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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ACO | Accountable Care Organization | Policy, News, Analysis, Insights - HIT Consultant
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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5 Barriers to Achieving Success In Value-Based Care, Alternative Payment Models
Premier recently published a white paper titled Building Successful Two-Sided Risk Models, which discusses evolving risk-based alternative payment models and uncovers insights around the capabilities health systems need to achieve success in today’s value-based payment environment. A recent Premier C-Suite survey identified five barriers to achieving success in value-based care, alternative payment models: 1. Balancing health system margin pressure from both managing participation in
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Survey: Medicare ACOs in Premier Population Health Collaborative Outperform Peers by 57%
Since 2012, Medicare accountable care organizations (ACOs) that participate in the Premier Inc. Population Health Management Collaborative (PHMC) have outperformed their peers in achieving cost and quality improvements. Nearly half of PHMC Medicare ACO participants received shared savings payments in performance year 2016 compared to 33 percent of all Medicare ACOs. In addition, since 2012 PHMC Medicare ACOs have performed 57 percent better on average in achieving shared savings.Premiere
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12 Defining Healthcare Trends to Watch in 2018
PwC's Health Research Institute (HRI) outlines 12 defining healthcare trends to watch in 2018 that will be distinguished by persistent uncertainty and risk. 2018 will be distinguished by persistent uncertainty and risk for the US health industry. 2018 is likely to mirror 2017 - a year marked by raucous debates over health and tax reform and a series of crises triggered by natural disasters - in terms of volatility, according to the latest research from PwC's Health Research Institute
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Population Health Management Means the Whole Population, Not Just the Highest Need
Considerable attention has been given to the large proportion of healthcare spending concentrated among a small proportion of patients. This five to 10 percent of the population has been the driving force behind many value-based purchasing models, e.g., chronic health condition management for the high cost, high utilizers, and health home models for care coordination and management services. A recent thought piece (March, 2017) in the The New England Journal of Medicine, “Focusing on
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