Health Affairs: (11/10) - This blog discusses key observations from evaluations of the CMS ACO Investment Model (AIM) implementation. Specifically, the article looks at impacts over the three performance years pertaining to partnerships with management companies, strategies for reducing spending in dispersed markets, and the extent to which single-sided financial risk may suffice to induce care transformation.
Business Wire: (11/10) - Lessons learned from COVID-19 are expected to drive major changes in the health care delivery system. In interviews conducted with leaders at the Council of Accountable Physician Practices (CAPP), physicians identified six major initiatives that should be encouraged to shape the system post-COVID, including accelerating the transition to paying for value and investing in primary care.
Modern Healthcare: (11/9) - In an interview with Modern Healthcare, Humana Chief Medical Officer Dr. William Shrank spoke about the drive to value-based care and findings from Humana’s annual report assessing value-based contracting. He noted that providers who are trying to be successful in both VBC and fee for service are struggling, and that those who fully make the jump to value are seeing great results.
Becker’s Hospital Review: (11/9) - A recent KFF report evaluated Health Professional Shortage Area (HPSA) designations in the United States and found a total of 7,203 areas with a HPSA designation. This article ranks each state based on the number of HPSA designations as of September 30, 2020.
USA Today: (11/9) - Smaller physician practices are struggling to stay open during the pandemic. A recent survey by the American Medical Association found the average revenue in medical practices has dropped by 32 percent, making it difficult for practices to survive under the financial stress resulting from reductions in patient volume and revenue.
Becker’s Hospital Review: (11/6) - A recent study published in JAMA Network Open revealed a 23 percent decline in overall health services in March and 52 percent decline in April for commercially insured beneficiaries, compared to the same time period in 2019. While telehealth use increased rapidly, it was not enough to account for reductions in in-person primary care visits.
American College of Physicians: (11/6) - A recent blog post from ACP advocated against the practice of private insurers eliminating waivers implemented during the pandemic that have been crucial for patient health and physician reimbursement.
AJMC: (11/5) - Willis Towers Watson recently published its 2020 Health Care Delivery Survey, which found that 73 percent of organizations intend to adopt and expand more value-based, employer-provided health care delivery models over the next three years.
Healthcare Finance News: (11/5) - In a recent episode of HIMSS TV, Dr. Karen Abrashkin, the medical director of Northwell Health’s House Calls program, says virtual care tools have allowed providers to connect with senior patients in their homes and enhanced patient-provider relationships in primary care.
Home Health Care News: (11/3) - Humana intends to continue the shift toward value-based care payment models, both with internal service lines and external provider partnerships. In the third quarter of 2020, 86 percent of Humana’s value-based care partners received a higher level of payment than they would have in a fee-for-service arrangement.