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

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CASE STUDIES & WHITE PAPERS

  • White Paper: Becoming A Medical Home Transforming your practice into a medical home won’t require a down payment on new space – nor a remodel of the reception area. By Sage
  • Intermountain Healthcare Saves $1.5M, Doubles MT Productivity

    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.

  • Take Your EMR From Good To Great Good EMRs help you improve operational efficiencies, reduce costs, meet meaningful use requirements and better serve patients. Great EMRs are a digital lifeline, critical to saving lives and preventing medical errors. This white paper outlines why this is such a critical distinction.
  • UC Health Reduces Transcription Turnaround Time By 66%, Dramatically Reduces Costs

    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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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.

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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.

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