Medicare & Medicaid
The providers are supported by a local multidisciplinary team including behavioral health clinicians, nurses, social workers and dietitians.
Even with insurance, the cost to Medicare patients may be more than $1,600 a year, which may prohibit some from even taking the drug at all.
Personalized communications and robust analytics capabilities can help MA plans avoid some of the pitfalls of coverage gaps.
About 40 new ACOs entered the program, which is less than the 100-plus new ACOs the program averaged in its first 7 years.
Total transacted revenue, $11.3 billion, was above the norm for a single quarter and nearly four times the revenue of Q2 2018.
Many BPCI-participating hospitals instead elect to send patients to home health organizations, which are less costly.
Most states have gotten or are seeking the Section 1332 waivers to establish a reinsurance program to fully or partially reimburse insurers that are covering claims for high-risk beneficiaires.
Costs for two- and four-person families rose despite overall premiums being relatively flat compared to last year.
Participation almost doubled year-to-year, while the number of clinicians taking part in MIPS declined.
As they have become more widespread, ACOs have employed a variety of care management and coordination strategies.