Accountable Care Organization, Healthcare Big Data, Healthcare Portal, and ACO Implementation Resources
FEATURED ARTICLES: ACO
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Guest Column: The Emergence Of Outsourced MPI Management Tapping outside expertise helps hospitals improve data integrity and reduce costs while achieving a variety of clinical and administrative goals and objectives. By By Beth Haenke Just, MBA, RHIA, FAHIMA, and CEO and President of Just Associates
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ACO Growth Indicates Expanding Need For Evidence-Based Decision Support Tools12/12/2016
If the National Association of Accountable Care Organizations (NAACOS) Fall Conference is any indication of the growth of the value-based care movement, then one fact is certain: it is not slowing down any time soon. The first NAACOS conference in 2012 had 123 attendees; 2016 had 670. By Joe Guerriero, senior vice president of MDGuidelines, ReedGroup
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4 Healthcare Trends Emerge3/27/2014
Vree Health’s top four healthcare trends to watch in 2014. By Christine Kern, contributing writer
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Telehealth's Untapped Potential4/8/2011The U.S. healthcare system has undoubtedly gained heightened awareness of IT over the past few years. For example, government mandates are driving providers to adopt EHRs to improve operational efficiency and allow patient data to be easily shared among providers.
CASE STUDIES & WHITE PAPERS
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White Paper: Transforming IT For Accountable Healthcare5/5/2011This February 2011 white paper looks at the impact of ARRA and PPACA on provider organizations and the role IT can play in preparing healthcare providers for future success in the evolving landscape. An IDC Health Insights White Paper sponsored by HP
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IT Infrastructure: A Foundation For Accountable Care Organizations8/11/2011The advent of healthcare reform will require a health information technology infrastructure that integrates all the “moving parts” of an ACO, including hospitals, physicians, labs, outpatient centers, claims and analytics.
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Achieving Success With The 5010 / ICD-10 Change-Over2/8/2012SuccessEHS is a nationally acclaimed vendor providing Electronic Health Record (EHR) and Practice Management solutions with Integrated Medical Billing Services.
FROM THE EDITOR'S DESK
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![Ken Congdon, Editor In Chief of Health IT Outcomes]( "Is Technology To Blame For Physician Burnout?")
Is Technology To Blame For Physician Burnout?According to a recent Medscape survey, 46% of physicians say they are burned out. How much is the drive towards health IT adoption contributing to this epidemic?
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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Population Health Cuts Anthem ACO Costs By Nearly $8 Million6/30/2015
Anthem’s program provides doctors with additional payments if they lower the cost of patients’ care. By Christine Kern, contributing writer
ACO NEWS ARTICLES
- 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
- Importance Of Evidence-Based Medicine Presented In New Issue Brief Available From Elsevier