Thriving under the new ACO program: how technology can pave the path to risk
In our first blog on Pathways to Success, posted right after CMS released the final rule in December, we discussed the challenges around the program’s accelerated path to risk and how to assess an organization’s appetite for risk when weighing the decision to participate. We also laid out a high-level strategy to prepare less experienced […]
What the new proposed interoperability rules mean for providers: a look at next generation data sharing
On the eve of HIMSS19, CMS released a long awaited proposed policy package on interoperability and data-sharing, virtually guaranteeing that the announcement would be a top news item at the conference and into the spring. Through these proposals, CMS is doubling down on its goals of empowering patients and improving care coordination. Patients would get […]
Take Six with Dan Clay, Senior Technical Support Consultant
Last spring, we announced that Allscripts Care Management is now part of the CarePort family. Since then, our expanded team has been driving innovation and inspiring creative collaboration, not just for Care Management but across the entire CarePort platform. We’re excited to continue introducing these colleagues and sharing their impact through the Take Six series in 2019. How did you first learn about Allscripts, and what drew you to the company originally? […]
The transition to post-acute care: a challenging juncture in the patient journey
Imagine coming to the end of a hospital stay and expecting to go home, and instead being told that you need to spend two more weeks continuing to recover in a nursing home. While this would be an atypical experience for the general population, it’s a harsh reality for many Medicare patients. More than 40% […]
Take Six with Scott Magnoni, Senior Research Analyst
How did you first learn about CarePort Health and what drew you to the company? Tom Martin (CarePort’s Director of Post-Acute Analytics) and I worked together at another company for about five years, and we stayed in touch even after we went our separate ways. When he came to CarePort last year, he reached out to me to let […]
CMS releases final ACO Pathways to Success rule: what’s next?
On December 21, 2018, CMS released the final rule for the Pathways to Success ACO program, which replaces the Medicare Shared Savings Program, or MSSP. While there are many differences between the two programs, the main differentiator is that Pathways significantly accelerates the pace of change, requiring participating ACOs to take on more risk more […]
Webinar recap: moving the needle on SNF quality measures
Last week, our Director of Post-Acute Care Analytics, Tom Martin, took the helm of our thought leadership webinar series, hosting a discussion about the various CMS programs that measure quality in the SNF industry. He laid out the nuts and bolts of three key programs—the Quality Reporting Program, the Value-Based Purchasing Program, and the Five-Star […]
Three ways health plans are using real-time clinical data to drive improved member outcomes
As commercial health insurers expand their Medicare Advantage (MA) offerings, the ability to closely control both the cost and quality of the care being provided to this higher-risk member population is critical for plan viability. Many Medicare beneficiaries are dealing with at least one chronic condition, and some have multiple comorbidities. These members are also more likely to suffer from functional and/or cognitive impairment, and as they age, a significant portion have permanent disabilities. In a […]
Webinar recap: Highmark Health on healthcare solutions without walls
Last week we continued our thought leadership webinar series with a presentation from Nick Stupakis, Vice President of Highmark Home and Community Services. This newly created subsidiary of Highmark Health is focused on transforming quality, service, and value in the post-acute space through an innovative payer-provider network management model. Nick spoke in-depth about the strategies […]
Fall events recap: reporting back from IM Symposium, NAACOS, and AHCA
Our team traveled to healthcare conferences and events all over the U.S. this fall—from Blue Cross Blue Shield’s IM Symposium in Alabama, to the NAACOS Fall Conference in Washington, D.C., to the AHCA/NCAL Convention this week in San Diego. We gained valuable insight by spending time with our health plan, health system and ACO, and […]
Take Six with Tom Martin, Director of Post-Acute Analytics
How did you first learn about CarePort and what drew you to the company? I heard about this role from a member of the CarePort team, who I worked with previously at PointRight, a company that specializes in post-acute data analytics. Having been in the healthcare industry for a while now, I’d also heard of CarePort […]
Webinar recap: building the continuum in case management
“Our time has come!” was how our special guest host Bonnie Geld, President and CEO of the Center for Case Management, began her presentation to case managers last week. As part of our thought leadership webinar series, Bonnie joined us to discuss the changing landscape of the healthcare industry, how case management has evolved into […]