Skip to content Skip to navigation

Report: ACOs Boosted by Health IT, Patient-Centered Focus, and Payer Collaboration

December 18, 2012
by Gabriel Perna
| Reprints

The Commonwealth Fund, a New York City-based nonprofit, has released a report that examines how prepared collaborative, hospital-based organizations were when transitioning to accountable care. The report, Measuring Progress Toward Accountable Care, found that overall these organizations were “modestly” ready for this transition, and those who succeeded best were patient-centered, had full ownership of a health plan, and were adept at various health-related technologies that go beyond EHR deployment.

Authors of report, all of whom came from the Charlotte-based for-profit collaborative Premier Healthcare Alliance, looked at the successes and failures in this area of 59 hospital-based organizations. They assessed 42 capabilities, divided further into 154 specific operating activities, in an effort to determine how these organizations had progressed in the accountable care movement. The authors used Premier’s Accountable Care Organization (ACO) capabilities framework to assess the 59 organizations.

Along with having a patient-centered focus, the authors say, those ACOs, with “existing risk-based contracts with payers, including bundled payments or pay-for-performance arrangements” were further along in the model of accountable care. “Outside these forays into shared, risk-based contracting, few assessed organizations had developed any sort of partnerships with commercial or government payers, and most reported poorly developed relation-ships with their payers,” the authors said.

Furthermore, on health IT, the authors say “underlying information technology was found to be another element necessary for accountable care.” This goes beyond EHRs and health information exchanges (HIEs). They say it “enables the integration of disparate data, analysis of data across a patient population, stratification of financial and clinical risk in the population, and measurement of the impact of targeted interventions.”
 

Topics

News

CMS Looks to Increase Patient Engagement with New Models

The Centers for Medicare & and Medicaid Services (CMS) has announced two new models from the CMS Innovation Center (CMMI) that will aim to increase patient engagement in care decisions by putting more information in the hands of Medicare beneficiaries.

Medtronic, Fitbit Integrating Health and Activity Data for Diabetes Management

Fitness wearables company Fitbit, based in San Francisco, and Dublin, Ireland-based Medtronic, a medical device company, have teamed up to integrate health and activity tracking for patients living with diabetes and their physicians and care teams.

UC San Diego Health Offering EHR, iPad Access to Patients

Patients at the recently-opened Jacobs Medical Center at UC San Diego Health can be in more command with their own experience by assessing their own medical information, controlling room features and more.

Texas Medical Center, Australia Form BioBridge to Develop Health Innovation

Houston-based Texas Medical Center (TMC) and the Melbourne-based Health Informatics Society of Australia (HISA) are collaborating on a health startup exchange program.

Teladoc Hits 101K Patient Visits in November

Telehealth vendor Teladoc announced this week that it totaled 101,600 e-health patient visits in November, setting a company record.

Research of mHealth Apps Reveals Significant Gaps in Quality

An evaluation of 137 patient-facing mobile health apps revealed that few apps address the needs of the patients who could benefit the most, according to research in December’s issue of Health Affairs.