Accountable Care Organization, Healthcare Big Data, Healthcare Portal, and ACO Implementation Resources
FEATURED ARTICLES: ACO
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![HITO Derek Richards, SilverCloud]( "How Telehealth Is Driving Engagement And Shaping The ACO Model Of The Future")
How Telehealth Is Driving Engagement And Shaping The ACO Model Of The FutureThe U.S. healthcare industry is rapidly transitioning beyond the traditional focus of treating individual patients’ physical conditions. Accountable Care Organizations (ACOs) and similar arrangements are leading the way, structured specifically to reward progress toward achieving the Triple Aim of improving the patient experience, improving the health of populations and reducing the cost of care. Fully addressing these dynamics By Derek Richards, PhD, director of clinical research and innovation, SilverCloud Health
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Medicare ACO Lessons For Medicaid6/30/2014
Aligning approaches to Accountable Care across Medicare and Medicaid. By Christine Kern, contributing writer
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New Population Health Decision System For ACOs Uncovers The Hidden Risks3/10/2016
One of the biggest challenges for Accountable Care Organizations is effective deployment of patient care resources. To succeed requires an in-depth understanding of patient risk, which is often difficult to assess. The reason for this is that most risk analysis systems rely on claims data, which can only tell who, in the past, has been a high-use patient. What that data can’t do is tell you who is on the verge of developing a serious condition.
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State Of The Union Address Stresses ACA Is Key To Economic Recovery1/21/2015
Calling the ACA ‘part of the fabric of middle-class recovery,’ Obama promises to veto changes to law. By Christine Kern, contributing writer
- HIE Platform Creates Population Management Ready Infrastructure
- Provider Perspectives On The Future Of Healthcare
- Insurance Subsidies For Federal Exchanges Struck Down
- Obamacare Signups Pass 11 Million Mark
- 8 Musts For Community Healthcare Providers' 2015 IT Plan
- Insurance Provider Abandons Unprofitable ACOs
CASE STUDIES & WHITE PAPERS
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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.
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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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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
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