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Accountable Care Organizations (ACOs)

Good Signs: NYC Health + Hospitals Corporation Boasts a True ACO Success Story

November 9, 2017  |  Mark Hagland
commentary
New York City Health & Hospitals Corporation’s leaders have been able to boast very impressive results from their organization’s MSSP work--results that offer hope for leaders from all types of patient care organizations

Unnecessary Care: It’s Not Necessary

November 2, 2017  |  Suresh Yarlagadda, Medical Director, Clinical Strategy, Change Healthcare
article
Unnecessary care is unnecessarily in the news these days. We say “unnecessarily” because such care—as well as the associated costs it incurs and risks it poses for patients—can be mitigated. Kaiser Health News just published a report, “So Much Care It Hurts...

Report: 29 Percent of Healthcare Payments in 2016 Tied to APMs

November 1, 2017  |  Heather Landi
news
Nearly one-third (29 percent) of total U.S. health care payments were tied to alternative payment models (APMs) in 2016, a six percentage point increase from 2015, according to a report from the Health Care Payment Learning and Action Network (LAN).

A CIO Explores Dallas-Fort Worth’s Biggest HIT Challenges, Opportunities

October 18, 2017  |  Rajiv Leventhal
article
Pamela McNutt, a veteran CIO with 30 years of experience in health IT, discusses how CIOs can help reduce physician burnout, and what innovation she’s seeing these days in the Dallas region.

New CMS Data on ACOs: Maybe Not a High-Speed Train, But a Train Nonetheless

October 17, 2017  |  Mark Hagland
commentary
CMS’s release last week of data from the Pioneer and Next Gen ACO programs revealed genuine progress being made among participating ACOs—with lots of opportunity for ongoing improvements, of course

CMS Releases 2016 Next Generation ACO Data with Positive Financial, Quality Results

October 16, 2017  |  Rajiv Leventhal
article
The Centers for Medicare & Medicaid Services (CMS) has released results from year one of its Next Generation ACO model, revealing that 61 percent of program participants were able to earn shared savings last year.

One Healthcare RCM Leader Shares his Perspectives on Navigating the Shifting Landscape

October 16, 2017  |  Heather Landi
article
Brian Sanderson, managing principal of Crowe Horwath LLP healthcare services group, discusses strategies for CFOs to navigate the shifting landscape around revenue cycle management and reimbursement.

Analysis: Track 1 ACOs Set for Positive MIPS Payment Adjustments

October 12, 2017  |  Rajiv Leventhal
news
An analysis by the National Association of Accountable Care Organizations revealed that 2017 Track 1 ACOs are likely to score well above the MIPS performance threshold, and most above the MIPS exceptional performance threshold.

Survey: 73 Percent of Physicians Prefer Fee-for-Service Models

October 12, 2017  |  Heather Landi
news
A survey of 980 physicians by New York City-based Bain and Company, a management consulting firm, found resistance among physicians to the transition to value-based care and payment models, and 60 percent said it will be more difficult to deliver high-quality...

Duke Health Leaders Build the Predictive Analytics Foundations to Improve Patient Care

October 10, 2017  |  Heather Landi
article
At Durham, N.C.-based Duke University Health System, health IT leaders are moving forward on many fronts to leverage data analytics to improve patient care, such as early sepsis detection.

The Dawn of Consumerism: Key trends and strategies for healthcare consumerism

October 6, 2017  |  David V. Gallegos, SVP, Consulting Services, Change Healthcare Consulting
article
Reducing costs and improving quality are the two prevailing objectives behind most healthcare initiatives. However, one leg of the proverbial stool that doesn’t get much attention are the efforts to improve the patient experience. Healthcare in the United...

A Health Affairs Study Finds ACOs Moving Forward Quickly—If Unevenly—Into Risk

October 6, 2017  |  Mark Hagland
article
A study published online this week in Health Affairs offers some of the best analysis yet, based on survey data, around the accelerating pace of ACO development—and its numerous implications for healthcare IT leaders

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