Accountable care may still be a relatively new model in some areas, but the numbers of ACOs are steadily increasing. There were approximately 660 ACOs in the U.S. in 2015. The number increased to 838 last year. Success, however, can be elusive. Only about one-fourth of U.S. hospitals entered into value-based contracts have been able…
Transforming a $3.2+ trillion dollar economy where approximately 1 in 5 dollars of GDP finds its way into the healthcare financing and delivery ecosystem is no small challenge. Decades of variably branded health policy initiatives from HMOs and PPOs to their arguably derivative reincarnated ‘brethren’ ACOs all presented with the promise of taming what remains…
July 13, 2017 – The National Business Group on Health (NBGH) recently identified the core competencies accountable care organizations (ACOs) should have at each stage of its development. The two resources from NBGH on ACO competencies are meant to help employers who are considering adding an ACO to their health coverage options. The scoring guide and…
The drive toward value-based care is requiring the healthcare industry to make a 180-degree turn from where we were just a few years ago. We’re moving away from a system focused on treating sickness to one that strives for wellness; from encouraging volume to demanding value; from filling beds to penalizing readmissions; and finally, from…
The terms “care management” and “care coordination” are starting to take on slightly different flavors in the health IT world as software companies create new offerings for the growing value-based care marketplace, says a new report by Chillmark Research. Healthcare organizations are exhibiting a growing appetite for patient management tools to support population health management…
In recent years, one of the most important initiatives in healthcare has been the focus on providing the highest quality of care at the lowest cost possible, all while ensuring a positive patient experience. It’s essential that organizations work together to determine which elements build the best system of care. My experience serving as the…
Accountable care organizations (ACOs) are provider-based networks which utilize data analytics and population health management strategies to increase efficiency, improve patient outcomes, and reduce healthcare costs. Originally established in 2012 as a Medicare payment model, the ACO is now also seen in private payer settings across the healthcare continuum. Full Article
For organizations that have not participated in programs like the Medicare Shared Savings Program, the longer they wait and do not build up experience, the harder it gets to be successful in the more advanced risk-based programs,” says Elizabeth Johnson, MD, MS, president and CEO of MaineHealth Accountable Care Organization. Full Article
Hallmarks of the post-Affordable Care Act era are a significant shift toward value-based and risk-sharing contracts. The leader of the reimbursement pack, the Centers for Medicare & Medicaid Services (CMS), has moved aggressively in the direction of value-based reimbursement arrangements with providers. To provide some perspective, in 2011, no Medicare payments were delivered under risk…
The considerable hype around blockchain is starting to be tempered by enterprises earning practical experience and identifying worthwhile use cases for the technology. Most of the buzz around blockchain in healthcare has focused on EHRs, interoperability and security, but a new potential for value-based care, precision medicine and a patient-driven healthcare system are emerging as…