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Care Coordination

A review of Blue Cross Blue Shield medical claims show major depression diagnoses spiked 33 percent from 2013 through 2016, climbing fastest among adolescents and millennials, according to the Blue Cross Blue Shield Association's Health of America Report.

As the healthcare industry continues the march toward value-based care, CMS has turned a critical eye on one-sided ACO contracts for driving up costs and making little progress toward value.

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Lynn, Mass.-based Union Hospital, operated by Salem, Mass.-based North Shore Medical Center, shuttered its operating rooms May 10 as part of a phased closure, according to The Salem News.

This past January’s announcement of an additional 124 new Accountable Care Organizations implies that we have reached an Alternative Payment Model (APM) tipping point, with ACOs becoming more prevalent than standard Fee-for-Service payments, echoing the Centers for Medicare and Medicaid…

Despite the elimination of mandatory bundled payments by the Centers for Medicare and Medicaid (CMS), commercial insurers are investing in this model based upon the positive results they’ve seen from the CMS demonstration models and their own trial experiences.

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