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ACOs that started in the Medicare Shared Savings Program’s Track 1 in either 2012 or 2013 must determine whether to move to a risk-based model by their third contract periods, which begin in 20191. A number of the MSSP ACOs are making strides in improving quality, reducing hospitalization and waste in Medicare. The Centers for […]

The HFMA Annual Conference is the industry’s premier event for hands-on learning where executives from across the nation gather to solve complex issues, interact with peers and industry leaders, and get the tools they need to influence change and address challenges. This year's programming features new learning tracks and session formats that will amplify the power of networking and collaboration to facilitate deeper learning and greater innovation.
Presenter: Carla D'Angelo and Anush Gevorgyan

2018 has been a year of uncertainty in federal and state health policy, particularly with respect to population health. Despite increasing complexity and ambiguity, most markets continue to move toward various forms of value-based payment (VBP). However, most health systems and physicians continue to operate in pluralistic payment environments, defined by having a portion of […]

Delegated IPAs and medical groups in California provide valuable health care services to millions of Medi-Cal Managed Care, Medicare Advantage and Commercial Health Maintenance Organization (HMO) members. These “pioneer” providers practiced population health management before it gained industry currency and have utilized outcomes-based payment to incentivize provider innovation for decades. Risk-bearing medical groups and IPAs […]

Background: Benefits of a Post-Discharge Phone Program Hospitals have improved patient outcomes and patient satisfaction scores via implementation of a successful post-discharge phone call program to achieve: Improved patient outcomes: Patients receiving a post-discharge call were 23.1% less likely to be readmitted compared to patients who did not receive a call1. Early detection of adverse […]