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

  • Are We All Accountable?
    Are We All Accountable?

    A closer look at the proposed Medicare Shared Savings Program and Accountable Care Notice of Proposed Rulemaking (NPRM) and how it impacts the future of healthcare delivery in the U.S. By Justin Barnes, former vice president of marketing, corporate development and government affairs, Greenway Medical Technologies, Inc.

  • MGMA Urges Practices To Take Charge There is no doubt that these are turbulent times for the U.S. healthcare system, and many private practices aren’t coping well with the change. With the federal government driving EHR adoption, health information exchange, and accountable care, some medical practices feel acquisition by a hospital/health system or early retirement are their only options in this new era of healthcare.
  • The Buzzword For HIMSS11 — ACOs This year’s HIMSS Conference and Exhibition, held February 21-23 at the Orange County Convention Center, had a lot of things going for it. It was held in a warm weather location (Orlando, FL). It boasted a lineup of influential keynote speakers (e.g. Robert Reich, Kathleen Sebelius, Dr. David Blumenthal, and Michael J. Fox).
  • Making An Impact: How Evidence-Based Guidelines Drive Value-Based Success

    By 2020, accountable care organizations (ACOs) are expected to provide care for at least 105 million patients, up from 23 million in December 2015. With ACOs assuming more responsibility for the quality and cost of care, this rapid patient growth is driving the need for new, more intelligent clinical decision support tools at the point of care. These tools can help ACOs deliver consistent, evidence-based care so patients can return to health safely and quickly.

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CASE STUDIES & WHITE PAPERS

  • How Is Clinical Decision Support Technology Driving Successful ACOs?

    The movement to enhance and streamline healthcare through accountable care organizations (ACOs) is well underway in the wake of the issuance of final rules by the Centers for Medicare and Medicaid Services (CMS) in October 2011. Designed as patient-centered initiatives that help doctors, hospitals and other healthcare organizations better coordinate patient care, ACOs are fundamentally structured to incentivize participating healthcare groups for achieving an aggressive set of cost and quality measures built upon improved communication, data sharing and decision making.

  • The Benefits Of An Enterprise Imaging Strategy True enterprise imaging allows an electronic image to be accessed by a physician anywhere at any time. This white paper outlines strategies that will allow you to establish an enterprise imaging IT infrastructure, and highlights the benefits of this system to hospitals, physicians, and patients.
  • Enabling Collaborative Healthcare Delivery: Care Coordination Strategies With 21st Century Technology In 2003, the Institute of Medicine (IOM) identified care coordination as one of its 20 national priorities for quality. Since then, other prominent organizations, such as the Centers for Medicare and Medicaid Services (CMS), the Commonwealth Fund, the National Quality Forum, and the World Health Organization, have recognized care coordination as a key component for improving healthcare delivery. By Intel
  • Case Study: Multi-Specialty Practice Cuts Costs With EHR This case study highlights how Florida Medical Clinic utilized an integrated EHR and practice management solution to reduce annual transcription costs by nearly $1 million and decrease accounts receivable to 27 days. By Sage Software
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FROM THE EDITOR'S DESK

  • The Problem With Consumerism In Healthcare
    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.

More From The Editor

ACO PREMIUM CONTENT

  • Are IT Costs Squeezing Community Hospitals Dry?
    Are IT Costs Squeezing Community Hospitals Dry?

    The results of our fifth annual Community Hospital IT survey are in, and one thing is clear — the cost of IT is having an adverse effect on the survival of small, rural hospitals.

  • 2015 Health IT Change Agents
    2015 Health IT Change Agents

    Our inaugural class of Health IT Change Agents set a high bar, but this year’s class can more than hold its own when it comes to driving positive change and advancing health IT.

  • Top 10 Health IT Trends For 2016
    Top 10 Health IT Trends For 2016

    For the past five years, EHR/MU was selected as the top health IT initiative for the coming year. This year, there’s a new top initiative, and what it is should come as no surprise.

A Road Map To Accelerating Health IT Value And Innovation

Health IT is in a state of constant evolution, and it often seems that, for every problem solved, another is created. That’s why it’s vital we stop to assess where the industry stands from time to time, as well as look to the future to determine the best course to take to achieve our collective goals.

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.

More From Health IT Outcomes Magazine

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.