Accountable Care Organizations

Two Contrasting Opinions on Accountable Care Organizations

by Vera Gruessner

The Patient Protection and Affordable Care Act isn’t merely responsible for creating health insurance exchanges, eliminating pre-existing conditions or even expanding the Medicaid program. The...

UnitedHealth’s Value-Based Care Reimbursement Improves Outcomes

by Vera Gruessner

Value-based care reimbursement has been hitting both payers and providers as a surefire way to promote payment reform and reduce medical spending. The new models of payment are coming straight from...

Affordable Care Act, Accountable Care Display Success

by Vera Gruessner

With fairly large sects of the political spectrum opposing various provisions of the Patient Protection and Affordable Care Act as many as six years after its passage, it grows vital to examine whether...

Successful Accountable Care Organizations Use 3 Key Strategies

by Vera Gruessner

Health payers and providers who are seeking to form accountable care organizations will need to follow key steps in order to avoid the issues associated with these payment models and truly succeed in...

Key Strategies for Transitioning to Value-Based Care Payments

by Vera Gruessner

With value-based care payments impacting both payers and providers around the country as the healthcare industry transitions toward a new climate based on quality of care, preventive services, and...

How Accountable Care Organizations Use Preventive Services

by Vera Gruessner

What accomplishments have accountable care organizations (ACOs), providers, and payers reached in their effort to operate value-based reimbursement systems? This is the question that many ACOs are...

President Obama Highlights Progress from Affordable Care Act

by Vera Gruessner

When it comes to the Patient Protection and Affordable Care Act, the media has reported on a variety of opinions among healthcare experts and regulators regarding the benefits and disadvantages of the...

How Payers Should Prepare for Value-Based Reimbursement

by Vera Gruessner

Value-based reimbursement is a new payment strategy between insurers and providers meant to foster higher quality care by incentivizing strong performance with shared savings, bonuses, or other financial rewards. This diverges from the...

Accountable Care Organizations Rely on Population Health Data

by Vera Gruessner

Accountable care organizations (ACOs) are slowly becoming a mainstay of the healthcare industry, as more payers and providers are partnering through these care coordination programs and negotiating...

Population Health Vital for Medicare ACO Models to Succeed

by Vera Gruessner

Accountable care organizations (ACOs) have taken on a larger role in delivering services throughout the continuum of care. Initially, these establishments were created under the Medicare Shared Savings...

How to Strengthen Accountable Care Organizations, MSSP

by Vera Gruessner

Accountable care organizations (ACOs) continue to gain greater acknowledgement within the healthcare industry as the field transitions to value-based care reimbursement and moves away from the...

New Ruling in Medicare Shared Savings Program Changes Payment

by Vera Gruessner

As previously reported, the Centers for Medicare & Medicaid Services (CMS) have finalized a ruling that changes how the Medicare Shared Savings Program operates its payment protocols among...

Why Patients Need More than Reduced Healthcare Spending

by Vera Gruessner

Is lower healthcare spending truly tied to improved quality of care among hospitals? New research published in Health Affairs begs to differ when it comes to rewarding lower quality hospitals that...

What Are the Benefits of Accountable Care Organizations?

by Vera Gruessner

Accountable care organizations (ACOs) are provider and payer arrangements established to improve care coordination between primary care physicians, hospitals, specialists, and public or private health payers. The Centers for Medicare...

Why Accountable Care Organizations May not Succeed in MSSP

by Vera Gruessner

Do accountable care organizations (ACOs) truly save costs for the healthcare industry? Or is forming an ACO in hopes of cutting spending a pipe dream? Last year’s results from the Medicare Shared...

Top 3 Ways Accountable Care Organizations Could Garner Savings

by Vera Gruessner

Payers and providers looking to operate through an accountable care organization (ACO) will need to adhere strictly to state and federal laws regarding the development of this model of care....

Service-Based Organization Strengthens Population Health

by Vera Gruessner

Blue Cross Blue Shield of Arizona (BCBSAZ) has recently partnered with McKesson Business Performance Services to form a service-based organization called ACO Partner meant to function in the...

Commercial Accountable Care Organizations Denied Tax Exemption

by Vera Gruessner

The Centers for Medicare & Medicaid Services (CMS) has undergone significant reforms in recent years in order to reduce wasteful healthcare spending and improve patient health outcomes around...

Accountable Care Organizations Keep Growing Across US

by Vera Gruessner

The Patient Protection and Affordable Care Act led to the  development of the Medicare and Medicaid Innovation Center, which eventually brought the creation of accountable care organizations...

How CMS Could Boost Operation of Accountable Care Organizations

by Vera Gruessner

Accountable care organizations (ACOs) have become a more mainstream method for improving care coordination and the quality of medical services while providing an opportunity for reducing wasteful...