Accountable Care Organizations

Premier Accountable Care Organizations Improved Quality in 2015

by Vera Gruessner

New results from the Premier Inc. Population Health Management Collaborative (PHMC) show that accountable care organizations (ACOs) within the collaborative improved quality and cost reduction in 2015...

Care Coordination Vital in Accountable Care Organizations

by Vera Gruessner

Healthcare payers looking to transition to new payment systems and better coordinate care across multiple facilities would benefit from working within accountable care organizations (ACOs). Within...

How MACRA Requirements Impact Accountable Care Organizations

by Vera Gruessner

MACRA legislation impacts a number of healthcare providers and entities including accountable care organizations (ACOs). Only a few Medicare accountable care organizations will actually be able to...

Vermont’s All-Payer Model Limits Medical Spending Growth

by Vera Gruessner

Vermont has been working on regulatory actions that would reform healthcare payment throughout the state specifically through an all-payer model. Last week, the Centers for Medicare & Medicaid...

Accountable Care Organizations Expand Use of Social Services

by Vera Gruessner

Today, accountable care organizations (ACOs) are focused on expanding their coordination efforts with social service agencies and community resources, according to findings from a report completed by...

ACO Investment Model May Improve Care Delivery in Rural Areas

by Vera Gruessner

While healthcare reform and legislation like the Affordable Care Act have brought medical coverage to an additional 20 million Americans across the country, the patient community still faces some...

Why Accountable Care Organizations Should Adopt Bundled Payment

by Vera Gruessner

The Centers for Medicare & Medicaid Services (CMS) should consider allowing Track 1, 2, and 3 accountable care organizations (ACOs) to participate in cardiac and comprehensive joint replacement...

Private Payers Follow CMS Lead, Adopt Value-Based Care Payment

by Vera Gruessner

Commercial payers are following the lead of the Centers for Medicare & Medicaid Services (CMS) when it comes to adopting value-based care payment protocols. More private payers have implemented...

Six Medicaid ACOs Vary in Consumer Engagement Success

by Vera Gruessner

Consumer engagement in a number of Medicaid accountable care organizations (ACOs) tend to vary significantly, according to a September 2016 report from the Center for Consumer Engagement in Health...

VT All-Payer Model Aligns Costs for Public, Private Insurers

by Vera Gruessner

The state of Vermont is moving forward with establishing an all-payer model that uses accountable care organizations and ensures a provider is reimbursed by an equal amount among all healthcare payers...

Is Primary Care the Solution to Value-Based Care Challenges?

by Vera Gruessner

Transitioning to value-based care reimbursement and managing accountable care organizations (ACOs) comes fraught with specific challenges. Both reports from healthcare organizations and interviews with...

How Accountable Care Organizations Meet Quality Benchmarks

by Vera Gruessner

Accountable care organizations (ACOs) are relatively new patient care models that can operate with either public or private health payers. Initially, the Centers for Medicare & Medicaid Services...

Where the Medicare Shared Savings Program May be Lacking

by Vera Gruessner

The latest news from the Medicare Shared Savings Program and its associated accountable care organizations shows that some goals of the project have been gained such as ongoing cost savings and quality...

2 Benefits and 2 Disadvantages of the Affordable Care Act

by Vera Gruessner

The Patient Protection and Affordable Care Act has had many critics as well as those who have praised the landmark healthcare legislation. While the Republican Party is looking to repeal the Affordable...

How Healthcare Information Technology Boosts Member Engagement

by Vera Gruessner

Healthcare information technology and communication channels remain an imperative aspect of the relationship between health payers and their consumers. As the healthcare industry continues to reform...

CMS Grants Navigators $63M to Boost Health Insurance Marketplace

by Vera Gruessner

The Centers for Medicare & Medicaid Services (CMS) announced in a press release earlier this week that it will be providing $63 million in grants to both new and older organizations returning to...

Primary Care, Coordination Drive Accountable Care Organizations

by Vera Gruessner

Within the new value-based care payment strategies being developed among healthcare providers, payers, and government agencies, accountable care organizations (ACOs) continue playing an important role...

Medicare Shared Savings Program Saved $466 Million in 2015

by Vera Gruessner

The Centers for Medicare and Medicaid Services (CMS) announced last week the quality and financial results of the 2015 Medicare accountable care organizations. According to a press release from CMS,...

3 Strategies to Follow in Value-Based Care Reimbursement

by Vera Gruessner

In order to have an effective value-based care reimbursement strategy, healthcare payers and providers will need to implement a number of steps in their pursuit of rewarding quality of care instead of...

Empire BlueCross BlueShield Rewards Strong Care Coordination

by Vera Gruessner

Healthcare payers are often looking for ways to improve care coordination in an effort to enhance patient outcomes and reduce medical spending. Empire BlueCross BlueShield is one healthcare payer that...