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UpStream Is Honored to be Accepted into the ACO REACH Program for 2023

/PRNewswire/ UpStream, a leading value-based primary care services and technology company, today shared that they have been selected as one of the. ....

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Biden administration weighs changes to Trump-era Medicare policy

The Trump program allows private companies to participate in Medicare as part of a broader health department effort to improve care while limiting the government's costs. ....

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ACO Groups Disappointed With Results for Medicare 'Shared Savings' Program

Number of accountable care organizations in the program dropped by 34 from 2020 ....

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Detailed Agenda for the 2022 State of Reform Federal Health Policy Conference is now available! - State of Reform

The Detailed Agenda for our 2022 State of Reform Federal Health Policy Conference on February 17 is now available! ....

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Providers, payers see direct contracting's capitation as an important move to value-based care

Photo: Cecilie Arcurs/Getty Images
Over the past several years, the big trend in healthcare has been to inch away from fee-for-servicereimbursement and toward value-based care, in which a provider s reimbursement is tied more to clinical quality than to volume. The industry, policymakers and the federal government have attempted this shift through a number of legal and regulatory means, and one policy that has proven popular in this regard, among both providers and payers, is direct contracting.
In basic terms, direct contracting is a population-based model that allows for the use of capitation. This is what sets it apart: Aside from Next Gen and Pioneer, virtually all of the other compensation-based models from the Centers for Medicare and Medicaid Services are billed as fee-for-service, with a reconciliation 18 months later. ....

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