Tag Archives: ACO

Trinity Health-Heritage Population Health Partnership Designed to Upgrade Primary Care Models

Trinity Health and Heritage Provider Network (HPN) have formed a joint venture set to redesign existing healthcare models, including primary care, care management, hospitalist, post-acute care and high-risk clinics, in order to improve and coordinate care, according to Trinity Health. … finish reading Trinity Health-Heritage Population Health Partnership Designed to Upgrade Primary Care Models

Posted in Accountable Care Organizations, affordable care act, Care Coordination, Case Managers, Clinical Integration, Comprehensive Primary Care Programs, Disease Management, Population Health Management | Tagged , , , , , | Leave a comment

CMS Hopes to Entice More ACOs with Proposed Risk, Rewards Models

Attempting to attract more accountable care organizations (ACOs) to participate in the Medicare Shared Savings Program (MSSP) without fearing penalties, CMS has released a set of proposed rules with updated penalties and incentives, plus a third new model to attract … finish reading CMS Hopes to Entice More ACOs with Proposed Risk, Rewards Models

Posted in Accountable Care Organizations, affordable care act, Care Coordination, Care Transitions, Elderly Care, Medicare | Tagged , , , , | Leave a comment

Patient Engagement Still Challenges Pioneer ACO

As a top performer in year one of the CMS Pioneer ACO program, Monarch HealthCare is paving the way to accountable care with a foundation of patient- and provider-centered strategies that support Triple Aim goals. Here, Colin LeClair, executive director … finish reading Patient Engagement Still Challenges Pioneer ACO

Posted in Accountable Care Organizations, Care Coordination, Physician Alignment, Physician Organizations, Population Health Management | Tagged , , | Leave a comment

Performance-Based Incentives for Independence ACO Participants Could Reach $150 Million in 2014

Rewarding physicians and hospitals for collaborating to improve quality of care and lower costs could reach $150 million in 2014, according to initial results from the Philadelphia-based Independence Blue Cross Accountable Care Organization (ACO). Nearly half of hospitals participating in … finish reading Performance-Based Incentives for Independence ACO Participants Could Reach $150 Million in 2014

Posted in Accountable Care Organizations, Avoidable Hospitalization, Care Coordination, Clinical Integration | Tagged , , , , | Leave a comment

Anthem-HealthCare Partners ACO Saved More Than $4 Million in 2013

California-based Anthem Blue Cross and HealthCare Partners’ Accountable Care Organization (ACO) saved $4.7 million during the first six months of 2013, HealthCare Partners announced. The ACO, established in late 2012, is notable because it includes approximately 55,000 preferred provider organization … finish reading Anthem-HealthCare Partners ACO Saved More Than $4 Million in 2013

Posted in Accountable Care Organizations, Alternative Healthcare Coverage, Avoidable Hospitalization, Cardiac Care, Care Coordination, Care Transitions, Case Managers, Case Managers and the Patient Experience | Tagged , , , | Leave a comment

WellPoint’s Transformation Challenge: ‘Leave No Primary Care Practice Behind’

With the goal of rolling its physician transformation program out to 75 percent of its practices within the next three years, one of the biggest challenges — or opportunities — is leaving no primary care practice behind, explains Julie Schilz, … finish reading WellPoint’s Transformation Challenge: ‘Leave No Primary Care Practice Behind’

Posted in Accountable Care Organizations, Patient-Centered Medical Home, Physician Organizations, Primary Care | Tagged , , , , , , | Leave a comment

4 Steps to Creating an ACO Care Management Team

Developing a population disease profile, and targeting large patient populations with a fairly common list of conditions, is one of the first steps necessary to developing an effective care management team for the ACO, explains Colin LeClair, executive director of … finish reading 4 Steps to Creating an ACO Care Management Team

Posted in Accountable Care Organizations, Elderly Care, Medicare | Tagged , , | Leave a comment

4 Key Features of the Pioneer ACO Model

One of the key features of the Pioneer program, and one that differentiates it from the Medicare Shared Savings Program, is that it is accountable for all Medicare A and B benefits, says Emily Brower, executive director of accountable care … finish reading 4 Key Features of the Pioneer ACO Model

Posted in Accountable Care Organizations, dual eligibles, Medicaid, Medicare | Tagged , , , , | Leave a comment

ACO’s Health IT, Care Coordination Improve Care, Lower Costs for Medicare Fee-for-Service Beneficiaries

Aetna and Bon Secours Health System (BSHSI) have launched a new accountable care agreement that will use technology and care coordination services from Aetna subsidiary Healthagen to help coordinate healthcare for Medicare beneficiaries. The accountable care organization (ACO) will support … finish reading ACO’s Health IT, Care Coordination Improve Care, Lower Costs for Medicare Fee-for-Service Beneficiaries

Posted in Accountable Care Organizations, Care Coordination, Medicare | Tagged , , , | Leave a comment

New Stratified Approach Toward Achieving Triple Aim for ACOs: Study

By taking an innovative approach to classifying patient populations, health systems can more effectively prevent “triple fail” events — or outcomes that fail to advance population health, reduce healthcare costs and improve patient experiences and satisfaction, according to a recent … finish reading New Stratified Approach Toward Achieving Triple Aim for ACOs: Study

Posted in Accountable Care Organizations, Healthcare Quality and Access, Healthcare Spending, Improving Patient Care | Tagged , , | Leave a comment