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

  • CPOE Reduces Errors – Why Aren’t More Providers Using It?

    Contrary to earlier fears that CPOE would cost hospitals more than it’s worth, new studies show it may actually save providers money over time By Katie Wike, contributing writer

  • Top 3 Medical Billing Software Services

    In today’s medical industry, paper is becoming a thing of the past. In order to keep up with increasing medical costs, a rising number of patients, and rising patient demand for speedy information and billing, businesses must ensure their medical software is fully updated and optimized. But understanding the specific advantages associated with upgrading or implementing new software isn’t always easy. Even if you’re unsure of the best choices, don’t fret. Read on for the top three ways medical businesses may utilize the latest and greatest medical software services. By Sandra Mills, contributing writer

  • ACOs Don’t Limit Use Of Cardiovascular Care

    ACOs do not capitalize on savings opportunities, according to latest study. By Christine Kern, contributing writer

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CASE STUDIES & WHITE PAPERS

  • The Direct Evolution: Why It Will Change How You Communicate

    What is Direct? Does it replace a HIE? Is it redundant with HL7 or XDS functionality? If I use email rather than Direct am I out of compliance with HIPAA?

  • 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
  • Is The U.S. Ahead Of The Connected Healthcare Curve?

    In the United States, more patients can access their health records online than in many other countries. Does this mean that we are ahead of the connected healthcare curve? This study helps to shed some light on the subject.

  • Drive Care Coordination With Secure, Mobile Healthcare Solutions To examine how mobile point of care (MPOC) can positively impact the quality and cost of healthcare, this roundtable discussion, moderated by Mark Blatt, MD, worldwide medical director at Intel, explores the ways in which mobile point of care coordination across the care continuum enhances care quality measures. It also addresses how industry leaders ensure privacy and security within the mobile environment without hindering clinician productivity.
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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.

INDUSTRY EVENTS

The Investigational New Drug (IND) Submission – Tips to Win the First Time November 2 - 2, 2018
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