- James Barr, M.D., Vice President of Clinical Intelligence, Atlantic Health System
Volume of eight low-value procedures in U.S. hospitals per Medicare
claims
• Stents for stable coronary disease: 45,176 (42%)
• Vertebroplasty for osteoporosis: 16,553 (16%)
• Hysterectomy for benign disease: 14,455 (14%)
• Spinal fusion for back pain: 13,541 (13%)
• Inferior vena cava filter: 9,595 (9%)
• Carotid endarterectomy: 3,667 (3%)
• Renal stent: 1,891 (2%)
• Knee arthroscopy: 1,596 (1%)
• Total unnecessary procedures identified: 106,474
|
AJMC: Share of ACOs with
Home-visit Initiatives That Offer 6 Services 1. home-based primary care: 37% 2. care coordination: 24% 3. care transitions support: 13% 4. addressing social needs: 13% 5. acute hospital-level services: 11% 6. palliative care services: 2% Note: From an article entitled, "Characteristics of Home-Based Care Provided by Accountable Care Organizations," by Robert E. Mechanic, MBA, Jennifer Perloff, PhD, Amy R. Stuck, PhD, RN, Christopher Crowley, PhD. In a 2019 ACO survey, 40 out of 151 responding ACOs reported formal home-visit initiatives serving high-need, high-cost patients. Source: The American Journal of Managed Care, May 12, 20222 |
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ACO REACH: Analyzing the Latest Value-Based Care Model from CMS
The CMS's Center for Medicare and Medicaid Innovation (CMMI)
recently announced the strategic redesign of their current
Global and Professional Direct Contracting (GPDC) model.
Beginning in January 2023, the redesigned program, known as ACO
REACH, seeks to drive greater provider participation and
improved quality of care, with a strong focus on improving
health equity. An expert panel weighs in on the new ACO REACH
model, including its framework, benefits, and opportunities. |
Check out
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home for health care videos |
JAMA, May 9, 2022
State of Reform, May 6, 2022
Hospice News, May 4, 2022
Healthcare Innovation, May 4, 2022
The American Journal of Managed Care, April 29, 2022
Healthcare Dive, April 29, 2022
mHealth Intelligence, April 29, 2022
FierceHealthcare, April 28, 2022
Healthcare Innovation, April 28, 2022
EHR Intelligence, April 26, 2022
Duke University, Margolis Center for Health Policy, May 17, 2022
The American Journal of Managed Care, May 12, 2022
The Journal of Rural Health, abstract only, May 7, 2022
The American Journal of Managed Care, May 6, 2022
- Achieving Success Through MSSP to Medicare Advantage Transition
- Study Examines Unnecessary Medicare Patient Surgeries During First Year of Pandemic
- States Have Yet to Spend Hundreds of Millions of Federal Dollars to Tackle Covid Health Disparities by Phil Galewitz and Lauren Weber and Sam Whitehead
- Two Health System Mergers Will Have Major Healthcare Impact in Their Regions
- CareOregon, Alliance Codesign Payment Model to Improve Health Outcomes for Communities of Color
- NAACOS Recognizes Care Quality Improvement
- Industry News: Innovaccer Launches ACO REACH Accelerator;
- Industry News: Humana’s CenterWell Senior Primary Care Enter JV to Develop and Operate Medicare Value-Based Primary Care Clinics
- Research Briefs: Characteristics of Home-Based Care with ACOs; What Can Canada Learn From ACOs; Improving ACO Care Coordination and Reducing ED Utilization Through Patient Navigation
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