Tag: Value-Based Care

CMS Launches MAHA ELEVATE Model to Fund Chronic Disease Prevention Initiatives

CMS introduces the MAHA ELEVATE model, a voluntary payment program funding lifestyle medicine interventions not covered by Original Medicare to improve chronic disease prevention.

CMS Launches ACCESS Model to Advance Technology-Enabled Chronic Care

CMS launches the ACCESS Model, a 10-year initiative to enhance chronic disease management for Medicare beneficiaries through technology and outcome-based payments.

Navigating Regulatory Complexities of Data Exchange in Value-Based Care

Explore the regulatory frameworks influencing data exchange in value-based care, including CMS rules, HIPAA, and state requirements. Understand operational challenges in healthcare data governance.

CMS Launches MAHA ELEVATE Model to Fund Lifestyle Medicine in Medicare

CMS introduces the MAHA ELEVATE Model to finance lifestyle and functional medicine interventions in Original Medicare, targeting chronic disease prevention and cost reduction.

CMS Finalizes Mandatory Ambulatory Specialty Model for Specialists in Medicare

CMS finalizes the mandatory Ambulatory Specialty Model in Medicare, expanding value-based care to specialists treating chronic conditions with two-sided financial risk and collaborative care requirements.

CMS and FDA Launch Models to Integrate Digital Health in Traditional Medicare

CMS and FDA introduce ACCESS and TEMPO models to enable digital health device integration in traditional Medicare, focusing on outcome-aligned payments, regulatory easing, and expanded patient access.

CMS Launches Mandatory TEAM Bundled Model in 2026: Implications for Home Health Providers

CMS's mandatory TEAM model starts in 2026, bundling payments for select procedures and increasing home health utilization. Key insights on risks, preparation, and hospital partnerships for providers.

Two-Sided Risk Models Drive Success for Medicare Shared Savings ACOs

ACOs in the Medicare Shared Savings Program taking on two-sided risk show higher savings and quality outcomes, highlighting a shift in value-based care strategies.

Novant Health ACO Leads U.S. in Medicare Shared Savings Program Quality Scores

Novant Health's Accountable Care Organization achieves highest national quality score in 2024 Medicare Shared Savings Program, highlighting leadership in preventive care and chronic disease management.

CMS Launches ACCESS Model to Advance Outcome-Based Payments in Medicare FFS

CMS initiates the ACCESS Model, a 10-year voluntary program testing outcome-based payments for Medicare fee-for-service providers, enhancing integrated, tech-supported chronic care.