The in-home primary care service model is poised for rapid growth and transformation. However, there is more work to be done before the “Housepitalist” becomes a household word.
Offering blended options, individual risk pools, and net neutral capitation payments providers can embark on their journey toward value-based care at a pace aligned with their tolerance and readiness.
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For the sixth year in a row, the Medicare Shared Savings Program created overall savings, CMS announced. When compared to clinician groups of a similar size not participating in the program, participating ACOs performed better on quality measures, including measures for diabetes, breast cancer and colorectal cancer screenings, tobacco screenings and depression screenings.
Let’s tear down the silos that transport seniors through the classic stages of hospitals, rehab, assisted living, and nursing homes. Value-based care or better yet, global risk, has a way of disintegrating these silos. If providers want to get paid, they must collaborate. That means instead of treating a singular issue, we must reach out to the rest of the ecosystem, coordinating treatment and driving together toward a meaningful outcome.
Aledade said that its value-based care network has helped save the U.S. healthcare system save more than $1.2 billion over the past eight years. A primary care physician at an accountable care organization that works with Aledade testified that being a part of the network has yielded significant shared savings that have led to better care outcomes, such as lower re-hospitalization rates.
This is the fifth consecutive year the program has achieved savings by working with Accountable Care Organizations. Participating ACOs also had better quality measures for physical and mental health conditions than those not in the program.
The ongoing nursing shortage facilitates high turnover rates since nurses know they won’t have difficulties finding new jobs. In order to retain and attract staff, it’s in a facility’s best interest to understand what nurses want.
Still, 190 of participating Medicare ACOs — 49 percent — did not generate any savings in 2015, CMS said.
Mobile apps are helping to accelerate the shift.
Aledade, a Bethesda, Md.-based startup that supports physician-led Accountable Care Organizations, has formally applied to establish new ACOs in seven states beginning in 2016.