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

March 20, 2020

CMS Releases Guidance for New Medicare Telehealth Flexibilities: Caravan Webinar on March 26

In response to the COVID-19 public health emergency, telehealth services are temporarily available to many more Medicare patients than before the pandemic. These services could provide lifesaving care during this time when Americans are strongly encouraged to limit face-to-face interactions to prevent transmission.

ACO, News, Policy, CMS

March 16, 2020

COVID-19: A Summary of Emergency Government Funding and Medicare Telehealth Options

In response to the fast-moving global health emergency caused by COVID-19, Congress has approved $8.3 billion in emergency supplemental funding. The aid will help federal agencies prepare to manage and contain the spread of this highly contagious respiratory illness. In addition to providing funds for preparedness and response activities, the new law makes it easier for Medicare providers to evaluate their patients remotely during this national health emergency.

ACO, News, Policy, CMS

December 04, 2019

Understanding Primary Care First – Webinar Recording Available

Since the CMS announcement back in April 2019, we have been eagerly awaiting the details of Primary Care First, a new advanced primary care initiative. CMS released a detailed request for application last month, answering many questions, laying out a timeline for participation, and inviting applications.

Policy, CMS

November 15, 2019

Caravan and Polsinelli Explain Proposed Rules on Physician Self-Referral and Anti-Kickback Statutes

Caravan Health Founder Lynn Barr and Neal Shah, a shareholder in Polsinelli’s health care law practice, recently presented a webinar explaining the details about two newly released proposed rules. These highly anticipated rules propose exceptions to the Physician Self-Referral Law (Stark Law) and safe harbors for the Anti-Kickback Statute (AKS) that would make it easier for providers to participate in value-based health care arrangements.

ACO, Policy

November 08, 2019

The 5 Habits of Successful ACOs

CMS has made it clear that value-based care soon won’t be optional for providers in Medicare. Even our rural partners will have to get into risk before long. CMS is planning to announce a new rural model later this year.

ACO, Policy, MACRA MIPS

September 20, 2019

Year Two Results for ACO Investment Model Show Rural Value-Based Payment is Stronger Than Ever

Last week, CMS published the second year evaluation of the ACO Investment Model (AIM). AIM provided two years of upfront funds to smaller rural accountable care organizations venturing into value-based payment.

ACO, News, Policy

September 06, 2019

CMS Proposes Big Payment Changes That Could Affect ACOs

At the end of July, CMS published its annual proposals for regulatory changes to the Medicare physician fee schedule (PFS). The proposals continue CMS’s push in several important areas.

ACO, News, Policy, MACRA MIPS, CMS

August 01, 2019

New England Journal of Medicine Study Confirms Savings from Rural Value-Based Care

Recent news has been full of stories about the crisis in rural health care. We have seen accounts of physician shortages, hospital closures, and barriers to basic preventive services. Care in rural areas can seem harder and harder to access. But the news about rural health care is not all grim. Some rural providers have been thriving in value-based payment thanks to the leadership of Caravan Health.

ACO, Policy, CMS

May 07, 2019

CMS Unveils New Primary Care Value-Based Payment Models to Start in 2020

In late April, CMS introduced five new value-based payment model options that aim to transform primary care and shift providers to take risk on the cost of care for their patients.

ACO, News, Policy, CMS

April 19, 2019

Creating Payment Certainty: How Critical Access Hospitals Can Thrive in Value-Based Care

It’s no secret that Medicare providers will have to transition from fee-for-service to fee-for-value in the next few years in order to sustain their profits. The financial downside to remaining in fee-for-service will soon exceed the risks of transitioning to alternative payment systems.

ACO, Policy, MACRA MIPS

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