Accountable Care
With AI-powered pharmaco-clinical intelligence, the not-for-profit health system aims to identify and monitor high-risk polypharmacy patients and recommend clinical Interventions.
As Kaiser Permanente closes its acquisition of the Pennsylvania-based IT innovator, Gesinger will be the first health system to join the nonprofit organization, which was created by Kaiser to speed the adoption of value-based care nationwide.
AI & ML Intelligence
An accountable care expert offers perspective on the role artificial intelligence can play in transforming risk adjustment, synthesizing quality and risk data, and helping patients more fully engage with their care.
Public health, payment reform, enhanced delivery models and, yes, generative AI are just some of the topics to explore in these high-level sessions at HIMSS24.
Success Stories & ROI
2017 saw Houston Methodist Coordinated Care Medicare Accountable Care Organization in the 40th percentile in some of the CMS ACO quality metrics. Today it's in the 90th. Physicians also have received CMS shared savings based on their quality percentile performance.
Most health plans leaders are investing in technology for digital transformation as the primary way to achieve organizational goals.
The Medical Group Management Association says ONC's proposed rules add undue financial burden to practices and would affect the delivery of Medicare and value-based care.
Success Stories & ROI
With telemedicine, the time for patients coming out of the ER or a convenience clinic to see a primary care provider has gone from weeks to 24-72 hours. And virtual care has helped the health system achieve a 72% completion rate of Medicare annual wellness visits.
Moving into 2024, there will be a greater commitment to accountable care models – and the technologies that support nontraditional care scenarios – as healthcare organizations aim to improve patient outcomes, reduce health inequities and control costs.
The CMS-based disincentives outlined in the proposed rule from ONC published Monday would penalize hospitals under the Promoting Interoperability Program, eligible clinicians under MIPS and ACO participants under the Medicare Shared Savings Program.