Regional Differences in Ambulance-Sourced Avoidable ED Rates: Assessing Key Markets for the ET3 Model

In an effort to increase the quality of care for patients and reduce avoidable transports to the ED, the Center for Medicare and Medicaid Innovation (CMMI) developed an innovative payment model called Emergency Triage, Treat, and Transport, or ET3 for short. This model really looks to redefine emergency ground ambulance services, who until this model would only be paid by Medicare when transporting patients to approved facilities including hospitals (EDs), even if this was not the most appropriate care setting for the patient’s need.

2021-02-03T13:48:07-05:00

Medicare Data Reveal Actionable Quality–Cost Gaps in Care for Elders with Disability

CareJourney and Altarum have partnered in developing a breakthrough approach in measuring care for patients with physical and cognitive disabilities, focusing on adults aged 65 and older. In our analysis of 2018 medicare FFS claims data, we identified 6.7 million traditional Medicare patients who required long-term services and supports (LTSS) and had assessments that document these conditions. [...]

2021-01-20T10:23:13-05:00

Is the CMS Geographic Direct Contracting Model Right For You?

On December 3, 2020, Centers for Medicare & Medicaid Services (CMS) officially announced the release of the Geographic Direct Contracting Model (Geo), a highly anticipated option introduced at the outset of the Direct Contracting program, but subject to additional requests for information. We share industry enthusiasm for the model and appreciate the detailed approach on alignment and clarification on additional benefits. [...]

2021-01-06T10:34:37-05:00
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