Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Accountable Care Organizations

Top 3 Recent Outcomes of the Affordable Care Act in 2015

by Vera Gruessner

The Obama administration’s Patient Protection and Affordable Care Act has dealt with a multitude of opposition since its passage and this past year has been no different. There are still partisan politics at play when it comes to the healthcare...

Will the US Embrace the Affordable Care Act in Future Years?

by Vera Gruessner

The Patient Protection and Affordable Care Act has had many obstacles in the way when revolutionizing the healthcare insurance field and broadening access to medical care for the US population. What does the future hold for the Affordable Care...

Top 4 Predictions for Healthcare Payer Industry in 2016

by Vera Gruessner

As the year comes to a close, while many are off to celebrate the holidays, those within the healthcare payer industry would be wise to look ahead to the New Year and prepare for the coming trends and challenges of 2016. Below we outline four...

How to Design and Support an Accountable Care Organization

by Vera Gruessner

When a large establishment wants to bring more care coordination and greater organization among multiple medical facilities including primary care offices, hospitals, and specialty entities, there are specific steps to take and certain aspects...

Why Health IT is Critical for an Accountable Care Organization

by Vera Gruessner

In order to provide medical services under an Accountable Care Organization (ACO), a network of medical practices, specialty healthcare offices, and hospitals must contract with a health payer such as Medicare, Medicaid, commercial health plans,...

Blue Shield, Accountable Care Organization Saved $325 Million

by Vera Gruessner

In recent years, there has been plenty of concern about whether or not Accountable Care Organizations (ACOs) bring significant cost savings to the healthcare industry. However, one health payer and ACO have proven that it is possible to make...

Altering Accountable Care Organizations May Bring More Success

by Vera Gruessner

Despite the fact that Accountable Care Organizations (ACOs) and the Medicare Shared Savings Program was supposed to put a dent in the rising healthcare costs around the country, the latest results show that both in 2013 and 2014, only about 25...

HIT Boosts Population Health Data Analysis, Patient Outcomes

by Vera Gruessner

When healthcare providers join together to form an Accountable Care Organization, a major goal of theirs is to improve the health of their given population. But what are some key areas where ACOs and payers could analyze population health data...

Population Health Management Achieved through Accountable Care

by Vera Gruessner

Population health management is a complex area within the healthcare industry that has received a much bigger spotlight in recent years. In particular, after the Patient Protection and Affordable Care Act became law, Accountable Care Organizations...

Top 4 Healthcare Insurance Trends to Expect in 2016

by Vera Gruessner

As the year is coming to a close and many are getting ready to celebrate the holidays, it is important to look toward the coming year and prepare for healthcare insurance trends expected to impact the market. Over the last several years, both...

Top 3 Ways to Meet HEDIS Quality Measures, Improve Performance

by Vera Gruessner

The entire healthcare industry benefits greatly from the quality measurement programs including the Healthcare Effectiveness Data and Information Set (HEDIS) tools developed by the National Committee for Quality Assurance (NCQA). The HEDIS quality...

CMS Innovation Center’s Role in Improving Value-based Care

by Vera Gruessner

As healthcare payers and providers look toward adopting value-based care and move away from fee-for-service payment models, the Centers for Medicare & Medicaid Services (CMS) Innovation Center has been pursuing a variety of new healthcare...

How Value-Based Care Payment Models Could Reduce Costs

by Vera Gruessner

Did you know that 8 million people gained private insurance through the health insurance exchange and 3 million young adults gained coverage since the Affordable Care Act was passed? In recent years, the health insurance market and the medical...

Accountable Care May Bring Savings in Healthcare Costs

by Vera Gruessner

Healthcare reforms have been on the rise due to new federal regulations including the stipulations of the Patient Protection and Affordable Care Act as well as the Health Information Technology for Economic and Clinical Health (HITECH) Act....

Medicare Shared Savings Program Seeks High ACO Performance

by Vera Gruessner

As part of the Patient Protection and Affordable Care Act, goals of improving the quality of healthcare services and reducing costs led to the creation of Accountable Care Organizations (ACOs) and the Medicare Shared Savings Program. Both quality...

The Monetary Outcomes of the Accountable Care Organization

by Vera Gruessner

Now that the Affordable Care Act has been in place for five years, there is more evidence showing its overall impact on the healthcare industry. For instance, medical experts, stakeholders, and the patient community have a better understanding...

Accountable Care Organizations, Technology Cut Medical Costs

by Vera Gruessner

The healthcare system has a multitude of gaps that cause spending to continue rising without an effective method to reign in these high costs. For example, a major problem has been ongoing redundant tests and unnecessary, expensive procedures...

ACO Model Boosts Care Coordination for Kidney Failure Patients

by Vera Gruessner

The healthcare industry is determined to strengthen patient care and improve quality through better care coordination among medical teams and across hospitals, rehabilitation centers, and clinics. Care coordination has been the name of the game...

Will New Model of Accountable Care Organizations Cut Costs?

by Vera Gruessner

There are a variety of policy changes and healthcare reforms that have taken place since the Patient Protection and Affordable Care Act was passed in 2010. The development of Accountable Care Organizations (ACOs) is one such reform. With the...

Accountable Care Organizations Cut Costs by $411 Million

by Vera Gruessner

The medical industry has been focused on improving coordinated care across the spectrum of healthcare delivery. With ongoing healthcare reforms taking place around the country and the federal government taking a stronger role in improving patient...

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