Pay for performance

Independent Practices Working With Aledade Will Earn More Than Double in Shared Savings This Year Across All Payers, Despite Pandemic Headwinds

Thursday, July 22, 2021 - 5:45pm

Aledade member practices share in the savings they help create and are projected to receive more than $120 million from all payers for their performance in 2020.

Key Points: 
  • Aledade member practices share in the savings they help create and are projected to receive more than $120 million from all payers for their performance in 2020.
  • These payments will provide a much-needed inflow of revenue to keep practices' doors open beyond the pandemic.
  • Aledade supported practices in their delivery of primary care during a year in which access to in-person care was extremely limited.
  • Founded in 2014, Aledade works with independent practices, health centers, and clinics to build and lead Accountable Care Organizations (ACOs) anchored in primary care.

Acivilate and Golden Health Initiative Partner to Serve and Expand Healthy Communities Collaborative

Friday, February 12, 2021 - 1:00pm

Today Acivilate and Golden Health Initiative announce their partnership to serve and expand the Healthy Communities Collaborative to help healthcare providers, community services providers, lifestyle coaches and high-risk patients work together and communicate safely and in real-time during the COVID pandemic and beyond.

Key Points: 
  • Today Acivilate and Golden Health Initiative announce their partnership to serve and expand the Healthy Communities Collaborative to help healthcare providers, community services providers, lifestyle coaches and high-risk patients work together and communicate safely and in real-time during the COVID pandemic and beyond.
  • The Healthy Communities model is designed to increase delivery of clinical care and dispel health inequities among patients with Medicaid, Medicare, and private insurance, including rural, tribal and communities of color, and can be replicated in other communities.
  • A recent Centers for Medicare and Medicaid Services Accountable Health Communities report1 found that only 14% of high risk beneficiaries actually got their needs met.
  • Golden Health is delighted to provide technology-enabled specialty diabetes and other clinical services to augment those offered in doctors offices.

Southwestern Health Resources Accountable Care Network Listed No. 1 in U.S. for Medicare Savings for Third Straight Year

Wednesday, January 13, 2021 - 2:00pm

The Centers for Medicare & Medicaid Services (CMS) announced that the Southwestern Health Resources Accountable Care Network (SWHR) saved more than $52 million in 2019.

Key Points: 
  • The Centers for Medicare & Medicaid Services (CMS) announced that the Southwestern Health Resources Accountable Care Network (SWHR) saved more than $52 million in 2019.
  • These generated savings place it at the top of organizations participating in the CMS Next Generation Accountable Care Organization (ACO) Model.
  • Formerly called the UT Southwestern Accountable Care Network, the organization was among the first accountable care organizations to participate in the CMS Medicare Shared Savings Programs.
  • In total, Southwestern Health coordinates care for approximately 700,000 patients, aligned with commercial healthcare plans and Medicare programs.

TractManager Announces Transparency-as-a-Service℠: Quote Analytics for Suppliers and Providers

Wednesday, October 21, 2020 - 5:21pm

In response to these trends, TractManager has developed data insights and advisory services for providers as well as data transparency for suppliers.

Key Points: 
  • In response to these trends, TractManager has developed data insights and advisory services for providers as well as data transparency for suppliers.
  • Quote Transparency can determine whether a quote has the necessary details to accurately assess pricing as well as terms and conditions.
  • The Quote Transparency Report is the first step in a broader set of insights focused on value-based purchasing strategies, said Trace Devanny, CEO of TractManager.
  • To learn how the new Supplier/Provider Quote Analytics report can bring transparency to healthcare providers and their suppliers, register for a special demonstration webinar .

By Helping Nearly a Million Patients Get Better Care, Aledade ACOs Have Saved More Than $400 Million in Wasteful Health Care Spending

Wednesday, September 23, 2020 - 11:00am

In 2019 alone, independent primary care practices in Aledade contracts with commercial and government payers saved more than $200 million in health care spending while delivering better care to more than 620,000 Americans.

Key Points: 
  • In 2019 alone, independent primary care practices in Aledade contracts with commercial and government payers saved more than $200 million in health care spending while delivering better care to more than 620,000 Americans.
  • Aledade Medicare ACOs increased primary care services by 7.5 percent between 2018 and 2019, leading to 90,000 more visits between patients and their primary care physician.
  • With Aledade's technology and on-the-ground support, patients of practices in Aledade ACOs received better blood pressure screening, A1C control, and rates of cancer screening.
  • Founded in 2014, Aledade partners with independent practices, health centers, and clinics to build and lead Accountable Care Organizations (ACOs) anchored in primary care.

