Tag Archives: ACOs

Consolidated Health Networks Lead to Greater Creation of ACOs

Regions of the United States where doctors and hospitals are consolidated into large networks are more likely to have accountable care organizations (ACOs), according to a new RAND Corporation study. Other factors associated with the formation of ACOs include a … finish reading Consolidated Health Networks Lead to Greater Creation of ACOs

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ACO Leadership by Physician-Hospital Organizations Doubles

Physician-hospital organizations (PHOs) have taken the accountable care organization (ACO) reins from physicians over the last year, according to 2013 market data from the Healthcare Intelligence Network. PHO leadership of ACOs almost doubled in the last 12 months, according to … finish reading ACO Leadership by Physician-Hospital Organizations Doubles

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More Than One Quarter Pioneer ACOs to Leave Program: CMS

Seven of 32 provider groups that signed up for the Pioneer Accountable Care Organizations (ACOs) program sponsored by CMS did not produce savings and are switching to the Medicare Shared Saving Program (MSSP), according to the CMS. Two other Pioneer … finish reading More Than One Quarter Pioneer ACOs to Leave Program: CMS

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Key Components of Clinical Integration

Clinical integration (CI) of providers is essential for an effective ACO, says Dr. Mark Shields, senior medical director with Advocate Physician Partners (APP) and vice president of medical management for Advocate Health Care. But to truly achieve CI, it cannot … finish reading Key Components of Clinical Integration

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Lifespan Launches Accountable Coordinated Care Organization with UnitedHealthcare

Lifespan and UnitedHealthcare have launched an Accountable Coordinated Care Organization (ACCO) that includes Lifespan’s acute care hospitals and physicians who will provide coordinated care to about 21,000 people in Rhode Island who are enrolled in UnitedHealthcare’s employer-sponsored benefit plans. As … finish reading Lifespan Launches Accountable Coordinated Care Organization with UnitedHealthcare

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New CPT Codes Support Medicare Payment for Care Coordination

New Current Procedural Terminology (CPT) codes for care coordination are now being accepted by Medicare, according to the American Medical Association (AMA). The two codes — 99495 and 99496 — were created to pay physicians for the management of patients … finish reading New CPT Codes Support Medicare Payment for Care Coordination

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Half of New CMS ACOs are Physician-Led

Nearly half of the 106 newly established CMS ACOs are physician-led organizations, according to the HHS. The new ACOs represent a diverse cross-section of physician practices across the country serving 10,000 beneficiaries. One out of five ACOs represent community health … finish reading Half of New CMS ACOs are Physician-Led

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Colorado ACO Yields Big Savings, Reduced Readmissions

A new Colorado ACO proved to be beneficial in its first year of operation, yielding significant cost savings, quality of care, patient outcomes, and utilization of services, according to the Colorado Department of Health Care Policy and Financing. In an … finish reading Colorado ACO Yields Big Savings, Reduced Readmissions

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Specialty Pharmacies Gaining Greater Role in ACO Marketplace

More than 100 new CMS Shared Savings ACOs sought accreditation in URAC’s Specialty Pharmacy Accreditation program in 2012, which incorporates best practices for treating chronic conditions. They joined at least that many ACOs in the private sector, in a test … finish reading Specialty Pharmacies Gaining Greater Role in ACO Marketplace

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Significant Potential for ACOs to Improve Care, Lower Costs for Dual Eligibles

Accountable care organizations can slow the cost of treating the sickest, costliest patients in the healthcare system, according to a new study by Dartmouth researchers. To learn how new delivery models, such as ACOs, are likely to perform for patients … finish reading Significant Potential for ACOs to Improve Care, Lower Costs for Dual Eligibles

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