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

  • HHS Aims To Reduce Health IT Errors
    7/10/2013

    New plan to guide health IT provides venue for clinicians to report incidents using CEHRT By Lisa Kerner, contributing writer

  • New Population Health Decision System For ACOs Uncovers The Hidden Risks
    3/10/2016

    One of the biggest challenges for Accountable Care Organizations is effective deployment of patient care resources. To succeed requires an in-depth understanding of patient risk, which is often difficult to assess. The reason for this is that most risk analysis systems rely on claims data, which can only tell who, in the past, has been a high-use patient. What that data can’t do is tell you who is on the verge of developing a serious condition.

  • Are ACOs Actually Enhancing Care Coordination?
    5/22/2014

    Leaders from three established ACOs share their perspectives on whether or not the model is delivering on its promise.

CASE STUDIES & WHITE PAPERS

  • Intermountain Healthcare Saves $1.5M, Doubles MT Productivity
    4/16/2012

    The transcription group at Intermountain worked closely with its Nuance Healthcare implementation team to plan for the go-live. Together, they developed a strategy for a fast, successful enterprise-wide rollout. Following the implementation at the hospitals, the rollout to Intermountain’s 150 clinics began.

  • Accountable Care Organization Technology Framework
    2/20/2014

    The “accountable care organization” (ACO) is a major topic of discussion in American health policy. While the ACO label has been around since 2006, it was mentioned in numerous healthcare reform bills proposed in 2009 and was ultimately included in Section 3022 of the Patient Protection and Affordable Care Act (ACA) as the Medicare Shared Savings Program. The ACA’s ACO provision covers Medicare ACOs.

  • Enhance The Quality Of Care, While Reducing Costs
    9/6/2012

    Read this analyst white paper, Sophisticated Solutions to Optimize Healthcare Delivery, and see how enterprise content management solutions can enable your organization to optimize patient care, reduce the cost of healthcare, and improve clinician satisfaction and overall organizational productivity.

  • Samsung Cloud Displays Unlock Efficiencies For Physicians And Accelerate EHR Adoption
    5/6/2013

    Regulatory requirements and government incentives to improve healthcare quality and efficiency through information technology have prompted healthcare providers to focus on achieving faster EHR adoption by implementing a virtual environment. However, for programs to be successful, the virtual solutions need to help make the work of physicians easier and more productive, while maintaining the reliability and security of patient data.

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.

INDUSTRY EVENTS

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