Spotlight Trends: Care Model Innovation

The episode opens with a discussion of what’s spurring these changes (00:50), including the importance of the establishment of the Center for Medicare and Medicaid Innovation (05:11) and the Quadruple Aim (06:45). Over the last decade, ACO models have been a huge source of savings and learnings for CMS (07:13), and even commercial markets (10:05). Reimbursement truly sets the tone and shape for care model innovation (13:17), whether we’re talking about Next Generation ACOs, Direct Contracting (14:28), or even Direct-to-Employer Contracting (18:00). As care model innovation continues, healthcare leaders should be thinking beyond the technical aspects (20:48), not overlooking the importance of change management, capability building, and culture development.

Podcast Tags: healthcare, care models, innovation, ACO, direct contracting, quadruple aim

Source Links – Below, we’ve listed links to some of the stories and resources discussed on this show.

· https://innovation.cms.gov/innovation-models#views=models

· https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/MACRA-MIPS-and-APMs#:~:text=The%20Medicare%20Access%20and%20CHIP,the%20Quality%20Payment%20Program%20that%3A&text=Streamlines%20multiple%20quality%20programs%20under,Based%20Incentive%20Payments%20System%20(MIPS)

· https://robertpearlmd.com/lessons-macra/

· https://www.fiercehealthcare.com/payer/naacos-calls-for-becerra-to-stem-losses-aco-participation-calls-for-increase-to-aco-savings?mkt_tok=Mjk0LU1RRi0wNTYAAAF7_ioIe6hTHSK2F64EV9LUrhxTPE2HHobV27D-br6GMS2McZnhTwnbCbARn-XYqXeQZKR0hxDk7zwo3jCO_HGwDI9r6-bt8PjKqfYW_ahOZHX3S5Iu_eA&mrkid=152778267

· https://innovation.cms.gov/innovation-models/gpdc-model

· https://www.fiercehealthcare.com/payer/industry-voices-direct-contracting-providers-opportunity-for-forward-thinking-employers?mkt_tok=Mjk0LU1RRi0wNTYAAAF8HRFPlmGwEzapC2b0t14Ks8pYOt74YCWHjBNyzp6ltMGGTkhsg1WzuO7GYD5Jfufw6ninujRfZX6Px4mZyy4tXYxDnoIQ54Zl-ViUHmz8XNLJPnb9xYY&mrkid=152778267

For additional discussion, please contact us at TrendingHealth.com or share a voicemail at 1-888-VYNAMIC.

Mindy McGrath, Healthcare Industry Learning Lead

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Ryan Hummel, Head of Provider Sector

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Jen Burke, Healthcare Industry Strategist

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