Accountable care organization

Aledade Saved Medicare More Than $572 Million In 2022

Retrieved on: 
Wednesday, September 20, 2023
ACO, Medicare Advantage, Medicaid, CMS, Depression, Centers for Medicare & Medicaid Services, Accountable care organization, Acos, Cigna, CareFirst BlueCross BlueShield, Medicare, Community, Center for Medicare and Medicaid Innovation, Patient, Colorectal cancer, GuideWell, Commercial, Royal Voluntary Service, Health insurance, MSSP, Humana, MD

In addition to being the largest network of independent primary care in the country, Aledade also had the most successful accountable care organizations (ACO) in the country.

Key Points: 
  • In addition to being the largest network of independent primary care in the country, Aledade also had the most successful accountable care organizations (ACO) in the country.
  • Practices in Aledade ACOs earned $294 per Medicare beneficiary - roughly double the average hospital-led ACO savings of $140 per Medicare beneficiary across the MSSP.
  • That means the average-sized primary care practice working with Aledade earned $218,219 in shared savings payments for providing more proactive, preventive primary care in 2022.
  • Mississippi practices working with Aledade led the nation in providing Annual Wellness Visits to their patients and earned shared savings payments of more than $26 million.

WellSpan Health ACO earns high performance, savings under Medicare Shared Savings Program

Retrieved on: 
Monday, September 18, 2023
ACO, CMS, South Central Pennsylvania, Centers for Medicare & Medicaid Services, Accountable care organization, WellSpan Health, Center for Medicare and Medicaid Innovation, Acos, Medicare, Patient, Physician, Health, Health insurance

York, Pa., Sept. 18, 2023 (GLOBE NEWSWIRE) -- WellSpan Health’s Medicare Accountable Care Organization (ACO) is a leader in value-based care and is the largest ACO in South Central Pennsylvania.

Key Points: 
  • York, Pa., Sept. 18, 2023 (GLOBE NEWSWIRE) -- WellSpan Health’s Medicare Accountable Care Organization (ACO) is a leader in value-based care and is the largest ACO in South Central Pennsylvania.
  • As a participant in the Medicare Shared Savings Program, WellSpan and our independent practice partners improved quality, experience and affordability to its more than 51,000 beneficiaries across South Central Pennsylvania, according to recently released data from the Centers for Medicare and Medicaid Services (CMS).
  • Health systems, independent physician groups and others oversee improvements in access to quality care, enhance care coordination and manage chronic conditions.
  • As part of creating a better care delivery system, Medicare rewards ACOs who provide higher quality care at a more affordable cost by sharing in the savings it achieves for the Medicare Program.

LTC ACO Announces Shared Savings for 2022 Under CMS Medicare Shared Savings Program

Retrieved on: 
Monday, September 18, 2023
Accountable care organization, ACO, Amputation, CMS, Depression, MSSP, LTC, Long-term care, Kidney, Acos, LTI, Medicare, Dementia, Quartermaster, Physician, Disability studies, Artificial intelligence, CQM, Pharmaceutical industry, Health insurance, Health care

"We are extremely proud to announce that LTC ACO has once again achieved shared savings under the CMS Medicare Shared Savings Program," said Jason Feuerman, president and CEO of LTC ACO.

Key Points: 
  • "We are extremely proud to announce that LTC ACO has once again achieved shared savings under the CMS Medicare Shared Savings Program," said Jason Feuerman, president and CEO of LTC ACO.
  • We are grateful for the trust they place in us to deliver value for their patients.”
    During 2022, LTC ACO managed nearly 13,000 Medicare fee-for-service beneficiaries under the MSSP.
  • The organization achieved total shared savings of $7.2 million, resulting in earned shared savings of $5.3 million to LTC ACO.
  • Since 2018, LTC ACO has saved Medicare $73.0 million, equating to an average of $1,875 per beneficiary in positive reconciliation years.

CommonSpirit Health Establishes Population Health Services Organization to Accelerate Value-Based Care Best Practices Nationwide

Retrieved on: 
Wednesday, September 20, 2023
Pharmaceutical, Health Technology, Health Insurance, Healthcare Reform, Public Policy, Government, Hospitals, Children, Insurance, Other Consumer, Women, Professional Services, Health, Seniors, Religion, Practice Management, DEI (Diversity, Equity and Inclusion), Men, General Health, Family, Consumer, Telemedicine, Virtual Medicine, Social Services, People with Disabilities, Other Health, Data management, NatWest, Medicaid, CMS, MSSP, Health status of Asian Americans, Accountable care organization, CommonSpirit Health, Acos, Hepatitis C, Patient, Physician, Viral, MPH, PHSO, Nursing, Pharmaceutical industry, Medicare, MD

CommonSpirit Health today launched a national value-based services platform, Population Health Services Organization (PHSO), focused on expanding access to equitable care, improving quality and outcomes, and lowering the cost of care.

