The Pulse on Accountable Care

Read our insight on the latest trends and innovations in ACOs, value-based payments, population health, policy, and more. 
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Policy

January 23, 2019

New in Pathways to Success ACO Program – High and Low Revenue

With the publication of the Pathways to Success final rule, we are exploring the most important changes for Medicare Shared Savings Program ACOs. Today we discuss the new distinction between high and low revenue ACOs.

ACO, Policy

January 16, 2019

What ACOs need to know about the MSSP ACO final rule – Pathways to Success

With CMS recently finalizing the MSSP ACO rule, there is a lot for successful organizations to understand. This is one in a series of blog posts explaining the MSSP ACO final rule in greater detail. If you haven’t already, check out the recent webinar hosted by Caravan Health policy experts.

ACO, Policy, CMS

January 10, 2019

Final MSSP Rule Details Explained

Caravan Health President Tim Gronniger and Policy Officer LeeAnn Hastings led a webinar to go over the details of the newly published final Medicare Shared Savings Program regulation.

ACO, Policy

December 21, 2018

Shared Savings Program Final Rule

Sliding in just under the wire of the anticipated government shutdown, CMS has released the Shared Savings Program final rule. With the rule, CMS finalized many changes to the ACO program as proposed in August, including an increase from three to five years of participation under a contract and the elimination of tracks 1, 2, and 3 in favor of Basic and Enhanced options.  

ACO, News, Policy

December 17, 2018

Affordable Care Act Court Decision Won’t Affect ACOs

ACO, Policy

November 28, 2018

From the Experts: Helping ACOs Get Physician Buy-in for Coordinated Care Models

Providers must realign clinical workflows as well as revenue models, and physician leaders must convince their peers that these changes will pay off in the long run.

ACO, Policy

November 15, 2018

CMS Finalizes the Physician Fee Schedule and MIPS changes for 2019

On Thursday, November 1, CMS released the 2019 Medicare Physician Fee Schedule and Quality Payment Program final rule, including important updates to the Merit-Based Incentive Payment System (MIPS).

Policy

November 07, 2018

Medicare Part B Drug Costs – Is There an Opportunity for ACO Savings?

Prescription drugs are a large and growing segment of Medicare spending. In addition to the more than $90 billion spent each year for the pharmacy drug benefit of Medicare part D, MedPAC reports that the government and beneficiaries spent about $29 billion for drugs and biologics under part B in 2016.

Policy

October 16, 2018

Caravan Health Sends Comments on Shared Savings Program Proposal to CMS

Today, Caravan Health sent a detailed comment letter [link] on the recently proposed rule on the future of the Medicare Shared Savings Program, commonly known Medicare Accountable Care Organizations.

ACO, Policy

October 10, 2018

Top Three Things to Know About CMS’s “Pathways to Success” ACO Proposal

With CMS’s latest proposed changes to the MSSP ACO program (“Pathways to Success”), successful organizations should focus on a few key elements: risk, levels, and shared savings.

ACO, Policy

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