Accountable Care

Accountable Care

Oct 15 | Susan Morse

Medication adherence a big factor in Medicare Advantage star ratings

The bonus pool size is currently $6.3 billion, which goes to 4-star and above plans as $500 per member, per year.

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Oct 09 | Susan Morse

HHS and CMS are offering safe harbor to Stark Law to promote value-based, coordinated care

Example of changes is allowing a hospital to donate free cybersecurity software to each physician…

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Oct 09 | Jeff Lagasse

Coordinated care model leads to decreases in unscheduled, preventable hospitalizations

The Oregon model may promote more efficient use of resources, driven by primary care and financial…

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Oct 03 |

Medicare Shared Savings Program saves ACOs, Medicare money

ACOs saved Medicare $739 million last year after accounting for shared savings bonuses and collecting shared loss payments.

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Oct 02 | Nathan Eddy

Aledade touts cost saving successes of its ACOs

The company, founded by former National Coordinator for Health IT Dr. Farzad Mostashari, says advanced analytics are helping its accountable…

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Oct 01 | Jeff Lagasse

Healthcare costs for employers are coming in below projections, survey finds

With benefits costs expected to climb 5% in 2020, employers are engaging in efforts to stem the increases.

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Sep 30 | Jeff Lagasse

Lack of resources, staffing among barriers to implementing value-based care

Internal and external gaps in interoperability were the second most-cited barrier to VBC adoption, at 19.7%.

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Sep 19 | Jeff Lagasse

Majority of hospitals, physician practices screen patients for at least one SDOH, Dartmouth study finds

The pressure on physicians and hospitals to address social determinants will likely…

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Sep 05 | Jeff Lagasse

Medicare spends more on post-hospital care for seniors than private insurance -- needlessly

Changes to Medicare's post-hospital payment structure, to bring it closer to that used by…

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Sep 04 | Susan Morse

New alliance negotiates with health plans to address the social determinants of health

First-of-its-kind partnership uses IT to connect patients to social service organizations in upstate…

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Featured Resources

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.

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?

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.

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News

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. ...

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.

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 ...

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