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On-Demand Webinar: Start on the Right Foot: Strategizing for PY ‘25
While your roster might be set for PY ‘25, success is not automatic. Leading ACOs work to hone their value-based care strategy in advance, while also iterating along the way.
Demographics, Comorbidities, and Comedications in Newly Diagnosed Patients with Alzheimer’s Disease and Related Dementias: Findings from United States Medicare Claims Data
Medicare claims data enables broad characterization of United States (US) patients with Alzheimer's disease and related dementias (ADRD). Resulting insights can be used as a reference to describe this population and as a benchmark for generalizability of patients with ADRD enrolled in clinical trials.
On-Demand Webinar: Learn from Each Other: Lessons from PY ‘23
Across the diversity of ACOs, there is no one size fits all approach to value-based care. Instead, there are a myriad of approaches and tactics to best serve your population—and speculation around what drives success.
The Next Step in Specialty Value-based Care: Introducing the TEAM Model
TEAM is a mandatory model beginning January 1, 2026 and running for five years, requiring the participation of hospitals in 188 Core Based Statistical Areas (CBSAs). At a high level, participating hospitals are paid a set amount, or target price, for five episodes of care.
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 [...]
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.
Health Plan Enhances Member Provider Directory With Provider Intelligence
A tech-forward health plan improves the experience and lower the cost of care for Medicare Advantage beneficiaries.
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.