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CMS unveils person-centered primary care model but excludes high-revenue ACOs

FierceHealthIT

The Centers for Medicare & Medicaid Services (CMS) has announced the ACO Primary Care Flex Model (ACO PC Flex Model), allowing eligible accountable care organizations to treat people with with | Accountable care organizations are largely supportive of CMS' new primary care model released Tuesday, they wish the agency would broaden its scope (..)

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CMS Reports Record Performance for MSSP

Digital Health Wire

CMS just released the Medicare Shared Savings Program results for 2022, and the report managed to drum up some serious debate on the effectiveness of MSSP despite last year’s record performance. MSSP saved Medicare $1.8B 140 per high-revenue ACO), underscoring the importance of primary care to the overall program.

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CVS Health to purchase Signify Health for $8B

Healthcare IT News - Telehealth

In March, Signify Health acquired Caravan Health , which serves Medicare beneficiaries through accountable care organizations. times longer with a patient in the home than providers in average primary care office visits, according to the company. In 2022, Signify Health clinicians are expected to serve 2.5

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Former CMS chief of staff previews 4 areas of value-based care in 2022

Healthcare IT News - Telehealth

Caravan Health President and CEO Tim Gronniger previously was chief of staff and director of delivery system reform at the Centers for Medicare and Medicaid Services. Caravan Health is a privately held company formed to create sustainable methodologies for health systems to excel in value-based care. However, CMS can't do it alone.

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Aledade Closes $260M for VBC Enablement

Digital Health Wire

The primary care enablement company just raised what looks like its “ last funding round needed ” after securing an eye-popping $260M in Series F capital. Aledade partners with independent primary care practices to establish tech-enabled accountable care organizations.

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Telehealth Reimbursement: End-of-Pandemic Emergency Update

Telebehavioral Health Institute

Private payers, Medicaid, and Medicare initiated widespread telehealth reimbursement approvals. The article below clarifies and summarizes the end-of-pandemic reimbursement decisions made by private payers, Medicare, and Medicaid. They can receive care from their homes rather than traveling to a health care facility.

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Bonus Features – September 24, 2023 – 72 percent of patients say affordability is the biggest challenge for paying medical bills

Healthcare IT Today

Medicare Advantage costs are 12% lower than similar beneficiaries covered under fee-for-service Medicare, according to research from Inovalon and Harvard Medical School. When digital services are available, they’re often disconnected from primary care. HCPLAN also added the advocacy group Accountable for Health.