Oklahoma SoonerSelect Open Enrollment Launches
Explore the transformation of Medicaid in Oklahoma as SoonerCare transitions to SoonerSelect, introducing managed care to enhance health outcomes and streamline services for recipients.
Accountable Care Organizations
CMS Enhances Accountable Care Organization Landscape in 2024
Discover how CMS’s new Medicaid payment model, the IBH Model, aims to enhance care coordination and improve health outcomes for Medicare and Medicaid beneficiaries with mental health conditions and SUDs.
ACA Marketplace Enrollment Increased 18% From 2021
HHA announced that Affordable Care Act Marketplace enrollment continues to outpace previous years, with nearly 11.5 million people selecting a health plan nationwide in 2022.
Bipartisan Bill Calls for Extended VBP Incentives
Senators John Barrasso and Sheldon Whitehouse introduced a bipartisan bill that would extend value-based payment incentives for healthcare providers participating in Medicare’s alternative payment models APMs.
CMS Approves ACOs for High Needs Track of the ACO REACH Model
CMS recently approved 20 Medicare accountable care organizations (ACOs) for the High Needs track of the new ACO REACH model. These provider organizations can serve small populations, including those with complex conditions or dual eligibility for Medicare and Medicaid.
Part II: Health Equity to Become Part of the VBP Future
The Center for Medicare and Medicaid Innovation (CMMI) Director Liz Fowler said that a future requirement for participating in a value-based payment model will be to create a health equity plan
Health Equity is Shifting to the Forefront
Health inequities result from race, ethnicity, disability, sexual orientation, socioeconomic status, geography, and other factors. In this blog, we will take a deeper dive into health equity, what it is and how it has come to the forefront of the industry.
Redesigned ACO REACH Model Strives to Provide Better, Whole-Person Care
MS announced a redesigned Accountable Care Organization (ACO) model that better reflects the agency’s vision of creating a health system that achieves equitable outcomes through high quality, affordable, person-centered care
CMS Projects More Beneficiaries Being Served by ACOs in 2022
CMS released data showing that Accountable Care Organizations (ACOs) are serving a growing patient population, according to CMS’ annual summary of the Medicare Shared Savings Program.
ACOs Generated Billions in Shared Savings in 2020
ACOs participating in the Medicare Shared Savings Program (Shared Savings Program) in 2020 earned performance payments totaling nearly $2.3 billion while saving Medicare approximately $1.9 billion.