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Accountable Care Organizations (ACOs)

Reinventing Utilization Management to Bring Value to the Point of Care

February 21, 2018  |  Nilo Mehrabian Vice President, Product Management, Decision Support, Change Healthcare
article
How an automated exception-based approach can make UM more efficient and effective.

ACP Study: Only 37 Percent of MIPS Measures Are Valid

April 19, 2018  |  David Raths
news
A new study from the American College of Physicians Performance Measurement Committee rated as valid only 37 percent of the 86 Quality Payment Program measures for 2017 deemed relevant to ambulatory general internal medicine.

Connecting Healthcare with Food and Health: First Attempts Are Showing Real Promise

April 14, 2018  |  Mark Hagland
commentary
With health plans like Kaiser Permanente Colorado, and patient care organizations like Geisinger Health System, beginning to work on the issue of food insecurity, as it relates to diabetes, the possibilities of real convergence are many

Analysis: MSSP ACOs Have Performed Below CBO Estimates

April 3, 2018  |  Rajiv Leventhal
news
According to a new analysis from Avalere, MSSP ACOs have performed considerably below the financial estimates from the Congressional Budget Office made in 2010 when the MSSP was enacted as part of the ACA.

At the HIT Summit in Cleveland, MetroHealth Executives Share their Journey into Value

March 30, 2018  |  Mark Hagland
article
Drs. Nabil Chehade and David Kaelber of Cleveland’s MetroHealth System shared with HIT Summit-Cleveland attendees insights on their organization’s journey into value-based care delivery, including on the vital role of HIT

A Clinically Integrated Network Forges Success in Southeastern New Jersey

March 25, 2018  |  Mark Hagland
article
In New Jersey, Shore Quality Partners is succeeding as a clinically integrated network, through clear strategy and excellent execution—and successful leveraging of data and IT to support clinical transformation

Arizona ACO Pilots Blockchain Platform to Improve Clinical Outcomes, Reduce Costs

March 21, 2018  |  Heather Landi
news
Arizona Care Network, a Phoenix-based accountable care organization (ACO), plans to pilot a blockchain technology platform developed by Solve.Care with the aim of improving clinical outcomes, relieving healthcare’s administrative burdens, and reducing waste...

Should MIPS be Repealed and Replaced? Several Industry Leaders Weigh in on MedPAC’s Published Proposal

March 19, 2018  |  Heather Landi
article
In its March report to Congress, MedPAC, a policy advisory group, recommends repealing MIPS and replacing it with an alternative model of reimbursement. Several industry thought leaders weigh in on the implications of this recommendation and the future of MIPS.

Study: UnitedHealthcare Report Details Value-Based Care Successes

March 12, 2018  |  Rajiv Leventhal
news
ACOs serving employer-sponsored plan participants perform better than non-ACOs on 87 percent of quality metrics that were tracked in UnitedHealthcare’s second annual value-based care report.

HIT Leaders Track Current Progress on Interoperability, and Debate the Best Way Forward

March 6, 2018  |  Heather Landi
article
During the first day of the HIMSS18 conference in Las Vegas, national HIT leaders discussed the current drivers advancing interoperability in healthcare, and debated whether a great leap forward, or incremental steps, represents the best way forward.

Blue Shield of California to Make HIE Participation Mandatory in its Contracts

March 6, 2018  |  David Raths
news
Blue Shield of California has announced that beginning this year it will require providers in its contracts to participate in the Manifest MedEx health information exchange.

“Making the Numbers Work”: Henry Ford Leaders Explain ACO Critical Success Factors, Step by Step

March 5, 2018  |  Mark Hagland
article
Leaders from Detroit’s Henry Ford Health System have achieved significant success in their early work in the Next Generation ACO Program—through careful strategic planning and intensive analytics work

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