Despite the numerous interventions by the government to reinforce value-based care, the transformation of the healthcare ecosystem has been slow. As of 2018, there are around 400 ACOs under Medicare Shared Savings Programs alone and only 31% of them could generate shared savings.Additionally, ACOs are under immense pressure with an increased shift towards assuming more financial accountability. The reality is that every year ACOs end up leaving money on the table due to lack of awareness about
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Premier Launches Physician Enterprise Collaborative to Identify Margin Improvements for Medical Groups
Premier Inc., a healthcare improvement company, is launching a new performance improvement collaborative to help health systems navigate the integration and alignment of employed and affiliated medical groups while optimizing overall practice performance. The Physician Enterprise Collaborative seeks to help medical groups identify margin improvements equivalent to 5 to 7 percent of professional net patient revenue (cash collections of billing activity).Officially beginning in June 2018,
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OnlyBoth Launches AI-Driven Home Health Agency Benchmarking Engine
Pittsburgh-based OnlyBoth Inc., today announced the launch of its no-cost Home Health Agency benchmarking engine, which applies innovative artificial intelligence (AI) technology to Medicare data previously gathered about providers. The unique engine delivers text-based insights so users can easily compare and contrast home health agency performance for informed decision-making.As transparency becomes more of a requirement, particularly with the CMS news about the prices this week, so will
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Survey: 64% of Executives Believe EHRs Have Failed to Deliver Critical VBC Tools
64 percent of healthcare executives say EHRs have failed to deliver better PHM tools, and about half claim they would be willing to switch EHRs to get these capabilities, according to new data from Sage Growth Partners (SGP). The EHR market is maturing at the same time that value-based care has grown more permanent roots. As the inpatient EHR market begins to consolidate, SGP conducted an online survey of 100 healthcare executives (87% C-suite) to understand their perspectives about what EHRs
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Adventist Health System Forms First Accountable Care Organization
Adventist Health System (AHS) today announced that the Centers for Medicare & Medicaid (CMS) has approved the formation of its first Accountable Care Organization (ACO) and its participation in the Medicare Shared Savings Program. The ACO provides the infrastructure for the Shared Savings Program, which cares for senior citizens across the state of Florida. Nearly 55,000 Medicare beneficiaries are expected to be part of the Shared Savings Program in the inaugural year.Approximately 1,500
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ACOs Generated $300M in Savings Over 3 Years Via Lightbeam Technology
Accountable care organizations (ACOs) using Lightbeam technology have generated over $300M in savings over the last three performance years, since the Centers for Medicare & Medicaid Services (CMS) Medicare Shared Savings Program (MSSP) began. Lightbeam’s platform facilitates end-to-end population health management for ACOs, payers, provider groups, health systems and other healthcare organizations aspiring to provide superior care at a lower cost.Over the life of the program, Lightbeam
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Innovaccer Launches ACO Compare to Analyze ACO Performance Trends
Accountable care organizations are playing a pivotal role in the value-based ecosystem. Since their formation in 2012, MSSP ACOs have saved over $2 billion for millions of assigned beneficiaries. More importantly, the quality of care has improved drastically as a direct result of the collaborative efforts by ACOs. The average quality scores of 2016 are higher than ever, attesting that ACOs are instrumental in advancing value-based care.However, the overall results, as observed on ACO Compare, do
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UniNet Integrates Data With Innovaccer to Power Value-based Initiatives
UniNet Healthcare Network, a clinically integrated network (CIN) that brings together providers from across Nebraska and southwest Iowa, today announced their collaboration with Innovaccer Inc., a San Francisco-based healthcare data platform company, to integrate data from multiple sources for advanced analytics-based insights and care coordination across their network.With over 3,000 providers serving in 76 different locations, UniNet’s vision is to create a healthier population, one person at
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Atrius Health to Deploy Linguamatics NLP Platform to Support Value-based Care
Atrius Health, the Northeast’s largest nonprofit independent multi-specialty medical group announced it will implement Linguamatics, a Natural Language Processing (NLP) enterprise platform to identify and extract critical clinical information hidden within unstructured patient data.As a long-term Accountable Care Organization (ACO) for Medicare, commercial, and Medicaid patients, Atrius Health requires ready access to clinical notes and data to address reporting requirements and advance quality
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4 Barriers to Implementing Value-based Payment Models
Majority of family physicians indicate their practices participate in value-based payment models and believe value-based payment models will encourage greater collaboration between primary care physicians and specialists, according to a new study. The 2017 Value-based Payment Study was sent to 5,000 active members of the AAFP. A total of 482 surveys were returned, and 386 were evaluated after a screening process. The study found that more and more family physicians are embracing value-based
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