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April Updates: Medicare geographic variation; PTAC votes are in; RAND Study predicts revenue drop under MACRA

From a recent CMS report revealing a vast range in Medicare spending, utilization and quality across states to the April 11 Physician-Focused Model Technical Advisory Committee’s (PTAC) vote on proposed model innovations, we’re highlighting important items for the month of April. We’ll continue to monitor for updates so be sure to check back.


Helping High-Risk Patients Stay Healthier and at Home

At Cardinal Health, we support healthcare leaders as they implement best practices to transform patient care. A particular focus for many of them, as a result of a rapidly aging population and ever-increasing healthcare costs, is the prevention of avoidable hospital readmissions for high-risk patients.

Here, we visit with two such leaders, one a naviHealth customer, and the other the recipient of a Cardinal Health Foundation E3 Grant. With very different approaches, each is working to help improve the quality of life for seniors with multiple chronic conditions, and, at the same time, is reducing healthcare costs.


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The importance of conveners in bundled payment models

Bundled payments continue to demonstrate success and insurers are looking for new ways to test their efficacy; however, given the apprehension surrounding mandatory models, CMS will likely focus their resources on voluntary episode payment models – ones that allow providers to opt-in to participation and assess their readiness and willingness to accept financial risk and responsibility for patients over a longer period. Under this value-based construct, conveners can – and do – play a significant role in driving the adoption of new models as CMS continues to grow these initiatives.

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The impact of case management as a tool under MACRA

A recent study, Value Based Purchasing and Nursing Case Management, revealed that case management contributes to the reduction of hospital admissions and discharges, emergency visits, hospital readmissions and to the development of care programs to support these objectives. These findings included cost estimates and benefits of case management – a practice at the heart of care transitions – to support value-based care goals.

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Looking for ACO success? Look no further than post-acute care

Results from a recent study published in JAMA Internal Medicine found that ACO participation was associated to reductions in post-acute care (PAC) spending through reductions in discharges, length of stays and acute inpatient care. These findings further reinforce the importance of PAC spending for the success of ACOs, as well as provide evidence that ACOs – a key value-based initiative – can reduce Medicare costs and improve quality of care.

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News & Events
March 2017 | Upcoming events & key dates

From CMS’ cardiac-related EPMs to the AONE Annual Meeting 2017, we’ve rounded up some important upcoming events and dates blooming for the month of March. Be sure to check back for updates to stay in the know on all things care transitions.

Better care coordination is closer than you think

Improving patient outcomes is your goal. Join us for a webinar, featuring speakers from Spectrum Health and naviHealth, and learn ways to get there.

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