Read of the week: Pay for performance and patient health outcomes
A recent study published by The New England Journal of Medicine examines a six-year pay-for-performance project between the Centers for Medicare and Medicaid Services and Premier Healthcare Alliance, a...
View ArticleAccountable care delivery and payment structures: An overview
The U.S. health care system encompasses myriad delivery and payment structures, with each uniquely shaped by the economics of the ultimate payer—whether that payer is the government, employers, or...
View ArticleRead of the week: Evolution of the primary care physician
The uncertain future of health care in the United States creates numerous questions about the role of the primary care physician in emerging and as-yet undiscovered care delivery models. Continue...
View ArticleMeasuring the success of a patient-centered medical home
The PCMH has recently gained national attention as a way to reengineer the care-delivery process to improve quality and reduce the cost of care. Continue reading →
View ArticleAccountable care delivery and payment structures: Medicare shared-savings...
The Medicare shared-savings program is a new accountable delivery structure, designed to encourage fee-for-service Medicare providers to form accountable care organizations that improve the efficiency...
View ArticleRead of the week: The emerging Medicaid accountable care organization
The concept of the accountable care organization emerged from the Medicare and commercial health care sectors, and now several states are porting it to their Medicaid programs to improve the quality,...
View ArticleShared-savings program ACOs and payers: Opportunities and challenges in a new...
Recently, the U.S. health care system has been in an unprecedented state of flux, and a new era of accountable care has emerged as the downfalls of a volume-based payment system have come to light....
View ArticleAccountable care delivery and payment structures: Pioneer accountable care...
The Pioneer accountable care organization model is a Center for Medicare and Medicaid Services pilot program for experienced accountable delivery systems. It is designed to test innovative payment...
View ArticleAccountable care delivery and payment structures: State health insurance...
State insurance exchanges are a marketplace for individuals, families, and small businesses to compare and purchase health insurance. The exchanges make comparing plan benefits and costs simple, and...
View ArticleAccountable care delivery and payment structures: Medicare Advantage with...
The textbook Medicare Advantage program does not share risk with physicians or function as an accountable delivery system; however, the shared-risk MA structure — with its well-established guidelines...
View ArticleIdentifying success factors for virtual integrated delivery networks
While executives recognize the need to improve quality of care, reduce costs, and ensure optimal revenue, no standardized path to success is set. How should organizations proceed in adapting their work...
View ArticleRead of the week: Incorporating safety-net providers into integrated delivery...
With the focus of the health care industry on coordinated care that reduces cost while improving efficiency, integrated delivery systems like accountable care organizations and patient-centered medical...
View ArticleAccountable care delivery and payment structures: Medicaid health maintenance...
Medicaid is one of the nation’s longest-established health care entitlement programs, designed to serve the most economically disadvantaged and vulnerable individuals. Each state runs its own Medicaid...
View ArticleRead of the week: Is an accountable care organization for employees more...
Hospitals & Health Networks this week released an article examining the Medicare accountable care organization model and its ability to generate savings, produce a positive return on investment,...
View ArticleAccountable care delivery and payment structures: Private accountable care...
Private accountable care organizations are hospital- or physician-led counterparts to government initiatives like Medicare shared-savings plans and Pioneer ACOs. Private health care organizations have...
View ArticleAccountable care delivery and payment structures: Bundled payment arrangements
Bundled payment arrangements are a hospital-led accountable delivery structure, designed to improve health outcomes and lower costs through package pricing on defined episodes of care. In this...
View ArticleClinical integration: From challenges to opportunities
Given the level of integration in something as mundane as reading a book, the lack of integration in the world of health care is surprising and even baffling to most people. Continue reading →
View ArticleNavigating the rise of value-based care: A strategic approach for hospitals...
The future viability of the U.S. health care system and the country’s economic stability depend upon reducing the costs of health care while increasing its quality. Continue reading →
View ArticleAccountable care 2.0 offers promise of success beyond today’s accountable...
The ominous declaration of “The Coming Failure of Accountable Care” is creating quite the buzz in accountable care and health policy circles... Continue reading →
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