Accountable Care

Accountable Care

Montefiore hits 300% ROI with social determinants of health

Jul 05 | Susan Morse

What Montefiore's 300% ROI from social determinants investments means for the future of other hospitals

The New York City health system created a program focusing on housing homeless…

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ACO Partner rewards physicians for shared savings

Jun 05 | Susan Morse

ACO Partner rewards 148 physicians with $148,000 in shared savings

Unlike a traditional ACO, providers can earn rewards for value-based performance but are not charged membership or service…

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May 23 | Beth Jones Sanborn

Physician practice call to action: Time to start digital transformation to value-based care and pop health

As the 2019 transition approaches, finding expertise to support changing payment…

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Why collaborative ACOs perform better with scale

May 17 | Jeff Lagasse

Hospital providers need collaborative ACOs with more than 100,000 lives to achieve savings, says analysis

"The future of accountable care depends on scale," says Lynn Barr, CEO of…

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Physician organizations nail down 4 policies for value-based care

May 10 | Jeff Lagasse

Aledade, MGMA, AAFP nail down 4 policies for value-based care

Physician organizations come together to help medical groups better manage the messy transition to new payment models.

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May 08 | Susan Morse

Hospitals, insurers support bill for greater sharing of information of patients with substance use disorders

Some entities, such as ACOs, have to create work-arounds because they won't…

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May 07 | Susan Morse

ACOs that take on downside risk save Medicare money, but the majority would rather leave

Recent survey shows 71 percent of ACOs would likely leave Medicare Shared Savings Program if required…

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Apr 03 | Jeff Lagasse

Medicare Accountable Care Organizations have increased federal spending, contrary to savings projections

While the MSSP overall was a net cost to CMS in 2016, there is evidence that…

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Sharp HealthCare ACO evaluating options after leaving Next Generation

Mar 28 | Susan Morse

Sharp HealthCare ACO is evaluating its legal options after leaving Next Generation

ACOs have left because of a surprise risk adjustment that pushed some from receiving bonus payments to…

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Seven ACOs leave Next Generation program

Mar 26 | Susan Morse

Seven ACOs drop out of Next Generation program but don't say why

The at-risk model has grown, but for some accountable care organizations obtaining financial benchmarks remains elusive. ACOs…

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Featured Resources

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

Beyond Dollars and Cents: A Closer Look At Value Beyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.

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Healthcare mergers and acquisitions in 2016: Running list While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. ...

Analyze this: Health systems, health plans get to the core of big data Pamela Peele knows that people who subscribe to cooking magazines have a much higher risk of going to the emergency room. But how she knows that is a whole other story.

Whitepapers

Clinical Quality Measures 101 Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to report ...

Credible, Defensible Estimates In healthcare, every interaction with the patient matters. Especially in today’s environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes – all laudable goals.

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data ...

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