Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Accountable Care Organizations

Why Did Experienced Accountable Care Organizations Fail?

by Jacqueline DiChiara

The Medicare Pioneer Accountable Care Organization (ACO) has proven it is able to manage larger performance-based financial risk levels. But some Pioneer ACOs dropped out when quality benchmarks were too hard to reach.

Value-Based Incentives Enrich Accountable Care Organizations

by Jacqueline DiChiara

Pay-for-performance incentives positively sway physician behavior when it comes to value-based care advancement, according to a new JAMA Pediatrics study. Financial incentives tied to value-based reimbursement advance basic health measures,...

Value-Based Care Models Still Pose Opportunities, Challenges

by Jacqueline DiChiara

The value-based care model is allegedly winning the claims reimbursement race, leaving its fee-for-service competitor in the dust. How valid is the widespread claim that value-based reimbursement models are tied to higher care quality levels,...

Why Accountable Care Organizations Need Revenue Cycle Risk

by Jacqueline DiChiara

Is the "Accountable" part of accountable care organizations being ignored? Over 100 new Medicare Accountable Care Organizations (ACO) participants will keep quality high and costs low, according to the Centers for Medicare &...

Do Accountable Care Organizations Save Claims Reimbursement?

by Jacqueline DiChiara

Accountable care organizations (ACOs) are reportedly being penalized for high revenue cycle management performance. Healthcare providers looking to manage their claims reimbursement strategies remain focused on value-based care initiatives while...

Medicare Spending Up, Medicare Shared Savings Requires Risk

by Jacqueline DiChiara

Medicare spending is on the rise as the sizable impact of high-priced drugs on healthcare spending evolves. Accountable Care Organizations (ACOs) appear to be either in, out, or somewhere in between on the financial risk spectrum. Will ACOs take...

Accountable Care Organizations Renew Hospital Reimbursement

by Jacqueline DiChiara

Accountable Care Organizations (ACOs) may be a welcome hospital reimbursement innovation for the critical access community. Critical care organizations far away from the hustle and bustle of a nearby city face a different set of reimbursement...

High Patient Experience Ratings Up Revenue Cycle Management

by Jacqueline DiChiara

Positive patient experience ratings generate a healthy and happy revenue cycle management, according to Press Ganey’s new white paper. But healthcare payment reform challenges may be keeping providers from seeing more revenue...

CAPG Praises Next Generation Accountable Care Organizations

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) recently selected twenty-one healthcare organizations to participate in a newfangled Next Generation Accountable Care Organization (ACO) model. The 21 participating ACOs have formidable...

4 Value-Based Care Models Demanding New Long-Term Focus

by Jacqueline DiChiara

Value-based care models are taking over the healthcare industry. Providers are struggling to stay ahead of the reimbursement curve, some smiling more than others when they consider where their ROI currently sits. The transition away from...

CMS, AMA Outline Evolving Healthcare Market Opportunities

by Jacqueline DiChiara

The Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) discussed the evolving healthcare market yesterday at the J.P. Morgan Healthcare Conference in San Francisco, California. Their discussion was fittingly...

CMS Says 121 New Medicare ACO Participants Advance Quality

by Jacqueline DiChiara

The new future of the Accountable Care Organization is here. The Centers for Medicare & Medicaid Services (CMS) has announced 121 new Medicare Accountable Care Organization (ACO) participants. Yesterday’s press release from...

Do Accountable Care Organizations Improve Patient Experience?

by Jacqueline DiChiara

Accountable Care Organizations (ACOs) are designed to generate revenue by keeping patients happy. When ACOs were a tad newer, beneficiaries reportedly confirmed they were indeed satisfied with the level of care received from an ACO. But the push...

The Revenue Cycle Focused Accountable Care Organization

by Jacqueline DiChiara

Are you a healthcare provider considering making the accountable care switch as a New Year’s resolution? Staying in the black for 2016 means anticipating and preparing for possible financial disaster. But where should your revenue...

4 Fresh Accountable Care Organization Growth Predictions

by Jacqueline DiChiara

A new year calls for new accountable care organization (ACO) reflections. What is the new ACO future? Healthcare providers remain focused on collecting financial bonuses and achieving subsequent revenue cycle and ROI success. But numerous...

Top 6 Accountable Care Organization Questions Explained

by Jacqueline DiChiara

Sometimes questions are more important than answers. Accountable care organizations (ACOs) — groups of doctors, hospitals, and healthcare providers helping provide Medicare beneficiaries with top-notch coordinated fee-for-service care –...

Physicians Report 4 Factors of Value-Based Payment Success

by Jacqueline DiChiara

Are value-based payment models garnering favorable reviews or mere disdain from physicians? A new Value-Based Payment (VBP) Humana-funded study aims to answer this perhaps simultaneously simple yet heavy-handed question. Survey data...

CMS Reports ACOs Assume High Risk Yet Generate High Savings

by Jacqueline DiChiara

Accountable care organizations (ACOs) generated over $411 million in net program savings last year, according to financial and quality performance results from the Centers for Medicare & Medicaid Services (CMS). “The Affordable Care...

Do Medicare Shared Savings Program Final Waivers Boost ACOs?

by Jacqueline DiChiara

Laws that restrict financial arrangements between hospitals, physicians, beneficiaries, and the like are on the immediate horizon, according to newly published regulation from the Centers for Medicare & Medicaid Services (CMS), the Office...

Are Accountable Care Organizations Worth Investment Risk?

by Jacqueline DiChiara

Do Accountable Care Organizations (ACOs) have longevity in the healthcare industry or will they soon merely be gone with the wind? As reported, the Centers for Medicare & Medicaid Services (CMS) said within its 2014...


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