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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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,...
Patient and family engagement, care coordination, data analytics, and population health management are all major goals when designing and adopting an Accountable Care Organization. The Commonwealth...
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...
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...
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...
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...
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...
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...
