FEATURED ARTICLES: ACO
Study: Health IT Vital For ACOs
Establishing an accountable care organization requires health technology, especially when the ACO is created by an academic medical center. By Katie Wike, contributing writer
A Big Step Forward For Stage 2 Meaningful Use3/30/2012It looks at though CMS has been able to realize its Meaningful Use Stage 2 goal through the parameters spelled out recently that are focused primarily on electronic information exchange among providers, and between providers and patients. By Rich Temple, Executive Consultant for Beacon Partners
Give Patients Tablets, Reduce Readmissions12/26/2013
One ACO has taken a different approach to care and provided patients with 4G tablets to manage their health. By Katie Wike, contributing writer
Hospital, Outpatient Clinic Drive Patient Engagement With Patient Portal9/16/2013
Estes Park Medical Center selects HealthCare Anytime’s Enterprise Patient Portal citing “unique solution” and cloud platform By Wendy Grafius, contributing writer
CASE STUDIES & WHITE PAPERS
Lakeshore Health Network Improves Clinical And Financial Outcomes With Wellcentive1/30/2013
The Wellcentive Advance healthcare intelligence platform has helped the Lakeshore Health Network (LHN) and its physicians implement a variety of Clinical Quality Improvement (CQI) programs and significantly improve its clinical and financial outcomes. The 350-member multispecialty Physician Hospital Organization (PHO) in Muskegon, Michigan has realized year-after-year improvements in preventive care and chronic disease management outcomes as a result of its use of Wellcentive’s solutions.
The New Model Of Health Information Exchange: Using Data And Analytics To Improve Health Care Delivery8/16/2012
This special report covers the uses for Electronic Health Records (EHRs) beyond just collecting, aggregating and reporting on data and demonstrating compliance with Meaningful Use (MU).
ACO Represents A Business Shift For Most Hospitals And Physicians5/1/2012
This white paper examines how the ACO (Accountable Care Organization) model can impact both hospitals and physicians, and highlights several specific points providers should consider and understand.
Provider’s Perceptions On Mobility In Healthcare8/24/2011Porter Research and Billian’s HealthDATA have collaborated to bring you this primary market research program aimed at understanding healthcare providers’ perceptions regarding mobility in healthcare.
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.
ACOs Face Interoperability Barriers2/8/2016
According to a new report, a lack of out-of-network interoperability is the biggest obstacle facing ACOs today. By Katie Wike, contributing writer