Key Points: 
  • CommonSpirit Health today launched a national value-based services platform, Population Health Services Organization (PHSO), focused on expanding access to equitable care, improving quality and outcomes, and lowering the cost of care.
  • The PHSO will provide services such as advanced population health analytics, network management, care coordination, data management and analytics, technology infrastructure, reporting and more to help providers and provider networks excel in value-based care.
  • CommonSpirit Health serves urban and rural communities across 24 states, and is one of the nation’s largest providers of Medicare and Medicaid services.
  • It is a health care delivery model that rewards holistic and coordinated care across the continuum to improve health status, quality and equity.

Healthcare AI Leader ClosedLoop Launches Two First-of-Their-Kind Data Science Products for Value-Based Care

Retrieved on: 
Tuesday, September 19, 2023
Health Technology, Telemedicine, Virtual Medicine, Data Management, Technology, Pharmaceutical, Practice Management, Apps, Applications, Managed Care, General Health, Artificial Intelligence, Other Technology, Science, Software, Other Science, Health, ACO, Software as a service, CMS, BCDA, Outcomes research, Acos, Organization, Medicare, CCM, Explainable artificial intelligence, Population health, Patient, Algorithm, Outcome, Evaluation, Blackbox, Accountable care organization, Pharmaceutical industry, KLAS

ACO-Predict offers the same algorithms ClosedLoop used to win both the CMS AI Challenge and Best in KLAS recognition in 2021 and 2022.

Key Points: 
  • ACO-Predict offers the same algorithms ClosedLoop used to win both the CMS AI Challenge and Best in KLAS recognition in 2021 and 2022.
  • When combined with CMS’s recently updated Beneficiary Claims Data API (BCDA) data feeds, ACO-Predict provides turnkey risk stratification for Complex Care Management (CCM) programs free of charge to all Medicare ACOs.
  • Complex Care Management programs are one of the essential tools ACOs use to reduce costs and improve outcomes in their Medicare populations.
  • “To succeed in value based care, organizations need to do two things,” said Andrew Eye, Co-Founder and CEO of ClosedLoop.

IntraCare Premier ACO continues to lead Dallas-Fort Worth with Exceptional Savings Rates

Retrieved on: 
Thursday, September 21, 2023
PCC, ACO, Acos, Accountable care organization, Emergency department, MSSP, LGBT culture in Dallas–Fort Worth, Patient, Hospital

DALLAS, Sept. 21, 2023 /PRNewswire/ -- IntraCare Premier ACO, encompassing participants from Premier Community Center (PCC) and Premier Patient Health Center (PPHC), proudly stands among the top high-performing Accountable Care Organizations (ACOs) nationally in 2022, with impressive savings rates of 9% and 8%, respectively.

Key Points: 
  • DALLAS, Sept. 21, 2023 /PRNewswire/ -- IntraCare Premier ACO, encompassing participants from Premier Community Center (PCC) and Premier Patient Health Center (PPHC), proudly stands among the top high-performing Accountable Care Organizations (ACOs) nationally in 2022, with impressive savings rates of 9% and 8%, respectively.
  • This remarkable achievement has solidified IntraCare Premier ACO's reputation as a consistently high-performing network in the ACO landscape.
  • The latest results from the Medicare Shared Savings Program (MSSP) for 2022 have positioned Premier Care Community as the number one ACO in terms of savings rate within the Dallas-Fort Worth area.
  • IntraCare Premier ACO providers have sustained continuous growth in shared savings, with Premier Community Center (PCC) achieving shared savings of $9.9 million and Premier Patient Health Center (PPHC) achieving shared savings of $5.9 million.

KOAN HEALTH CLIENTS SAVE MEDICARE SHARED SAVINGS PROGRAM $122 MILLION IN 2022

Retrieved on: 
Thursday, September 21, 2023
Acos, ACO, Medicare, Koan, Accountable care organization, Medicare Advantage, Health, Commercial, MSSP, Audit, DALLAS, Medicaid

DALLAS, Sept. 21, 2023 /PRNewswire/ -- Koan Health, a population health analytics company, is honored to announce that our MSSP clients saved Medicare over $133 million during the 2022 performance year. This is a significant accomplishment because each client generated savings against their benchmark, earning a Shared Savings payment for their ACO. Together, they achieved a 41% increase over their 2021 total savings results, saving Medicare nearly $500 million dollars to date.

Key Points: 
  • Koan Health enables clients to achieve population health success with MSSP, Medicare Advantage, Medicaid, and Commercial ACO programs
    DALLAS, Sept. 21, 2023 /PRNewswire/ -- Koan Health, a population health analytics company, is honored to announce that our MSSP clients saved Medicare over $133 million during the 2022 performance year.
  • This is a significant accomplishment because each client generated savings against their benchmark, earning a Shared Savings payment for their ACO.
  • Together, they achieved a 41% increase over their 2021 total savings results, saving Medicare nearly $500 million dollars to date.
  • Our fidelity to data accuracy enables our clients to easily uncover opportunities to deliver better outcomes, higher quality care, and lower costs."

