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…