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August 30, 2018

ACO roundup: CMS launches new payment and delivery model to address opioid epidemic

Daily Briefing
    • Next Generation ACOs saved about $62M in their first year. Does that mean one-sided risk models are over? Next Generation ACOs generated a net savings of about $62 million for Medicare during their first performance year, according to a CMS report released Monday. Advisory Board's Yulan Egan says these results show that CMS will likely continue to "accelerate the transition to downside risk," and shares three other takeaways providers should know.

    • Nebraska hospital cuts 30-day readmissions by 42%. Columbus Community Hospital in Nebraska cut 30-day readmissions by about 42% between October 2016 and May 2018 by regularly networking with local health care providers, pharmacists, assisted living and nursing home facilities. The hospital used a risk calculator to identify patients at risk of readmission and assign at-risk patients a case manager who worked with them for 30 days to coordinate post-discharge care. The hospital also joined the National Partnership for Patients' Hospital Improvement Innovation Network, an initiative that aims to curb preventable hospital-acquired conditions, reduce readmissions, and ensure consistent, high-quality care.

    • CMS launches new payment and delivery model to address opioid epidemic. CMS this month launched a new payment and care delivery model, called the Integrated Care for Kids (InCK) Model that aims to combat the opioid epidemic by improving care quality for minors covered by Medicaid and CHIP, cut avoidable hospital stays and out-of-home placement, and develop long-lasting alternative payment models. CMS plans to release a notice of funding opportunity for the model later this fall, and up to eight states as early as spring 2019 will receive a maximum of $16 million in funding to launch the seven-year model.

    From Advisory Board:

    • Understand the health insurance business. Join us for our four-part 30-minute webconference series starting on Thursday, September 6, at 3:00 p.m. ET to get up to speed on private insurers, Medicaid, Medicare, and more.

    Register Here

    • Learn the key details of CMS's proposed ACO overhaul. Join us on Tuesday, September 11, at 3:00 p.m. ET to learn about the proposed changes, what this means for the future of value-based care, and how the changes intersect with MACRA.

    Register Here

    • What's new in chronic disease management? Join us on Thursday, September 27, at 3:00 p.m. ET to learn how provider organizations are scaling legacy approaches to chronic disease management for multi-morbid patients, while improving health outcomes and reducing utilization.

    Register Here

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