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 April 13, 2023

Provider-Sponsored Health Plans—a Cure for Health System Woes or “Out of Their Wheelhouse”?

By Tawnya Bosko, PhD, DHA

Today’s economic uncertainty, rising costs and hospital financial performance coupled with major insurer reluctance to continue FFS rate increases have hospital and health system executives thinking about managing the health...

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 July 15, 2022

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

By Tawnya Bosko, PhD, DHA

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 Tawnya Bosko, PhD, DHA

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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