Accountable Care Organizations (ACOs)

Could the Aetna-Humana Merger Announcement Be a Game-Changer?

July 3, 2015   |  Mark Hagland
What might the Aetna-Humana merger mean for current population health efforts among health plans and providers—and for the carefully laid strategic healthcare IT plans being designed to facilitate those efforts?

A New Model of Care Coordination in Iowa

July 1, 2015   |  Gabriel Perna
In Iowa, mental health, primary care, and public health providers are working together to overcome the social determinants that challenge rural-based care coordination. The different sides are finding out what it’s like to “grow up together” in a “care...

CMS Makes Changes to ACO Investment Model to Help Rural Providers

June 30, 2015   |  Rajiv Leventhal
The Centers for Medicare & Medicaid Services (CMS) has announced two modifications to the design of the accountable care organization (ACO) Investment Model, with the aim to help rural areas and small group practices gain more access to ACO benefits.

Under Healthcare Reform, Where Do Practicing Physicians Go From Here?

June 30, 2015   |  Mark Hagland
Physicians in all settings in U.S. healthcare—private practice, medical group management, and association leadership—are living through the inevitably messy transition to the new healthcare

Obstacles Ahead: One OB/Gyn’s Skeptical Views on Healthcare Reform

June 29, 2015   |  Rajiv Leventhal
As a result of the federal government’s push towards a value-based healthcare system, providers are being pushed to be part of alternative payment models such as ACOs. Nonetheless, research shows that physicians remain uncertain about the structure and...

Washington Debrief: ONC’s Funding Maintained at Same Level in FY2016

June 29, 2015   |  Leslie Krigstein, Interim Vice President of Public Policy
The House and Senate both put forth appropriations bills that maintained ONC’s current funding level through FY2016, approximately $60.4 million. The bills also maintained the prohibition of a national health identifier.

BREAKING: Supreme Court Upholds ACA Subsidies

June 25, 2015   |  Gabriel Perna
Another challenge against the validity of the Affordable Care Act (ACA) has gone by the wayside, with the Supreme Court upholding the legality of tax credits in federally run exchanges.

Cedars-Sinai’s Scott Weingarten, M.D. on the Hard Work—and Vision—of Clinical Transformation

June 24, 2015   |  Mark Hagland
On the eve of the annual AMDIS conference, Scott Weingarten, M.D., of Cedars-Sinai Health System talks about the hard work—and the vision—of true clinical transformation

What Margo Channing Would Say About the Current Instability in Health Plan Business Activity—And Why CIOs Should Worry

June 23, 2015   |  Mark Hagland
As we enter a period of unprecedented instability in health insurer business activity, many of the best-laid plans of healthcare IT leaders are at practical risk

Leveraging Data for Population Health: One Health Plan Leader’s Perspective

June 22, 2015   |  Mark Hagland
Charles Kennedy, M.D. of Healthagen/Aetna shares his perspectives on the immense challenges and opportunities facing health plans and providers as they work to leverage data and analytics to move forward on population health

Developing a Predictive Data Analytics Culture

June 16, 2015   |  Gabriel Perna
As the leading healthcare organizations move towards utilizing predictive analytics to improve care and reduce costs for patients, they’re starting to understand what it takes to develop a culture that nurtures this technology.

Are We Really Turning a Corner When It Comes to Telehealth?

June 16, 2015   |  Mark Hagland
Developments are taking place along numerous dimensions with regard to telehealth—offering a positive outlook for that important phenomenon
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