Sg2 Blog

Each year Sg2 debuts the latest enrollment projections from our five-year Insurance Coverage Estimates (ICE) demand forecast. The team considers ZIP code level, age, federal poverty level, ethnicity and gender data to meaningfully distribute the population across financial groups. The following national trends were key inputs to the 2023 ICE model. Note: Numbers may not add due to rounding. Sourc...

It’s that time of year! CMS recently finalized a set of changes to the country’s largest alternative payment model (APM): the Medicare Shared Savings Program (MSSP). With a goal of attracting new entrants, retaining existing accountable care organizations (ACOs) and encouraging ACOs with expiring participation agreements to renew their commitment, this broad set of changes constitutes ...

Editor’s note: Shannon Stewart, Senior Consulting Director, Reliability and Management Systems, authored this post, which was originally published on Sg2’s parent company Vizient Inc’s blog. Hospitals and health systems are investing a lot of resources to thoughtfully and strategically plan how they will meet their communities’ needs in the future. They’re developing ...

Prioritize where to begin care at home efforts in your organization Care at home is not a new concept to many in the healthcare sector as it has existed in some form for the past 30 years. But the COVID-19 pandemic accelerated the need to deliver care differently, specifically leveraging digital health capabilities and shifting care into the home setting. According to Sg2’s Impact of Change&...

As children's hospitals and providers of complex pediatric care emerge from the pandemic, we have seen familiar challenges and priorities tenaciously reemerge. Chronic inadequacies in pediatric behavioral health service delivery, combined with pandemic-induced disruption and stress, have worsened today's acute pediatric mental health crisis. The rising prevalence and severity of pediatric behavior...

The Centers for Medicare and Medicaid Innovation (CMMI) has opened the application window for the Bundled Payment for Care Improvement Advanced (BPCI-A) program for the third and final time. Through May 31, 2023, provider organizations can submit a non-binding application to participate in the program’s two additional model years. The program extension may be an opportunity to work towards o...

As part of Sg2’s value-based care (VBC) analysis and market research, we review the quarterly earnings calls from a subset of publicly traded legacy payers and VBC-focused entrants. The summary is designed to highlight emerging trends and dynamics in these closely related industries, especially as these tie to VBC. The following post draws from recently released earnings call transcripts fr...

Making Care Primary Model Overview On June 8th, CMS announced the upcoming launch of the Making Care Primary (MCP) model. This new CMS model aims to achieve three goals: Provide patients with primary care services that are integrated and coordinated with specialty care as well as leverage community-based connections to better address patients’ social determinants of health (SDOH) needs...

With the Strategy Accelerator program, efforts to strategically prioritize care at home programs for deployment take shape. Amid increasing inpatient lengths of stay; capacity limitations; and pressure from competitors, policy makers, payers and patients, the forces pointing to care at home as an opportunity continue to mount. However, success requires careful planning and analysis to craft a tail...

The Kaiser-Geisinger Partnership Enables Value-Based Care The newly announced deal between Kaiser Permanente and Geisinger could turn out to be one of the most impactful health system partnerships in recent years. The deal is subject to regulatory review, but if it goes forward, Geisinger will join Risant Health, a new nonprofit formed by Kaiser Foundation Hospitals with an emphasis on value-ba...