Aligning strategies across all healthcare stakeholders is necessary to successfully incorporate health equity into alternative payment models. https://bit.ly/3WgJWO3
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If you are working on your Medicare Star rating, you may want to read this article. #medicare #medicarestar #healthequity
Last year, CMS announced changes to Medicare Star Program measures, which raised the threshold for obtaining high-star ratings and signaled an increased focus on health equity. Is your organization ready? Here are four actionable ways to maintain or increase star ratings in 2024 and beyond. ... #healthequity #starratings #medicareadvantage
4 Ways to Prepare for CMS’s Health Equity Index | Freed Associates
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Last year, CMS announced changes to Medicare Star Program measures, which raised the threshold for obtaining high-star ratings and signaled an increased focus on health equity. Is your organization ready? Here are four actionable ways to maintain or increase star ratings in 2024 and beyond. ... #healthequity #starratings #medicareadvantage
4 Ways to Prepare for CMS’s Health Equity Index | Freed Associates
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Our experienced consultant can help get your Star ratings up. Learn how.
Last year, CMS announced changes to Medicare Star Program measures, which raised the threshold for obtaining high-star ratings and signaled an increased focus on health equity. Is your organization ready? Here are four actionable ways to maintain or increase star ratings in 2024 and beyond. ... #healthequity #starratings #medicareadvantage
4 Ways to Prepare for CMS’s Health Equity Index | Freed Associates
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Physician | Senior Executive | Digital Health Entrepreneur | Innovating at the intersection of value-based care and health equity
Medicare Advantage Star Ratings are only as helpful as they are trustworthy. So recent updates that enshrine health equity in the Star Ratings program are absolutely critical. They add depth and value to the ranking system, align payer and provider incentives behind equity, and help folks make the best healthcare decisions. Some additional context: CMS recently approved a health equity index reward for the star ratings system. It’s designed to encourage health plans to reduce disparities and support better outcomes for all communities. The new methodology goes into effect in 2027. But CMS will use data from 2024 and 2025 to calculate the first batch of ratings. The sooner health plans prepare for the change, the better their chances of earning a high rating in this new methodology. My advice: To make the most of this change, double down on value-based care now. Contracts crafted in the value-based care ecosystem reward payers for supporting health equity goals. They encourage physicians to focus on the patient experience and health outcomes. That’s precisely the kind of change the new program is hoping to inspire. Steps that help people exercise their right to health are always worthwhile. Now, they lead to better business outcomes, too. #HealthPlans #ValueBasedCare #Medicare #HealthEquity #patientexperience #payers #healthequity
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In today's healthcare landscape, ensuring health equity among patients is essential to provide every patient with the same level of care. By optimizing health equity, every patient should have a fair opportunity to achieve ideal health. Alternative Payment Models (APMs) play a crucial role in health equity with the rise of value-based care as they incentivize high-quality, coordinated healthcare models. Some challenges remain, such as accurately measuring disparities and standardizing data collection, but there's growing optimism for meaningful progress towards advancing health equity across the board. 💡 Priority Practice Management can help optimize your healthcare practice to relieve the administrative burden of running it yourself. Learn more on our website ➡ https://lnkd.in/gpYmTyzz #ValueBasedCare #PracticeManagement #RevenueCycle #HealthEquity 📖 Article: https://lnkd.in/gCKdZ67u
How to address health equity in alternative payment models
revcycleintelligence.com
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A proposed CMS rule mandates #MedicareAdvantage plans to incorporate health equity into utilization management activities. Health plans can prepare by embracing data and integrating equity into their operational fabric: http://bit.ly/3RWS4zA #healthplans #healthequity
From moral obligation to strategic imperative: Health equity at a crossroads
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The U.S. government is driving health equity by integrating Social Determinants of Health (SDOH) into healthcare policies. Discover how initiatives like Healthy People 2030 and CMS mandates are paving the way for better health outcomes. Read more: https://loom.ly/WpDXbtQ #HealthEquity #SDOH #HealthcareAnalytics #MedicalResearch #HealthcareReform #IQR HealthPolicy
Government Support for Social Determinants of Health (SDOH) Programs
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New in today's issue of Health Plan Weekly: Experts say the timing is right for Cigna Healthcare to leave Medicare Advantage, CMS predicts a modest MA pay increase for 2025, why payers are facing an increasing likelihood of ERISA fiduciary lawsuits, and more top stories. https://hubs.ly/Q02jHyrM0
Health Plan Weekly
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Emergency Physician and Clinical Operations Leader Building Solutions to Improve Healthcare Delivery
“Don’t hate the player, hate the game” is what David N. Bernstein should’ve titled this. But it’s not wrong! “Incentive structures focused solely on volume and efficiency (e.g., number of procedures) sacrifice resources aimed at avoidance of death and negative hospital events, such as falls or infection, because there is no reward structure (or substantial financial penalty structure) built around these more patient-centered outcomes. The result? Private equity firms … focus on what optimizes profit, not … patient-centered outcomes.” Systems are structured to incentivize whatever it is they value. If we truly value outcomes over profits, we need to realign our healthcare system - and its incentives - accordingly, including safeguards to prevent PE and its behavior if we believe it doesn’t belong in healthcare.
Private Equity Is Not The Problem In Health Care, It’s Just The Scapegoat For Misaligned Incentives
beckershospitalreview.com
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On September 5, 2023, CMS released a new, voluntary state total cost of care model called the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model. Healthcare strategy expert Patrick Pilch discusses 5 key considerations that health systems in potential participating states should be aware of: https://ankura.co/3HzLcUd
5 Things for Health Systems in Potential Participating States to Know About the AHEAD Program
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