Aetna and St. John Health System, a part of Ascension, the nation's largest Catholic and nonprofit health system, today announced a collaboration to launch Aetna Whole Health St. John OKHI in Tulsa County. This new health care product enables doctors to deliver highly coordinated care, track outcomes through shared data, and measure clinical standards to improve quality and efficiency.As part of Aetna Whole Health St. John OKHI, Aetna members will receive coordinated care through Tulsa-area St.
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ACO | Accountable Care Organization | Policy, News, Analysis, Insights - HIT Consultant
69% of Providers/Payers Are Uncomfortable with Risks of Value-Based Care
By 2018, the Centers for Medicare & Medicaid Services (CMS) will require 50 percent of payments to be value-based, meaning providers are compensated for healthy outcomes rather than each service provided. According to new research from Xerox, 69 percent of healthcare providers and payers are uncomfortable with the risks of value-based care, and 77 percent agree that some providers are losing money by adopting the approach. The Xerox survey reveals that healthcare payers and providers
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Aetna, Mount Sinai To Form Accountable Care Alliance
Aetna and Mount Sinai Health Partners – the clinically integrated network that includes the Mount Sinai Health System and a group of voluntary providers are teaming up to form the form an accountable care collaboration designed to enhance coordinated patient care and lower health care costs. Accountable Care Alliance Details Under the three-year agreement, members of Aetna commercial plans who receive care from Mount Sinai physicians will benefit from quality and cost efficiency improvements
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CMS’ Next Generation ACO Model: The True Cost of Healthcare’s Transformation
Will providers taking on more risk produce create cost savings and better healthcare for the underserved? Healthcare experts April Wortham Collins and Dutch Dwight weigh in. The ACO. It was hailed as the care delivery and payment model that would cure healthcare’s inefficiency ills and financial woes. While we’ve seen some quality improvement from Medicare’s Shared Savings Program, the U.S government has yet to see actual savings. Now, CMS has unveiled a more enticing model for providers to
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Aetna, Meridian Health Partner to Create Co-Branded ACO
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, 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
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
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 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
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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