Kevin O'Connell’s 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. Don’t miss out – read more here: https://lnkd.in/g9zi29AJ #HealthcareInnovation #ValueBasedCare #GlobalBudget #AHEADModel #CMS

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

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. This article 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

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 

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

💡 Big news from Centers for Medicare & Medicaid Services this week! CMS announced a new hospital #quality measure which is based in part on the 4Ms Framework for age-friendly care which was developed through The John A. Hartford Foundation funded initiatives. In 2025, hospitals that participate in Medicare’s Hospital Inpatient Quality Reporting (IQR) Program will be required to report on these protocols: 1️⃣ Elicit patient health care goals (What Matters) 2️⃣ Responsibly manage medications (Medication) 3️⃣ Implement frailty screening and intervention (Mentation & Mobility) 4️⃣ Assess social vulnerability (e.g. social isolation, caregiver stress, abuse) 5️⃣ Designate age-friendly leadership “HHS continues to make health care more accessible and equitable. Every American should be able to get the care they need, regardless of whether they are struggling to afford their rent, the color of their skin, or what else is going on in the world.” -Secretary Xavier Becerra, U.S. Department of Health and Human Services (HHS) ⚕ Resource: https://lnkd.in/gBBtb92E ⚕ Regulation: https://lnkd.in/ggXjSs7s

#DiggingDeeper - Check out the findings from the Greater Houston Area Accountable Health Communities (AHC) Model, a pioneering initiative designed to test the impact of identifying and addressing non-medical drivers of health. Spanning five years, this project has led to significant insights into how systematic screening, referral, and community navigation of non-medical factors can impact health care utilization and costs. The partnership with Harris Health System, Memorial Hermann Health System, and The University of Texas Health Science Center at Houston (UTHealth Houston), supported by the Centers for Medicare & Medicaid Services (CMS), underscores the power of integrated health care systems in connecting patients with crucial social services. From reducing emergency room visits to improving patient experiences, the outcomes speak volumes about the potential of alternative payment models (APMs). Learn more from author Laurie Vanhoose in EHF’s Digging Deeper research series - https://lnkd.in/g-9HEEgq #HealthNotJustHealthCare #ACH #healthequity #SDOH #NMDOH

This is truly cutting edge data centric and data aware solutions.

The path to high performant specialty care starts with the referral—ensuring the patient sees the right doctor, at the right time, the first time, and every time. What I’ve been most impressed with in my early days on the Conduce Health team is the ability to accurately and consistently make this possible and personalized at the patient level. Interested in learning more? Let’s connect!