COPE Health Solutions’ Post

Are you a hospital serving Medicare and Medicaid in Vermont, Maryland, Connecticut, or Hawaii? CMS just announced that these are the first states to be accepted to participate into the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) model. The blog link below provides information about this initiative and how to prepare for success, written by COPE Health Solutions leaders Steven Hefter, Lindsey Patton and Allen Miller. Don’t miss out – read more here: https://lnkd.in/g9zi29AJ #HealthcareInnovation #ValueBasedCare #GlobalBudget #AHEADModel #CMS

Brag Moment: Advanced Health Outcomes' CEO, Dr. Sharon Hibay, was reaccepted to the Mathematica and Centers for Medicare & Medicaid Services CCSQ Hospital Harm Technical Expert Panel (TEP) for measure development. Such a great way to give back to our healthcare industry, generating measures that genuinely drive care transformation, outcomes, and just accountability. #MeasureGeek #PatientSafety #ReduceHospitalHarm

The Core Quality Measures Collaborative (CQMC) recently announced that ABFM’s Continuity of Care and Person-Centered Primary Care measures will join the core measure set! It means that health plans across the country should adopt these measures to improve patient care. Person-centered and continuous doctor-patient relationships are essential to primary care. Reams of evidence show that these relationships lead to lower costs, higher patient satisfaction, increased professional satisfaction for physicians, burnout prevention, and better health outcomes in a wide range of chronic disease areas. These measures are critical to providing more equitable care and improving health outcomes. https://bit.ly/3ElJWlI #MeasuresThatMatterToPrimaryCare #PrimaryCare #Continuity #PartnershipForQualityMeasurement #Person Centered #equity Centers for Medicare & Medicaid Services American Academy of Family Physicians AHIP Partnership for Quality Measurement (PQM)

Aligning the values of the professions with how they are valued

Continue incentives to move toward value. Promote adoption of models that prove cost effective and high outcomes for patients. Healthcare is at a crossroads to whether value is fully adopted across health systems. CMS incentives are critical for this adoption. Appreciative of the hard work on this topic.

With news of CMS Star Rating recalculations, many Medicare Advantage plans are revisiting their supplemental benefit packages. Investing in programs that drive health outcomes, improve the member experience, and reduce total cost of care is a top priority—so let us help get you there. Driven by rigorous research, numerous studies demonstrate Papa’s clear value and ROI. Member cohorts using Papa are associated with a: 📉 19% reduction in total cost of care 🏥 20% reduction in emergency department visits 🚑 18% reduction in inpatient hospital admissions 🌟 6% higher composite care gap compliance rate, meaning Papa members attended more Stars-related screenings and appointments than matched non-Papa members. People need people, especially when it comes to their health. Discover how our core companion care solution, combined with configurable impact programs like #StarEnhancement and #SDoHNavigation, can make a significant difference for your members. 🔗 Proven Impact of Companion Care: https://bit.ly/3KkAC4H

The Physicians Foundation recently launched a campaign called "Let’s Take 5 to Address Drivers of Health," marking a significant shift in health care. For the first time, physicians can report two non-medical drivers of health measures to the U.S. Centers for Medicare & Medicaid Services. This is a game-changer. At EHF, we've always advocated for a health care system that goes beyond treating symptoms to also addressing the underlying root causes of poor health. By focusing on prevention and tackling non-medical drivers of health like access to quality health services, nutritious food, and safe environments, we can make all communities healthier. Join us as we work to shift the health system toward a more equitable and preventive model that's focused on improving #HealthNotJustHealthCare. #NMDOH #SDOH #philanthopy https://lnkd.in/dYk-2dCd 

The Centers for Medicare & Medicaid Services (CMS) has hosted several recent webinars highlighting how it's National Quality Strategy is being implemented. Two of the sessions I attended, "Prioritizing Patient Safety Through Quality Measurement" and "AI in Quality Measurement" emphasized current cross-agency federal collaboration (AHRQ-CDC-CMS-FDA-ONC) and a focus on the shared strategy goals highlighted below. This initiative, launched in 2022, sets and raises "the bar for a resilient, high-value health care system that promotes quality outcomes, safety, equity, and accessibility for all individuals, especially for people in historically underserved and under-resourced communities." 👏 👏👏👏👏 https://lnkd.in/ecrEtSwu https://lnkd.in/eSRyisWT #healthcarequality #patientsafety #healthcareoutcomes #highvaluecare #patientaccess #patientcenteredcare #healthadvocacy

The latest CMS Fourth Evaluation Report on the Vermont All-Payer ACO Model highlights the impact of the model in its first five performance years. A focus on preventing avoidable acute care likely contributed to reduced hospital admissions and statewide and community health initiatives led the state to meet many of the model’s quality performance targets. However, challenges like limited payer participation, financial constraints, administrative burdens, and data access issues remain. https://lnkd.in/enWXiJGb Stay updated on all CMMI payment models with the Health Care Transformation Task Force's Model Tracker, a comprehensive and regularly updated resource documenting the Centers for Medicare & Medicaid Services payment models: https://lnkd.in/gRJuh5DE

Voting is open for Modern Healthcare's 100 Most Influential People in Healthcare 2023 and we're thrilled to see NAACOS' Board Chair, Emily Brower on the nomination list. Value-based care leaders like Emily are driving meaningful change in our #healthcare system, with a focus on coordinated, person-centered care that improves quality and controls costs. Cast your vote here: https://lnkd.in/ewFCaUQg (Note: you must vote for 10 individuals on the list to cast your vote; use ctrl+F to easily find the individuals you want to vote for) Other organizations that support #valuebasedcare and ACOs with leaders nominated include: Aledade, Inc., Signify Health, VillageMD, Centers for Medicare & Medicaid Services, and more! Check out the full list and cast your vote today: https://lnkd.in/ewFCaUQg #healthcareinnovation #healthcareleadership