Mercy Launches First Hospital-at-Home Program in St. Louis Region

Retrieved on: 
Wednesday, September 20, 2023
Heart, Caregiver, National Research Corporation, Pharmacy, Hospital, Accountable care organization, Health, Mercy Hospital, Multimedia, Thought, Pharmacist, Home, Patient, Physician, Nursing, ERS, Environment, Automation, Mercy, St. Louis

ST. LOUIS, Sept. 20, 2023 /PRNewswire/ --Time in the hospital is something most people want to avoid, even when they need care. To meet patients where they are safely and effectively, Mercy, in collaboration with Maribel Health, launched its Mercy Hospital-at-Home program on Sept. 19. The program – the St. Louis region's first – provides hospital-level care in the comfort and convenience of a patient's home.

Key Points: 
  • To meet patients where they are safely and effectively, Mercy, in collaboration with Maribel Health, launched its Mercy Hospital-at-Home program on Sept. 19.
  • The program – the St. Louis region's first – provides hospital-level care in the comfort and convenience of a patient's home.
  • Mercy plans to initiate the program in the St. Louis region this fall and eventually expand across all the communities Mercy serves.
  • Mercy also has clinics, outpatient services and outreach ministries in Arkansas, Louisiana, Mississippi and Texas.

Spatially Health Appoints Tom Fluegel to Advisory Board to Foster Advancements and Expansion in Healthcare

Retrieved on: 
Tuesday, September 19, 2023
Accountable care organization, NCQA, University, Accreditation, Senior, Health, Health equity, SDOH, MBA, Equity, Strategic planning, Washington University in St. Louis, Advisory board, Cigna, Acos, Organization, National Committee, Coventry Health Care, Quality assurance, Knowledge, UnitedHealth Group, National Committee for Quality Assurance, Management, Pharmaceutical industry, Vaccine

MIAMI, Sept. 19, 2023 /PRNewswire-PRWeb/ -- Spatially Health–a cloud-based, health equity platform focused on identifying and addressing social determinants of health (SDOH) and health equity barriers–is excited to announce the appointment of healthcare leader Tom Fluegel as its newest Advisory Board member. Tom will play a pivotal role in shaping the company's strategic vision and decision-making.

Key Points: 
  • Spatially Health appoints healthcare leader Tom Fluegel as its newest Advisory Board member, playing a pivotal role in shaping the company's strategic vision and decision-making.
  • MIAMI, Sept. 19, 2023 /PRNewswire-PRWeb/ -- Spatially Health –a cloud-based, health equity platform focused on identifying and addressing social determinants of health (SDOH) and health equity barriers–is excited to announce the appointment of healthcare leader Tom Fluegel as its newest Advisory Board member.
  • Committed to driving healthcare innovation, fostering patient-centric solutions, and finding real solutions for SDOH, Spatially Health will work with Tom to identify and address health equity challenges.
  • "It's a privilege to have Tom Fluegel join our Advisory Board," stated Dr. Hillit Meidar-Alfi , the CEO and co-founder of Spatially Health.

Nemours Children's Health Appoints Matthew M. Davis, MD, as Executive Vice-President, Enterprise Physician-in-Chief and Chief Scientific Officer

Retrieved on: 
Monday, September 18, 2023
University, Education, Public policy, Leadership for Healthy Communities, Health, Developmental Science, Primary care, Accountable care organization, Research, Nemours Children's Hospital, Delaware, Feinberg School of Medicine, MAPP, Harvard Medical School, Chicago Department of Public Health, Organization, Anne, Fellow, Lurie Children's Hospital, Education minister, Faculty, Swarthmore College, Growth, Hospital, Research institute, Mental Disability Advocacy Center, Medical degree, King Hamad University of Nursing and Associated Medical Sciences, Pharmaceutical industry, Nursing, Central Florida, Pediatrics, FAAP, Health care, MD, Delaware Valley, Biology

WILMINGTON, Del., Sept. 18, 2023 /PRNewswire/ -- Nemours Children's Health announces the appointment of Matthew M. Davis, MD, MAPP, as Executive Vice-President, Enterprise Physician-in-Chief and Chief Scientific Officer.

Key Points: 
  • WILMINGTON, Del., Sept. 18, 2023 /PRNewswire/ -- Nemours Children's Health announces the appointment of Matthew M. Davis, MD, MAPP, as Executive Vice-President, Enterprise Physician-in-Chief and Chief Scientific Officer.
  • He will also work to ensure that education, training, and community engagement are fully integrated within clinical and research efforts.
  • "Dr. Davis is one of America's most innovative and eminent thought leaders in academic pediatrics," said R. Lawrence Moss, MD, FAAP, President and CEO of Nemours Children's Health.
  • "I am honored to join Nemours Children's Health as the new Physician-in-Chief and Chief Scientific Officer across the Delaware Valley, North Florida, and Central Florida regions," said Dr. Davis.