Accountable Care
Moving into 2024, there will be a greater commitment to accountable care models – and the technologies that support nontraditional care scenarios – as healthcare organizations aim to improve patient outcomes, reduce health inequities and control costs.
The CMS-based disincentives outlined in the proposed rule from ONC published Monday would penalize hospitals under the Promoting Interoperability Program, eligible clinicians under MIPS and ACO participants under the Medicare Shared Savings Program.
Clinical decision support improves outcomes, ROI and the move to value-based care, says Yaw Fellin of Wolters Kluwer Health.
"If we can manage patients on the front side of their diagnoses, and continue that management longitudinally, it's going to have a significant impact on the escalation of patients' chronic conditions," one expert says about the value of preventative care.
Pushing the needle on value-based care will require buy-in from employers, says Susan Dentzer, president and CEO of APG.
While 80% of a commercial bill is the plan's responsibility, 20% is owed by patients, says PayMedix CEO Tom Policelli.
The goal of the new nationwide ecosystem is to simplify patient access through virtual care pathways that work in tandem with local delivery, enabling higher quality and cost efficiencies for providers, says Transcarent CEO Glen Tullman.
More than 7 million have lost Medicaid coverage, with states taking widely different approaches to the redetermination process, says John Barkett.
Health systems should get organized on alignment, transparency and reciprocity to further their VBC efforts, and providers need support to better understand and interpret population health data, says John Fryer, president of Tribus and CRO at Lumeris.
Also: eClinicalWorks now offers a suite of patient engagement capabilities through a collaboration between Ero Health and HealthTalk A.I.