Beaumont ACO Physician - Hospital partnership is one of the nation's top performing accountable care organizations for the seventh year in a row

Tuesday, September 22, 2020 - 5:58pm

"Strong partnerships between Beaumont Health and physicians has helped us transform health care by improving efficiency, reducing costs and improving care," Beaumont Health ACO Board Chairman Dr. Belal Abdallah said.

Key Points: 
  • "Strong partnerships between Beaumont Health and physicians has helped us transform health care by improving efficiency, reducing costs and improving care," Beaumont Health ACO Board Chairman Dr. Belal Abdallah said.
  • The Beaumont ACO is a physician and health system partnership with more than 1,900 physician members.
  • This partnership has allowed physicians and hospitals to share in cost savings resulting from their efforts to improve patient care and outcomes.
  • This is the seventh consecutive year the Beaumont ACO achieved significant cost savings, dating back to its origin as the Oakwood ACO.

Updated Core Measures Focus on Improving Patient Care, Reducing Burden, and Eliminating Redundancies

Wednesday, September 16, 2020 - 8:31pm

The coalition was convened in 2015 by Americas Health Insurance Providers (AHIP) and the Centers for Medicare & Medicaid Services (CMS) and is housed at the National Quality Forum (NQF).

Key Points: 
  • The coalition was convened in 2015 by Americas Health Insurance Providers (AHIP) and the Centers for Medicare & Medicaid Services (CMS) and is housed at the National Quality Forum (NQF).
  • Please click here for more information on the CQMC core measures.
  • This guide provides strategies and actions for stakeholders seeking to implement or evolve value-based payment (VBP) programs.
  • Through these offerings, we improve and protect the health and financial security of consumers, families, businesses, communities and the nation.

Hudson Accountable Care Generates $12.3 Million in Total Savings for the Medicare Shared Savings Program

Monday, September 14, 2020 - 9:52pm

This marks the second year Hudson Accountable Care, a Medicare Accountable Care Organization (ACO), achieved both total savings to Medicare and shared savings for the ACO.

Key Points: 
  • This marks the second year Hudson Accountable Care, a Medicare Accountable Care Organization (ACO), achieved both total savings to Medicare and shared savings for the ACO.
  • In performance year 2019, Hudson Accountable Care:
    Served 11,200 Medicare beneficiaries across New York;
    Delivered $5.4 million in total savings to Medicare; and,
    Generated $1.8 million in shared savings.
  • "We are proud to report this is the second year Hudson Accountable Care generated shared savings for both our providers and the Medicare program," said Dr. Navarra Rodriguez, Medical Director of Hudson Accountable Care and President of AdvantageCare Physicians.
  • Hudson Accountable Care participates in the Medicare Shared Savings Program under a contract with the Centers for Medicare & Medicaid Services (CMS).

Priority Health 2020 physician Quality Awards announced

Wednesday, September 9, 2020 - 2:00pm

This month, Priority Health awarded Quality Awards to 219 physicians and physician offices for improving health care outcomes for patients throughout Michigan.

Key Points: 
  • This month, Priority Health awarded Quality Awards to 219 physicians and physician offices for improving health care outcomes for patients throughout Michigan.
  • The Priority Health Quality Awards are given to physicians and physician offices that achieve the highest overall scores in preventive care and chronic disease measures through the Priority Health Primary Care Provider Incentive Program.
  • Priority Health has the opportunity to work with the industrys smartest providers to bring affordable, quality care to patients across the state, said Joan Budden, president and CEO of Priority Health.
  • Through this years Quality Awards, Priority Health will award more than $30 million to practices in support of high quality primary care, funding that is provided in addition to standard payment of services.

Medical Mutual Partners With University Hospitals, Bon Secours Mercy Health and More to Save Employers up to 20% on Healthcare Costs

Thursday, September 3, 2020 - 9:51pm

We work closely with Medical Mutual to offer this exceptional level of care at preferred rates.

Key Points: 
  • We work closely with Medical Mutual to offer this exceptional level of care at preferred rates.
  • Many MedFlex providers participate in value-based agreements where they are incentivized based on patient health outcomes, efficiency and quality of care.
  • These models help improve the overall patient care experience and reduce costs for both employers and employees.
  • Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio.