Posts Tagged ‘population-based payments’

Infographic: 2019 Alternative Payment Models Measurement

January 31st, 2020 by Melanie Matthews

In 2018, 35.8 percent of U.S. healthcare payments, representing approximately 226.5 million Americans and 77 percent of the covered population, flowed through alternative payment models (APM) built on fee-for-service architecture or population-based payments, according to a new infographic by the Health Care Payment Learning & Action Network.

The infographic highlights the payer perspective on the future of APM adoption as well as the top three barriers and the top three facilitators of APMs.

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS SuccessA laser focus on population health interventions and processes can generate immediate revenue streams for fledgling accountable care organizations that support the hard work of creating a sustainable ACO business model. This population health priority has proven a lucrative strategy for Caravan Health, whose 23 ACO clients saved more than $26 million across approximately 250,000 covered lives in 2016 under the Medicare Shared Savings Program (MSSP).

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS Success examines Caravan Health’s population health-focused approach for ACOs and its potential for positioning ACOs for success under MSSP and MACRA’s Merit-based Incentive Payment System (MIPS).

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