Tag Archives: ACOs

Pioneer ACO Results Year 2: Inpatient Utilization Down; Medicare Saves More Than $384 Million

The Pioneer Accountable Care Organization (ACO) Model has generated over $384 million in savings to Medicare over its first two years — an average of approximately $300 per participating beneficiary per year — and significantly decreased inpatient care, while continuing … finish reading Pioneer ACO Results Year 2: Inpatient Utilization Down; Medicare Saves More Than $384 Million

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‘Next Generation’ ACO Encourages Telehealth, Post-Discharge Home Services: CMS

In another step towards advancing models of care that reward value over volume, HHS announced the Next Generation Accountable Care Organization (ACO) Model of payment and care delivery. A new initiative from CMS’s Innovation Center, the model is part of … finish reading ‘Next Generation’ ACO Encourages Telehealth, Post-Discharge Home Services: CMS

Posted in Accountable Care Organizations, affordable care act, Alternative Healthcare Coverage, Care Coordination, Care Transitions, Disease Management, dual eligibles, Elderly Care, Healthcare Costs, Healthcare Utilization, Home Healthcare, Medicare/Medicaid EHR Incentive, Skilled Nursing Facilities, Telehealth | Tagged , , , , | Leave a comment

CMS Releases Final Medicare Payment Rules for Value-Based Modifier, Chronic Care Management

CMS has released final rules outlining how Medicare will pay major healthcare providers and suppliers in 2015, including the Value-based Payment Modifier (VBM), which adjusts traditional Medicare payments to physicians and other eligible professionals based on the quality and cost … finish reading CMS Releases Final Medicare Payment Rules for Value-Based Modifier, Chronic Care Management

Posted in Accountable Care Organizations, affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Bundled Payments, Care Coordination, Case Managers, Disease Management, Healthcare Costs, Healthcare Reform, Physician Alignment | Tagged , , , , | Leave a comment

New Payment Models Reduce Reimbursement Challenges for Embedded Case Management

Understanding where a practice is and where it wants to go helps to ease the challenge of embedding case managers into physician practices, says Annette Watson, RN-BC, CCM, MBA, senior vice president of community transformation for Taconic Professional Resources. She … finish reading New Payment Models Reduce Reimbursement Challenges for Embedded Case Management

Posted in Avoidable Hospitalization, Care Coordination, Care Transitions, Case Managers, Case Managers and the Patient Experience, Embedded Case Manager | Tagged , , , | Leave a comment

New CMS ACO Investment Model Supports Coordinated Care for Rural, Underserved Areas

Up to $114 million in infrastructure and redesigned care processes is being invested in up to 75 eligible Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP), according to the Centers for Medicare & Medicaid Services (CMS). … finish reading New CMS ACO Investment Model Supports Coordinated Care for Rural, Underserved Areas

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Pioneer, MSSP ACOs Save More Than $372 Million, Improve Patient Care: CMS

ACOs in the Pioneer ACO model and Medicare Shared Savings Programs (MSSP) generated more than $372 million in total program savings for Medicare ACOs, according to the CMS. The news is drawn from preliminary quality and financial results from the … finish reading Pioneer, MSSP ACOs Save More Than $372 Million, Improve Patient Care: CMS

Posted in Accountable Care Organizations, affordable care act, Avoidable Hospitalization, Healthcare Reform, Healthcare Spending, Healthcare Utilization, Improving Patient Care | Tagged , , | Leave a comment

Pharmacist Home Visits, Call Center Help High-Risk Patients to Manage Medication Adherence, Avoid Readmission

A new medication management program sends clinical pharmacists into high-risk patients’ homes in order to manage their medication adherence and lifestyles, according to Lahey Health and Dovetail Health, who are partnering in the program. Lahey Health Enhanced Care Program targets … finish reading Pharmacist Home Visits, Call Center Help High-Risk Patients to Manage Medication Adherence, Avoid Readmission

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Savings from Medicare ACOs, Pioneer ACOs Exceed $380 Million: CMS

Initial financial results for a number of CMS healthcare reform delivery initiatives are positive, with savings from both the Medicare Accountable Care Organizations (ACOs) and Pioneer ACOs exceeding $380 million, according to the CMS. Interim reports on select Medicare ACO … finish reading Savings from Medicare ACOs, Pioneer ACOs Exceed $380 Million: CMS

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ACOs’ Medication Readiness Falling Short of Quality, Cost Goals

Accountable Care Organizations (ACOs) have not yet developed the capabilities to leverage optimal medication use to achieve quality care and reduce overall costs, according to a study by researchers from the National Pharmaceutical Council (NPC), the American Medical Group Association … finish reading ACOs’ Medication Readiness Falling Short of Quality, Cost Goals

Posted in Accountable Care Organizations, electronic health records (EHRs), Healthcare Costs, Medication Adherence, Prescription Drugs, Reducing Healthcare Costs | Tagged , , , | Leave a comment

3 Reasons Hospitals are Reluctant to Implement ACOs

Financial concerns, quality issues and the interoperability of electronic health records (EHRs) are among the reasons nearly half of the hospital executives recently surveyed by Purdue Healthcare Advisors have no plans to implement an accountable care organization (ACO) in the … finish reading 3 Reasons Hospitals are Reluctant to Implement ACOs

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