so that providers can select the option that best fits their patient population and practice needs. To learn more, read our recent issue brief: https://lnkd.in/eBXVH5my

On October 29, 2024, CMS announced Performance Year 2023 results for accountable care organizations (ACOs) participating its Medicare Shared Savings Program (MSSP). Notably, MSSP ACOs garnered the largest net savings in MSSP’s history – more than $2.1 billion. This Health Capital Topics article discusses MSSP performance in 2023 and how this may inform value-based care going forward. https://lnkd.in/g-Vhi4Bs For more updates in healthcare, be sure to subscribe to the HC Topics e-journal here: https://lnkd.in/g4VS2F7r and for more information about HCC, visit www.healthcapital.com #accountablecare #ACO #Medicare #MSSP #healthcare #HCTopics

Check it out: Nick Hut highlighted in a Healthcare Financial Management Association (HFMA) piece some key moments from our webinar last month with Centers for Medicare & Medicaid Services officials and other health leaders. Learn more about their recently proposed changes for Medicare Part B payment: https://lnkd.in/e7HNaJbU

CMS recently introduced a new ACO model designed to ease the cost of setup for low-revenue ACOs focusing on primary care. For these organizations, a steady, predictable revenue stream can spell the difference between continuing to serve their communities and closing forever. In this Healthcare Business Today article, Lynn Carroll and Brian Norris explain the ACO Primary Care Flex Model, why it matters, and how to prepare if you want to be part of the program. Keep reading: https://lnkd.in/g9T__Yny

Delve into the groundbreaking potential of palliative care within ACO Flex! From revolutionizing patient outcomes to optimizing healthcare delivery, explore how this innovative approach is reshaping the future of healthcare. Discover more in this article from Palliative Care News: #PalliativeCare #HealthcareInnovation #ACOFlex #PatientCare

With Cohort 1 applications submitted for CMS’ AHEAD Medicare Fee-for-Service (FFS) global budget finance methodology, our team shares key considerations for health systems in states that may participate. Read the article: https://lnkd.in/gv2G7weG #healthcare #AHEAD #Medicare #healthsystems

With Cohort 1 applications submitted for CMS’ AHEAD Medicare Fee-for-Service (FFS) global budget finance methodology, our team shares key considerations for health systems in states that may participate. Read the article: https://lnkd.in/gv2G7weG #healthcare #AHEAD #Medicare #healthsystems

📰 Breaking News: Medicare Accountable Care Organizations can now access CMS shadow bundle data! Read our latest blog to learn why this is a unique opportunity for ACOs and clinically integrated networks. https://loom.ly/w6Hm9KE #DataGen #ACOs #CMS #AccountableCareOrganization #Medicare #Healthcare

Despite changes, we still spend far too much and get too little health -- especially in Medicare. There is a bright spot, though: physician-led groups who are rewarded for delivering preventive care that avoids costly hospitalizations. This model is not only helpful to patients, it can rejuvenate physician practices with simpler workflows, smoother reporting, and yes, more revenue (substantially more). Interested in learning how joining an ACO can help your practice thrive? Check out Aledade, Inc.