By Jaan Sidorov, MD In order to manage the financial risks of being “accountable” to a population, provider organizations that want to be ACOs will have to do five things: 1) assess their assigned members’ individual risk (using health risk assessments (HRAs) and predictive modeling, 2) that then segment or stratify the population into three …
Tag Archives: health systems
ACO’s: If You Build ‘em, Will They Come?
Even the models for health reform hate the new HHS rule. The Obama Administration is handing out waivers far and wide for its health-care bill, but behind the scenes the bureaucracy is grinding ahead writing new regulations. The latest example is the rule for Accountable Care Organizations that are supposed to be the crown jewel …
ASCO Comments on ACO Rule
By Allen S. Lichter, MD, CEO, American Society of Clinical Oncology Dear Administrator Berwick: I am pleased to submit these comments on behalf of the America Soceity of Clinical Oncology(ASCO) in response to the recent notice of proposed rulemaking regarding accountable care organizations (ACOs) and the Medicare Shared Savings program (MSSP).1 ASCO is the national organization …
ACO Industry Stakeholder ‘Outrage’ | Theatrics or Substance?
By Gregg A. Masters, MPH Re-framed title: ‘CMS, ACO’s and ‘The Grapes of [special interests] Wrath?’ In the United States of Amnesia (“USA”), we seem to be drawn to a regular if not somewhat addictive ‘blame game’ pastime. Watching the post ACO Notice of Proposed Rule release commentary, and subsequent update by CMS announcing the …
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World Congress Leadership Summit on ACO’s: A Recap
By Gary Baldwin, Health Data Management Blogs I spent two days last week at the World Congress Leadership Summit on Accountable Care Organizations and my mind is just now recovering. As far as speaker quality goes, this conference (which offered concurrent tracks on ICD-10 and Meaningful Use) was top-notch, with dozens of speakers from hospitals, …
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Healthcare Experts Weigh In On ACO’s
By Karen Minich-Pourshadi, for HealthLeaders Media If you feel as though just about every week or so something new comes out involving accountable care organizations, you’re not mistaken. The Centers for Medicare & Medicaid Services recently announced two initiatives related to the ACO model: The ACO Pioneer Program and the Advanced Payment Initiative. So, what do …
The ‘ACO Sentiment Index’: A Tipping Point In Sight?
It’s been some 47 days (and counting) since CMS released the Notice of Proposed Rule on Accountable Care Organizations. Initial reaction was somewhat subdued, given its inherent complexity. Yet recently it seems CMS’s likely surviving allies may be patient advocates, Medicare beneficiaries and the patchwork of provider culture associated with Federal program funding, as well …
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Vince Kuraitis: ‘Is Hospital-Physician Integration Sustainable?’
On the Wednesday May 11th 2011 broadcast, at 11AM Pacific/2PM Eastern, consultant, blogger, noted speaker, and soon to be published author, Vince Kuraitis is my special commentator on the always ‘tender’ subject of physician/hospital alignment. Given the current scramble to position traditionally independent, siloed or discontinuous provider relationships into a coordinated tapestry of ‘accountable care’ …
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Top Pick’s in the ‘ACO Tool Shed’
Since CMS released the NPRM in March 2011, we’ve witnessed a veritable onslaught of client briefings, and analysis pieces on Accountable Care Organizations and the Medicare Shared Savings Program. The ‘buzz’ is intense as we play out the comment period. There is so much quality information readily available via Twitter, we thought it would be …
Bridging the Quality vs. Quantity Divide in Healthcare
By David Nace, MD Experts point to rising healthcare costs as a symptom of overuse, underuse and misuse of care delivery services. With the 2010 Patient Protection and Affordable Care Act (PPACA), the Centers for Medicare & Medicaid Services (CMS) set a goal of changing the model for payment for care from the fee-for-service model, which rewards …
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