Post-Acute, At-Home Care Saves Next Gen ACO Atrius Health $19.9M
- “You can't emphasize enough the right setting and the right care,” stressed Peggy Chou, MD, the Senior Medical Director of Performance Excellence of Atrius Health in Massachusetts. Atrius Health is a non-profit system of 32 medical practices with more than 825 physicians. The organization is also a Next Generation accountable care organization (ACO) that saved Medicare...
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Hospitals, Blue Cross NC Share Risk with New Value-Based Contract
Five major health systems recently entered a value-based contract with Blue Cross and Blue Shield of North Carolina (Blue Cross NC) that will hold them financially accountable for total costs of care and overall quality performance. Cone...Healthcare Disruption Spurs Hospitals to Alter Business Operations
Eighty-five percent of hospital and health system executives believe the industry is at significant risk for healthcare disruption, and their organizations are preparing their business operations for potential changes to how healthcare...Practices Still Averse to Risk-Based Alternative Payment Models
Physician practices are less willing to participate in alternative payment models with downside financial risk compared to four years ago, revealed a new study from the RAND Corporation and the American Medical Association (AMA). Several...36% of ACOs Consider Quitting MSSP Under New Proposed Rules
Over one-third of accountable care organizations (36 percent) said they are unlikely to continue with the Medicare Shared Savings Program (MSSP) if the proposed overhaul is finalized, a recent survey showed. Only 48 percent of ACO leaders...AMA, AHIP, and Others Oppose Upside-Only ACO Changes for MSSP
The American Medical Association (AMA), Medical Group Management Association (MGMA), and Health Care Transformation Task Force (HCTTF) are among nine industry groups calling on CMS to reconsider proposed changes to the Medicare Shared...Patient Attribution Key Component to APMs, Value-Based Contracts
Patient attribution is a critical component of alternative payment models (APMs) that appropriately hold providers accountable for their care performance. “Attribution methodology is at the core of constructing actuarially sound,...CMS to Offer More Flexibility to Risk-Bearing ACOs, Verma Says
Federal regulations and rules are commonly cited as barriers to implementing value-based reimbursement models. The rules can prevent care coordination and appropriate transitions of care, which negatively impact an accountable care...Next Generation ACOs Save Medicare $62M, Maintain Care Quality
Accountable care organizations (ACOs) in the Next Generation ACO program produced nearly $62 million in net savings to Medicare while maintaining care quality in 2016, CMS recently reported in the newly released evaluation of the...A Provider-Sponsored Health Plan Is A Hospital’s Natural Next Step
Many hospitals and health systems are bypassing the ultimate opportunity to gain greater control of the outcomes and costs of their patients. That opportunity is developing their own provider-sponsored health plan, according to Geisinger...Sponsored by RevSpring
