Accountable Care
The value-based network will enable rural hospitals to meet the increasing challenges of delivering healthcare.
More than 7 million have lost Medicaid coverage, with states taking widely different approaches to the redetermination process, says John Barkett.
AHEAD model includes financial incentives for hospitals and primary care practices.
ACOs that earned shared savings tended to be low revenue small and rural hospitals or organizations made up of physicians.
Episode-based payment incentives must be aligned across other value-based models, CMS says.
NAACOS, AHIP and AMA have recommendations for interoperability around value-based care.
More than 75% of the 4,654 hospitals in the Care Compare Dataset for 2023 received 2, 3 or 4 stars.
The Enhancing Oncology Model offers additional payment for enhanced services to patients who are dually eligible for Medicare and Medicaid.
The model excludes ACOs, objects NAACOS.
More than half of members in the state now receive care from providers participating in equity-focused payment contracts, Blue Cross says.