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FEATURED ARTICLES: ACO
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Medical Moneyball — What Healthcare Stands To Learn From The Oakland A's
With all the talk of Big Data, there are still big questions as to how to most effectively leverage information and data to make a positive impact on healthcare delivery, cost, and outcomes. One health system leader thinks an approach developed by a Major League baseball team might be a game changer.
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The New Business Of Healthcare11/26/2013
Let’s face it. Healthcare as an industry is in a tizzy right now. With health insurance exchanges making headlines, providers looking for new ways to keep current patients and attract new ones, payers doing their best to adjust to last-minute regulations, and patients scrambling to make sense of it all, it is a wild time to be in this industry. By Cynthia Porter, president, Porter Research
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Implementation Provides Decision Support At Point Of Care11/27/2013
Einstein Medical Center’s implementation of radiology decision support system expected to reduce unnecessary radiation exposure and costs By Wendy Grafius, contributing writer
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ACA Disrupting Doctor-Patient Relationship11/27/2013
Survey shows three of four doctors feel the Affordable Care Act will increase the cost of healthcare, more than half support its repeal. By Katie Wike, contributing writer
- Does Usability Compromise Portal Security?
- Disparities In Incentive Payments May Foreshadow Penalties
- Length Of Stay: Managing The Global Metric
- Speaking Of Healthcare Revenue...
- Patient-Centered Transplant Care — A Guiding Light For Accountable Care
- Final Countdown To HIPAA Rule Implementation Begins
CASE STUDIES & WHITE PAPERS
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UC Health Reduces Transcription Turnaround Time By 66%, Dramatically Reduces Costs4/16/2012
In 2001, the corporate transcription department of UC Health (formerly Health Alliance) in Cincinnati, Ohio was drowning from an increased volume of medical transcription. In particular, an increase in Emergency Department dictations added to an already heavy workload.
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Novant Health Reduces Transcription TAT From Days To Hours, Doubles MT Productivity4/16/2012
Novant Health’s 1,117 physicians, 13 hospitals, and 360 clinic locations serve more than 3.5 million patients from Northern Virginia to Georgia. Efficient, accurate capture and transfer of information from more than 1,500 dictating clinicians enables award-winning levels of quality and care.
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Where Information And Care Meet: Secure Mobile Healthcare Solutions That Drive Care Coordination11/10/2011Mobile technology has long reached critical mass in the United States. Four of five American adults, or 83 percent, own some kind of cell phone, according to the August 2011 report, Americans and Their Cell Phones, by the Pew Research Center’s Pew Internet and American Life Project.
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Emerson Hospital Reduces Transcription TAT From Days To Hours, Lowers Costs By 50%4/16/2012
Established in 1911, Emerson Hospital is a fullservice medical center situated in Concord, MA. A 179-bed facility staffed by 300 physicians, Emerson combines a human touch with state-of the- art technology—including top-flight medical transcription.
FROM THE EDITOR'S DESK
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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.
FEATURED NEWS
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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
ACO NEWS ARTICLES
- Upcoming Webinar: Data-Driven Care: The Key To Accountable Care Delivery From A Physician Group Perspective
- WEDI Releases Guide On HIPAA Transactions Requiring ICD-10 Codes
- Automated Quality Reporting Through EHRs Can Result In Significant Efficiencies And Care Improvements
- CMS Releases Updated Data On EHR Adoption
- West Florida ACO Chooses Sandlot Solutions As Partner In Patient Health Information Management