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The ACO Show
Aledade Inc
194 episodes
2 weeks ago
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Medicine
Business,
Health & Fitness
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Medicine
Business,
Health & Fitness
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193. Breaking down CMMI’s new strategy with Abe Sutton and Farzad Mostashari, M.D.
The ACO Show
34 minutes 58 seconds
3 months ago
193. Breaking down CMMI’s new strategy with Abe Sutton and Farzad Mostashari, M.D.
Abe Sutton, director of the Center for Medicare and Medicaid Innovation (CMMI), sits down with Aledade CEO Farzad Mostashari, M.D., and Sean Cavanaugh to unpack the new strategic framework for CMMI models. Sutton explores CMMI’s focus on three pillars: promoting evidence-based prevention, improving patient access to their health data and driving choice and competition in health care markets. He discusses the recently announced WISeR (Wasteful and Inappropriate Service Reduction) Model, which aims to leverage artificial intelligence (AI) in reviewing prior-authorization requests to prevent harmful or unnecessary services. He also talks about the Ambulatory Specialty Model (ASM), which would reward specialists for improving health outcomes in Medicare patients with lower back pain or heart failure and CMS efforts to improve risk adjustment through permanent programs and testing new ideas on a smaller scale through the Innovation Center. Connect with us at acoshow@aledade.com or visit the Aledade Newsroom
The ACO Show