November 30, 2017

ACO roundup: HHS is rolling back health reform office, media report says

Daily Briefing
    • HHS rolling back health reform office, sources say. HHS appears to be winding down the Office of Health Reform, a small office that was established to implement the Affordable Care Act, Rachana Pradhan and Paul Demko write for Politico Pro. According to sources from HHS and elsewhere, many of the office's workforce have left or taken different positions within the administration over the past few weeks. A spokesperson for HHS declined to confirm whether the office has been officially closed.

    • What successful ACOs have in common, according to a new report. Successful ACOs share three key traits, according to a new report from the Health Care Transformation Task Force: They establish culture that facilitates value-based care, focus on population health management, and are based on a foundation dedicated to continuing improvement. The task force said the report, based on interviews with key staff at 11 ACOs throughout the country, could provide guidance for new or established ACOs aiming to measure the efficacy of their existing processes.

    • CMS to expand MA value-based insurance design model in 2019. CMS last week announced that in 2019 it will expand the Medicare Advantage (MA) Value-Based Insurance Design Model (VBID) to include an additional 15 states. The five-year program, launched in February, allows MA insurers to lower beneficiaries' out-of-pocket costs as a way to encourage them to use high-quality services and potentially reduce overall costs in the long term. In addition to expanding the program in 2019, CMS said it will allow Chronic Condition Special Needs Plans to participate in the program and permit participating insurers to propose their own methods or systems for identifying eligible enrollees.

    From Advisory Board:

    • What is the appropriate scale for a health system? How to unlock radical growth. Determining the appropriate scale for a health system can be tough: Should you aspire to become a $5 billion, $10 billion, or even a $20 billion organization? As mega-mergers become increasingly frequent, health system executives ask this question with newfound urgency. Join us on Monday, Dec. 1, to understand opportunities for radical growth both within and beyond existing markets.

    Register Here

    • How to address the social determinants of health. Join us on Thursday, Dec. 7, to learn how to improve population health by partnering with community-based organizations already providing quality non-clinical support for a range of needs, from healthy food access to stable housing, to scale patient management beyond traditional care settings.

    Register Here

    • MACRA, Part 2: Detailed analysis of the 2018 Final Rule. Join us on Tuesday, Dec. 12, as we take a deeper dive into the final 2018 Quality Payment Program (QPP) policies and offer action items for the short term and long term. We will also help you decode changes to the complex Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM) requirements, provide advice on program management, reporting alignment, and how to leverage health IT to achieve success.

    Register Here

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