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 March 8, 2023

Working Toward a New Normal: Insurance Coverage After the Public Health Emergency

By Tori Richie

For years Sg2 has tracked the pace at which baby boomers are aging into Medicare, the rise of high-deductible health plans and Medicaid expansion. This year brought a new forecasting...

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 January 12, 2023

Will 2023 Be the Year That You Fully Embrace Value-Based Care?

By Laura P Jacobs

Value-based care is a vital part of addressing the challenges the health care marketplace faces, and 2022 only reinforced what challenges lie ahead. As your organization faces these challenges in...

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 July 15, 2022

Should Your Organization Participate in Medicare’s New Enhancing Oncology Model?

By Keely Macmillan

Health care providers should consider these questions when evaluating whether the Enhancing Oncology Model is a strategic fit for their organizations.

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 July 5, 2022

How the Expiration of MACRA’s aAPM Bonus Will Impact ACO Decision Making

By Keely Macmillan

In the absence of congressional intervention, a significant financial incentive for physicians to participate in value-based payment models will disappear at the end of 2022. Providers will need to decide...

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 May 11, 2022

MSSP Season Is Here! Should You Participate, and if You Participate, Are You Prepared for Downside Risk?

By William Ringwood

Application process starts June 1, 2022, for Medicare Shared Savings Program (MSSP), which is Medicare’s established accountable care organization program that allows for new participants every performance year.

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 March 21, 2022

ACO REACH Is Here! How Will It Impact Your Value-Based Care Strategy?

By Regina Menza

On February 24, 2022, CMMI announced the ACO REACH Model, which will replace the current Direct Contracting Model on January 1, 2023, as the highest level of risk/reward total cost...

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 September 27, 2021

Direct-to-Employer Contracting: Understanding the Value of “Value”

By Jeff Hayes

In today’s rapidly expanding direct-to-employer contracting sphere, it is of critical importance that employers understand the entire value equation.

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 August 6, 2021

Exploring Direct-to-Employer Contracting? How to Get Started and Find the Right Partner

By Jeff Hayes

Health systems considering direct-to-employer contracting should first understand the attributes for success. For organizations that have capabilities in place, the time is now to take steps toward direct-to-employer contracting.

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 June 28, 2021

Is Your Health System Ready for Direct-to-Employer Contracting? Four Keys to Success

By Jeff Hayes

Rising health care costs along with employers’ focus on improving quality and increasing patient engagement are key drivers fueling the growth of direct-to-employer contracting.

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 September 26, 2019

BPCI-Advanced: The Race Is On for Episode Selection

By Jim Reilly

CMS’s recent release of claims data related to the BPCI-Advanced program has increased anxiety levels across the country. Providers currently participating in, or considering entering into, the BPCI-Advanced program for...

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 September 6, 2019

Primary Care First: A Low-Risk Payment Model Aimed at Primary Care Redesign

By Tawnya Bosko, DHA

Let’s take a look at Primary Care First, a 5-year, voluntary payment model that’s like Comprehensive Primary Care Plus’s (CPC+) older sibling who moved out of the house.

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 July 22, 2019

BPCI Advanced Participation Next Steps: Lay the Foundation for Success

By Jim Reilly

Before Medicare releases requested historical claims data, it is essential that hospitals begin to assess, evaluate, build, and refine their various systems and assets to prepare for BPCI-A. Read on...

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