Blog
A Pulse on Healthcare Insights, Trends, and Hot Topics
On-Demand Webinar: Finish Strong: The PY ’24 Care Gap Scramble
As we enter the final sprint of the year, successful ACOs work to close remaining care gaps and best treat their patients before year end. Watch the first session of our three-part series moderated by Dr. Luke Hansen, Arcadia’s chief medical officer, to learn best practices for using data to drive decision-making.
Two Unwanted Players in Value-based Care: Fraud and Waste
Examples of fraud and waste, as well as ways ACOs can mitigate its impacts.
A Methodology for Using Large Language Models to Create User-Friendly Applications for Medicaid Redetermination and Other Social Services
Following the unwinding of Medicaid’s continuous enrollment provision, states must redetermine Medicaid eligibility, creating uncertainty about coverage [1] and the widespread administrative removal of beneficiaries from rolls [2]...using the State of Washington, South Carolina, and North Dakota as examples, we applied LLMs to extract Medicaid rules from publicly available documents and [...]
3 Ways to Use Enhanced Primary Care Services as Part of ACO FLEX
A summary of three specific examples of enhanced services that a participant of ACO FLEX could use their new prospective funds to support.
On-Demand Webinar: A Guide to Performance Data in Payer Network Tiering + Provider Directories
Listen in as Nik Kubasek, VP, Partnerships at CareJourney, Andrea Purjue, Director, Enterprise Solutions at Arcadia and Josh Poretz, CEO & Founder at J2 Health discuss how to drive your networks forward with the right data building blocks.
On-demand Webinar: How to Accurately Assess Provider Performance in Value-based Care
Listen in as Chris Lester, VP of Analytics at CareJourney, Jake Woods, ACO Executive Director at PSW and Jake Hochberg, VP Analytics & Chief Analytics Officer at Arcadia share what’s worked, what hasn’t, and best practices to hold physicians accountable with clinical nuance.
A Call for Artificial Intelligence Implementation Science Centers to Evaluate Clinical Effectiveness
Artificial intelligence (AI) holds significant promise for revolutionizing health care by enhancing diagnosis, treatment, and patients’ safety. However, the current disparity between the abundance of AI research and the scarcity of evidence on real-world impact underscores the urgent need for comprehensive clinical effectiveness evaluations.
On-demand Webinar: Care Management
Despite the complexities of value-based care, healthcare organizations can’t lose sight of the ultimate goal: better care for patients. The best patient experience occurs when patients are proactively managed and routed to care management programs that are right for them.
How to Drive Proactive Interventions with BCDA Insights
The BCDA is a powerful tool made available by CMS, allowing providers access to timely insights from Medicare claims data. This helps providers facilitate proactive interventions aimed at preventing potential health problems and optimizing healthcare delivery. We’ll explore three ways providers apply BCDA data to drive more proactive care in partnership with Arcadia and CareJourney.
CMMI Flexing New Primary Care Model
The ACO FLEX model, a new payment model (available to ACOs also within Medicare Shared Savings Program; MSSP) is aimed at primary care, specifically trying to increase access to coordinated care for all Medicare beneficiaries, particularly underserved populations.
