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In an effort to increase care coordination and decrease health care costs across the care continuum, many health systems and hospitals are reconfiguring their relationship with post-acute care (PAC) providers. The momentum for change is driven in part from government-initiated efforts that hold hospitals and health systems responsible for the cost and quality of care delivered beyond the four walls of […]
Post-acute care (PAC) covers a range of health care services after hospitalization, including Long-Term Acute-Care (LTAC) hospitals, Inpatient Rehabilitation Facilities (IRFs), Skilled Nursing Facilities (SNFs), and Home Health (HH) agencies. Historically, health systems had little reason to closely integrate with PAC providers or even examine PAC providers on measures of cost and quality, largely because […]
In April 2015, Congress enacted a law that alters the method by which physicians and other health care providers are paid for Medicare Part B services. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced the sustainable growth rate formula with physician payments tied to quality. Providers must choose either significant performance-based payments […]
Nearly 1.7 million new cancer diagnoses in the United States are projected for 2017. Controlling the cost of treating cancer is an important consideration for curbing the overall cost of health care. We conducted a systematic review of the literature on the cost of treating cancer in the two most common cancer treatment locations, the […]
The Trump Administration and Republican-controlled Congress appear resolute on repealing major components of the Affordable Care Act (ACA). While a significant amount of uncertainty surrounding the content and timing of a replacement still exists, some Congressional leaders have reached out to states to explore options that would encourage innovative health care solutions at the state level. The new administration has […]
A Leavitt Partners blog entitled “CMS ACOs and the future of the movement,” authored by Tianna Tu in March 2016, was featured in an American Journal of Managed Care article entitled “The Post-Election Future of ACOs.” The article notes that “As of March 2016, The Leavitt Partners’ databases tracked a total of 840 current ACO […]
Providers that are newly pursuing value-based care can determine how to be successful by examining the experiences of current and past accountable care organizations (ACOs). Using the Leavitt Partners ACO taxonomical framework, we examined survey responses from a target population of ACO leaders to identify patterns in risk assumption and an ACO’s organizational, leadership, and […]
The Centers for Medicare and Medicaid Services assigns a star rating to Medicare Advantage plans to help beneficiaries better understand and select their insurance plan. When selecting an insurance plan, quality and cost are typically the top selection criteria used. This study looks at the relationship between these two important factors – quality (in star […]
As the aftermath of the 2016 elections unfold, Leavitt Partners is pleased to provide you with an opportunity to glean preliminary insights regarding the election results and specific implications for health care. The following slide deck was used during Leavitt Partners’ Post-Election Policy Election webinar.
To succeed, value-based models need to broaden their focus to include identifying the rising-risk population and proactively incorporating interventions to prevent exacerbations of unmanaged chronic conditions.