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

  • Hospitals Post Physician Ratings

    Now, patients can find ratings and reviews of their physicians directly on many hospital websites. By Katie Wike, contributing writer

  • ICD-10 Pilot Has Significant Setbacks

    The outlook for ICD-10 implementation is bleak if the results of the National Pilot Program are any indication By Katie Wike, contributing writer

  • One Quarter Of Hospitals In EMR Standstill

    Despite the constant buzz around electronic records and MU requirements, 25 percent of hospitals have made no EMR progress in half a decade By Katie Wike, contributing writer

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CASE STUDIES & WHITE PAPERS

  • One Practice’s Journey To Accountable Care This white paper chronicles how New Pueblo Medicine, an independent practice of seven internal medicine physicians based in Arizona, is delivering team-oriented, prevention-focused care with tighter coordination across the continuum of care, while responding to regulatory and compensation pressures and remaining a small independent practice.
  • 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
  • Brigham And Women’s Hospital Saves Over $9M, Improves MT Productivity 123%

     

    A 730-bed nonprofit teaching affiliate of Harvard Medical School and a founding member of Partners Healthcare System, Brigham and Women’s Hospital is a world leader in patient care and research. The organization wanted to upgrade its existing transcription process to eliminate multiple medical transcription service
    organizations (MTSOs) contracts and to address increasingly complex technical and billing infrastructures. The expensive, slow system hampered clinicians’ ability to maximize use of transcribed reports to diagnose and plan patient care.
  • 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?

More Case Studies & White Papers

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

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

Chief Nursing Officer Summit 2019 September 16 - 17, 2019
Scottsdale, AZ
Healthcare Chief Medical Officer Summit 2019 September 16 - 17, 2019
Scottsdale, AZ
How to Write SOPs That are GCP Compliant and Implementable September 17 - 17, 2019
1pm-2:30pm EDT, Online Training
MENA Women’s Health Congress September 26 - 28, 2019
Dubai
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