Accountable Care
Brookdale Senior Living allegedly submitted false staffing information that led to “undeserved higher star ratings.”
CMS cited the economic and health impacts of the pandemic, which make it difficult for Medicaid recipients to fulfill the work requirements.
Organizations must reorient to care for patients in and out of the clinical setting, according to Anjali Taneja, executive director of Casa de Salud.
The National Association of ACOs is urging CMS to make program permanent.
An individual diabetes patient can expect to pay about $9,600 each year on diabetes medical costs alone.
The move to value and care coordination is expected to accelerate in 2021.
Negotiations of drug prices are to be based on clinical outcomes; if the drug is not effective, the payer is not held accountable for the full price.
The initiative was born out of a realization that the health system needed to do more to improve outcomes and eliminate health disparities.
Although people aged 65 years and older make up more than 80% of deaths caused by COVID-19, younger adults make up the largest portion of cases.
Amarillo Legacy Medical ACO made that savings in just one quarter. If that trend continues, it's on track for a bonus.