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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.
Health reforms in recent years have opened up the door to greater use of Community Health Workers (CHWs) due to their role in working with higher-risk populations. CHWs have the ability to decrease costs and improve patient outcomes in the communities they serve. As a result, providers, payers, and state policymakers are taking steps to incorporate […]
While primary care is the foundation for effective population health management, traditional reimbursement structures under fee-for-service (FFS) do not facilitate the delivery of high-quality primary care. The April 11, 2016 announcement of the Comprehensive Primary Care Plus (CPC+) program by the Centers for Medicare and Medicaid Services (CMS) marked a sweeping move to transform the […]
The importance of Medicare’s Shared Savings Program (MSSP) results cannot be overstated. Organizations considering participation want to assess their peers’ performance and the program’s ultimate viability. Positive results encourage more providers to enter the valuebased world. Negative and/or ambiguous results not only discourage new member entry, but could also incentivize program departures. Using a combination […]
CMS’ January 11 announcement of the new and renewing Medicare ACO participants indicated both an increase in the number of ACOs and ACO covered lives. The now 477 CMS ACOs that are participating in one of four CMS models—the Medicare Shared Savings Program (MSSP), Pioneer, Next Generation ACO (NGACO), and Comprehensive ESRD Care (CEC) —are currently responsible for 8.9 million lives, up […]