The game is changing faster than ever as more payer contracts and regulatory programs adopt risk-based models. To be successful, payer and provider organizations know they must increase quality scores and revenue while reducing avoidable medical costs. Yet, the providers who are critical to that success are burned out. According to a recent survey, nearly one-third of providers say their biggest frustration is constant “busy work,” such as electronic health record (EHR) data entry and prior
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ACO
Top 5 Factors Impacting the US Population Health Management Market
The North American Population Health Management (PHM) reached the $4 billion milestone for the first time in 2018, despite growth slowing for the second consecutive year. With the US provider market consolidating and vertical integration increasing, vendors are having to adapt their offerings to keep up with changing needs. Here is our take on the five trends that will impact market growth over the coming years:
1 – A Market Still Maturing
As the market has evolved, providers are taking
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ACO Investment Model Reduced CMS Expenditures by $48M
The Accountable Care Organization (ACO) Investment Model (AIM) saved the Centers for Medicare & Medicaid Services (CMS) more than $48M in its first year while promoting improved health care in rural and underserved areas, according to a new study from Abt Associates.The new study reveals that after accounting for the $82.4 million provided to ACOs, AIM reduced CMS expenditures by $48.6 million. Decreases in the number of hospitalizations and use of institutional post-acute care contributed
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Innovaccer Launches Data Solution to Enable ACOs’ Seamless Transition to Value-Based Care
A survey suggests that 71% of accountable care organizations would rather quit the Medicare Shared Savings Program than assume down risks. Although ACOs are leading the transition from volume-based care to value-based care, a lot of them face the lack of confidence in meeting the quality and cost benchmarks. When ACOs don’t have adequate knowledge and control over the network, earning shared savings can be quite challenging. Data from disparate sources such as EHRs, payer claims, PMS and HIEs
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Innovaccer Launches ACO Comparison & Performance Enablement Tool
Innovaccer Inc., a San Francisco-based data activation company, today announced the launch of the brand new version of its ACO comparison and performance enablement tool, ACO Compare. With Innovaccer’s latest offering, ACOs can figure out concrete strategies and build comprehensive roadmaps to achieve their goals based on in-depth analysis and regression on critical data points.Growing Importance of Understanding The Value-based Care LandscapeWhile ACOs have traditionally been considered to be
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Plum Healthcare, Netsmart Partner to Develop Integrated Care Solutions for Senior Living
Plum Healthcare Group, a skilled nursing provider has inked a 10-year strategic partnership with health IT company Netsmart to develop integrated care solutions to enhance care delivery for senior living. This joint innovation-based partnership between a technology partner and a senior living provider will be a key component to support Plum as it expands into new service lines and offerings across more than 50 facilities throughout California and Nevada.Plum Healthcare/Netsmart Partnership
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Value-based Care in America: A Table View of State-by-State Initiatives
Value-based care programs are flourishing across the U.S., with a seven-fold increase in the number of states implementing such initiatives in the past five years, according to a new Change Healthcare report. The report, Value-Based Care in America: State-by-State is the second national study of state healthcare payment programs that reveal 48 states have now implemented value-based care or payment programs, 50% of those programs are multi-payer in scope, and just four states have little or no
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Value-based Care Success: 7 Stages of the Health Data Life Cycle
Back in the day – the late 1960s, when social norms and the face of America was rapidly changing – a familiar public service announcement began preceding the nightly newscast. “It’s 10 p.m. Do you know where your children are?” Today, as the healthcare landscape changes rapidly with a seismic shift from the fee-for-service payment model to value-based care models, there’s a similar but new clarion call for quality healthcare: “It’s 2018. Do you know where your data is?”Compliance with the
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Mercy ACO Taps Innovaccer to Drive End-To-End Value-Based Care Initiatives in Iowa
Mercy Accountable Care Organization (ACO), one of the largest ACOs in the state of Iowa has selected Innovaccer Inc., a Silicon Valley-based healthcare analytics company to drive end-to-end value-based care initiatives statewide. As part of the selection, Mercy ACO will implement Innovaccer’s proprietary platform ‘Datashop’ which is an integrated data warehouse for all clinical, financial, lab, pharmacy, and immunization data and port data. This will enable Mercy ACO to manage all of their
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KLAS Rates Deloitte Top Firm for ACO Strategy & Readiness
According to a recent KLAS report, Deloitte has been rated the top firm for ACO strategy development and readiness assessment. The report, ACO Advisory Services 2014: Navigating the Unchartered Territory of Accountable Care, evaluates seven firms based on interviews with 41 health care organizations working to implement value-based care models against three categories:
– strategy development
- readiness assessment
-implementation
Key Highlights
The KLAS report gave Deloitte
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