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

  • Mostashari's Health IT Vision In this Q&A, Health IT Outcomes gets the newly appointed National Coordinator of Health IT’s take on EHR effectiveness, troubling EHR research, and ensuring patient privacy in an electronic world.
  • How Telehealth Is Driving Engagement And Shaping The ACO Model Of The Future
    10/23/2015

    The U.S. healthcare industry is rapidly transitioning beyond the traditional focus of treating individual patients’ physical conditions. Accountable Care Organizations (ACOs) and similar arrangements are leading the way, structured specifically to reward progress toward achieving the Triple Aim of improving the patient experience, improving the health of populations and reducing the cost of care. Fully addressing these dynamics By Derek Richards, PhD, director of clinical research and innovation, SilverCloud Health

  • Health IT Vital To Quality Care
    10/20/2011
    For years, the federal government has championed the idea that effective use of health IT systems can go a long way to improving the quality of healthcare in the U.S. Now, a new report by Healthgrades, an independent source for physician information and quality hospital outcomes, seems to confirm the federal government’s position.
  • 4 Healthcare Trends Emerge
    3/27/2014

    Vree Health’s top four healthcare trends to watch in 2014. By Christine Kern, contributing writer

CASE STUDIES & WHITE PAPERS

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.

INDUSTRY EVENTS

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