Oncology Care Model

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.

US Population Health Management Market 2021: ACOs are Increasing their Enrollment into Risk-based Payment Plans - ResearchAndMarkets.com

Monday, June 28, 2021 - 4:31pm

The "US Population Health Management Market 2021: Frost Radar Report" has been added to ResearchAndMarkets.com's offering.

Key Points: 
  • The "US Population Health Management Market 2021: Frost Radar Report" has been added to ResearchAndMarkets.com's offering.
  • Additionally, CMS has launched new guidance for value-based reimbursement among the Medicaid population, in which 67% of reimbursement remains fee-for-service (FFS).
  • Accountable care organizations (ACOs) are increasing their enrollment into risk-based payment plans (from 9% of all ACOs in 2017 to 74% in 2020) and driving adoption of PHM solutions that aid cross-continuum data interoperability and integrated care management.
  • However, next-generation ACOs (NGACOs) that pioneered adoption of VBC payment plans are failing to report the desired business outcomes.

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.

Landmark Health to Participate in the Innovation Center’s Direct Contracting Model

Monday, November 23, 2020 - 3:00pm

Landmark Health and its affiliated medical groups (Landmark) today announced participation in the Center for Medicare and Medicaid Innovations (Innovation Center) Direct Contracting Model.

Key Points: 
  • Landmark Health and its affiliated medical groups (Landmark) today announced participation in the Center for Medicare and Medicaid Innovations (Innovation Center) Direct Contracting Model.
  • Under the Direct Contracting payment model, beneficiaries will have increased access to innovative, affordable care options, while still maintaining all original Medicare benefits.
  • CMS is evolving to draw upon successful private sector approaches that drive value and quality in health care, said Landmark CEO Nick Loporcaro.
  • Since 2014, Landmark Health and its affiliated medical groups (Landmark) have delivered comprehensive in-home medical care to older adults, 24/7 365 days a year.

The US Oncology Network Enrolls 100,000th Patient in the Oncology Care Model, Enhancing Care While Saving Medicare Over $100 Million

Wednesday, November 11, 2020 - 2:00pm

In realizing this goal, the participating Network practices delivered more than $122 million in cumulative savings to Medicare over the programs first six performance periods (PP).

Key Points: 
  • In realizing this goal, the participating Network practices delivered more than $122 million in cumulative savings to Medicare over the programs first six performance periods (PP).
  • The program is part of Medicares ongoing effort to move healthcare to a system based on value rather than volume.
  • We are very excited to enroll our 100,000th patient in the Oncology Care Model while also providing over $100 million in cumulative savings to Medicare, said Michael Seiden, MD, PhD, president, The US Oncology Network.
  • Every day, The US Oncology Network (The Network) helps more than 1,380 independent physicians deliver value-based, integrated care to patients close to home.

Blue Cross NC, Caravan Health Collaborate to Expand Blue Premier to Community and Rural Hospitals for Better Quality, Lower Costs

Thursday, October 29, 2020 - 3:00pm

The ACO will enable more North Carolina health systems to collaborate with Blue Cross NC and Caravan to provide high-quality, cost-effective care as part of Blue Premier.

Key Points: 
  • The ACO will enable more North Carolina health systems to collaborate with Blue Cross NC and Caravan to provide high-quality, cost-effective care as part of Blue Premier.
  • Under Blue Premier, participating providers and Blue Cross NC are jointly accountable for meeting quality and cost measures.
  • "Caravan Health will be an essential part of making the benefits of value-based care available to more Blue Cross NC members through access to better, more affordable care."
  • Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is committed to making health care better, simpler, and more affordable.

Florida Cancer Specialists Achieves Top Rankings for Performance in National Oncology Care Model

Thursday, October 22, 2020 - 7:36pm

Fort Myers, Fla., Oct. 22, 2020 (GLOBE NEWSWIRE) -- Since June 2016, Florida Cancer Specialists & Research Institute (FCS) has participated in the Oncology Care Model (OCM), a national innovative payment program designed to lower the costs of cancer care nationwide, while maintaining high-quality enhanced services to Medicare beneficiaries.

Key Points: 
  • Fort Myers, Fla., Oct. 22, 2020 (GLOBE NEWSWIRE) -- Since June 2016, Florida Cancer Specialists & Research Institute (FCS) has participated in the Oncology Care Model (OCM), a national innovative payment program designed to lower the costs of cancer care nationwide, while maintaining high-quality enhanced services to Medicare beneficiaries.
  • Florida Cancer Specialists' CEO Nathan Walcker said, FCS has had a consistent history of positive performance in the OCM, often outpacing the expected target predicted by CMMI.
  • FCS has also provided an increasing quality of care for our patients, such as care coordination, and adherence to national treatment guidelines.
  • About Florida Cancer Specialists & Research Institute, LLC: ( FLCancer.com )
    Recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, Florida Cancer Specialists & Research Institute (FCS) offers patients access to more clinical trials than any private oncology practice in Florida.

Mid-Atlantic Collaborative Care Generates $28 Million in Total Savings for the Medicare Shared Savings Program

Monday, September 14, 2020 - 9:52pm

This marks the third consecutive year Mid-Atlantic Collaborative Care, a Medicare Accountable Care Organization (ACO), achieved both total savings to Medicare and shared savings.

Key Points: 
  • This marks the third consecutive year Mid-Atlantic Collaborative Care, a Medicare Accountable Care Organization (ACO), achieved both total savings to Medicare and shared savings.
  • In performance year 2019, Mid-Atlantic Collaborative Care:
    Served 22,000 Medicare beneficiaries across Maryland, Virginia, and Washington, D.C.;
    Delivered $12.6 million in total savings for Medicare increasing the savings of performance year 2018 by more than $2 million; and,
    Generated $6.2 million in shared savings.
  • "We are proud to report Mid-Atlantic Collaborative Care has achieved savings for the Medicare Shared Savings Program for the third year in a row," said Dr. Roji Menon, Medical Director for Mid-Atlantic Collaborative Care.
  • Mid-Atlantic Collaborative Care participates in the Medicare Shared Savings Program under a contract with the Centers for Medicare & Medicaid Services.

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.

Blue Cross Blue Shield of Massachusetts Pilots New Value-Based Payment Program For Independent Primary Care Practices

Wednesday, July 15, 2020 - 1:01pm

BOSTON, July 15, 2020 /PRNewswire/ -- Blue Cross Blue Shield ofMassachusetts (Blue Cross) is launching an innovative program to improve the quality of patient care, slow the rise of health care costs and change the way independent medical practices are paid.

Key Points: 
  • BOSTON, July 15, 2020 /PRNewswire/ -- Blue Cross Blue Shield ofMassachusetts (Blue Cross) is launching an innovative program to improve the quality of patient care, slow the rise of health care costs and change the way independent medical practices are paid.
  • Blue Cross is the state's largest not-for-profit health plan and a national leader in payment innovation.
  • The program was developed in collaboration with primary care practices and gives physicians the flexibility to innovate and deliver care in a way that is best suited to their patients.
  • Blue Cross Blue Shield of Massachusetts ( bluecrossma.com ) is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston.