Aetna, Meridian Health Partner to Create Co-Branded ACO

Aetna

Aetna and Meridian Health are teaming up to create co-branded, commercial, product-based accountable care organization agreement, which is through Meridian Health Partners, Meridian’s clinically integrated network. It offers employers in Monmouth and Ocean counties a health care model designed to improve quality, efficiency and the patient experience. The ACO includes doctors who are part of Meridian Health Partners, doctors at Meridian hospitals, and affiliated ancillary providers and
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Health Choice Preferred, Cigna Form Accountable Care Collaboration

Health Choice Preferred logo

Health Choice Preferred, a division of IASIS Healthcare, and Cigna have announced an accountable care collaboration designed to offer more than 16,000 Cigna commercial customers in Utah a more coordinated, personalized healthcare option. The collaboration ties value-based incentives to performance improvements that support population health management and improve outcomes for Cigna’s customers. Health Choice Preferred’s integrated network of healthcare providers utilize a broad range of
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Report: Value-based Care Driving Remote Patient Monitoring Adoption

Remote Patient Management Platforms

The healthcare industry's transition to value-based care and the regulatory penalties associated with readmissions are driving the adoption of remote patient monitoring. According to a recent report from Frost & Sullivan, remote patient monitoring is increasingly becoming a critical tool to support the new value-based care environment. As a result, the remote patient monitoring market is expected to grow at a rate of 13.2 percent through 2020.  Defining Remote Patient Monitoring Remote
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ACO: Integrated Health Network Exceeds Clinical Quality Goals

2421232_IHN-ACO_infographic_FINAL (1)

  Integrated Health Network of Wisconsin (IHN) exceeded its clinical quality goals in the first year of a three-year accountable care relationship with UnitedHealthcare, due to enhanced care coordination for patients and better sharing of clinical and financial data. The results are based on the experiences of 60,000 employer-sponsored health plan participants who sought care from IHN physicians in 2014. During the first year of the program, more patients received the preventive
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Aetna Inks First Pediatric ACO Collaboration

Aetna

Aetna and The Children’s Hospital of Philadelphia (CHOP) have announced a new accountable care organization (ACO) collaboration designed to improve the quality of care and lower health care costs through more coordinated care. This is Aetna’s first pediatric ACO arrangement.  ACO Agreement Details Under the contract, members of Aetna commercial plans (up to age 19) in the five-county Philadelphia area and Burlington County, N.J., and who receive care from CHOP physicians, became part of the
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KLAS: Advisory Board, Premier Top Firms for Value-based Care Consulting

KLAS Report Highlights Population Health Management Early Leaders

As healthcare moves from a fee-for-service model to a value-based care (VBC) model, many providers are having to reengineer aspects of their business. "Value-Based Care. Making the Shift: Who Can Help?" is the first report published about this market segment by KLAS. The report found that Advisory Board, Conifer and Evolent scored high with providers in giving them confidence to deal with evolving alternative payment models and preparing for future risk. Top Firms for VBC Consulting/Management
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AMIA Urges CMS to Rethink Informatics Policies as New Models of Care Emerge

AMIA Urges CMS to Rethink Informatics Policies as New Models of Care Emerge

In comments submitted to the Centers for Medicare & Medicaid Services (CMS), the nation’s leading data scientists in healthcare urged federal officials to use new payment policies to reassess how providers are required to use informatics tools, and rethink how quality is measured in a digital world. Officials from the American Medical Informatics Association (AMIA) said new and novel ways to deliver care will rely on dynamic uses of information technology (IT) and other informatics tools, so
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New Jersey ACO Model Yields Improvements in Quality of Subacute Patient Care

ICD-10 Impact on Cash Flow

  A collaboration of hospitals, doctors and skilled nursing facilities (SNFs) has resulted in improvements in the quality of subacute patient care, and reductions in costs, length of stay and hospital readmissions. This marks major progress in meeting and exceeding standards of patient care for Medicare beneficiaries in New Jersey, a state that has traditionally ranked low for key performance measures among SNFs. The Atlantic Accountable Care Organization (AACO) and Optimus
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athenahealth Updates Its Patient-Centered Medical Home Accelerator Program

athenahealth Acquires RazorInsights to Enter Hospital Market

athenahealth a provider of cloud-based EHR services and mobile applications for medical groups and health systems has announced updates to its Patient-Centered Medical Home (PCMH) Accelerator Program. Awarded an outstanding 35.25 automatic credits and 45.5 practice support points by the National Committee for Quality Assurance (NCQA), athenahealth ® streamlines providers' pathway towards formal NCQA PCMH Recognition. Practices using athenahealth's EHR, athenaClinicals ®, and patient
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Blue Cross and Blue Shield of Illinois to Launch New Value-based Care Model

Blue Cross Blue Shield of Illinois

Blue Cross and Blue Shield of Illinois (BCBSIL) has signed an agreement to launch an innovative new value-based care model with DuPage Medical Group (DMG), the largest independent physician practice in the Chicago area, with more than 425 doctors. Traditionally in a fee-for-service delivery model, reimbursement is based on specific services provided to patients; rewarding providers for the volume of services they provide.  In value-based care, payment to providers is associated with meeting
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