Accountable Care Organization, Healthcare Big Data, Healthcare Portal, and ACO Implementation Resources Accountable Care Organization, Healthcare Big Data, Healthcare Portal, and ACO Implementation Resources

FEATURED ARTICLES: ACO

CASE STUDIES & WHITE PAPERS

  • Get The Most Out Of Going Mobile: Best Practices In mHealth Implementation
    3/26/2013

    Our population is becoming more mobile on a daily basis, and healthcare professionals are no exception. In fact, the very nature of the healthcare industry makes it ripe for a move to mobile. It also presents special implementation challenges.

  • The Path to Population Health Management: Creating An IT Foundation For A Successful ACO
    10/22/2014

    Healthcare organizations across the U.S. are investing significant resources in re-architecting their care delivery infrastructures to enable them to adapt successfully to new, value-based Accountable Care Organization (ACO) payment and delivery models.  As these entities prepare to go “at risk” and take outcomes-based capitated or bundled payments, they face a broad set of challenges. These challenges range from acquiring or partnering for resources that will enable them to deliver and control the full continuum of care, to understanding their new cost structures and determining if they can survive and thrive financially in an ACO world.

  • Even A 60-Year-Old Multi-Specialty Practice Can Succeed With EHR
    6/1/2012

    After 60+ years in operation, The Veranda multi-specialty practice wanted a solution that would include an integrated electronic health record (EHR)/practice management (PM) solution, as well as one that could support multiple specialties as the practice considered growing outside of its OB/GYN roots.

  • ACO’s: What The Henry Ford Physician Network Can Teach
    10/10/2011
    Accountable care organizations (ACOs) are one of the most promising responses to healthcare reform. One of the best examples to date is the Henry Ford Physician Network in Michigan. Here’s how much the new group has achieved already—and a sense of how far it has to go.

FROM THE EDITOR'S DESK

  • The Problem With Consumerism In Healthcare

    Many industry leaders championed a free market approach to healthcare during the 12th Annual World Health Care Congress last week. Here are a few key reasons why I don’t think this model is “the fix” our industry so desperately needs.

ABOUT ACCOUNTABLE CARE ORGANIZATIONS (ACO)

An Accountable Care Organization (ACO) utilizes a payment and care delivery system that bases payments to providers on quality metrics and seeks to reduce the total cost of care for a certain population of patients.  ACOs use a range of payment models and consist of groups of coordinated healthcare providers that provide care to groups of patients. ACOs are accountable to a third-party payer and the group of patients for the appropriateness, quality, and efficiency of the health services they provide.

In 2011, the Department of Health and Human Services (DHHS) set forth initial guidelines for ACOs to be created under the Medicare Shared Savings Program. These guidelines contained all necessary steps required for a physician, health care provider, or hospital to voluntarily participate in ACOs.

The quality measures used to evaluate an ACO's performance as defined by the Center for Medicare and Medicaid Services (CMS) fall into five domains. These domains are patient/caregiver experience, care coordination, patient safety, preventative health, and at-risk population/frail elderly health.

The three stakeholders in an ACO are the providers, payers, and patients. Providers are a network of hospitals, physicians, and other healthcare professionals. The primary payer is the federal government, Medicare, but also includes other payers such as private insurances or employee-purchased insurance. The patient population of an ACO will primarily consist of Medicare beneficiaries, but in larger ACOs can also include those who are homeless and uninsured.

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