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CMS: ACOs saved $739M in 2018 as new program takes hold

FierceHealthIT

Accountable care organizations generated $739.4 million in net savings in 2018, with physician-led ACOs being the biggest savers, according to the Centers for Medicare & Medicaid Services.

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Industry Voices—5 things to know about the Chronic Care Act

FierceHealthIT

Multispecialty medical groups and health systems operating accountable care organizations or participating in Medicare Advantage plans will find some new tools for managing this patient population if they look closely at the provisions of the Bipartisan Budget Act of 2018, which includes the Chronic Care Act.

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Medicare Next Generation ACO Model Telehealth Expansion Waiver

Telebehavioral Health Institute

As of January 2018, this restriction has changed for more than 50 “Accountable Care … Read more. As previously discussed, in the United States traditional fee-for-service system of Medicare, use of the telehealth benefit is limited to rural Health Professional Shortage Areas (HPSA).

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CMS Reveals New Direction for MSSP Which Adds Risk on ACOs

BHM Healthcare Solutions

The changes will redesign participation options in hopes of encouraging accountable care organisations to take on risk quicker. The change also includes new tools and flexibilities in the Bipartisan Budget Act of 2018, including new beneficiary incentives, telehealth services and beneficiary assignment methodology choices.

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Increases in Employee Healthcare Costs Pushing Businesses to Innovative Solutions to Lower Costs

ACA Times

And the cost of providing that insurance to employees is expected to continue to rise in 2018. The National Business Group on Health (NBGH) recently conducted the Large Employers’ 2018 Health Care Strategy and Plan Design Survey and found that the total healthcare (medical and pharmaceutical) costs this year will be $13,482 per employee.

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5 payer trends to watch in 2018

Henry Kotula

Here’s a look at five payer trends to watch for in 2018, and some tips for preparing to deal with them. Expect payers to accelerate those programs and policies and search for more cost-saving levers in 2018. Looking ahead to next year, you can expect payers to implement more cost-saving measures and push for value-based contracting.

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Employers Take on Health Activism, Embracing Behavioral Health, Virtual Care, AI, and Transparency

Health Populi

The study was fielded in May-June 2018 and represents actions that employers will take in 2019 for health benefits, Brian Marcotte, President and CEO of NBGH, explained this morning during a press conference launching the report. orthopedic/musculoskeletal, and fertility.