Complimentary from the publisher

Complimentary from the publishers of Accountable Care News February, 2016

“Because ACOs are accountable for meeting outcomes and efficiency measures, beneficiaries should be encouraged to use services from providers within their organization. Using external health services undermines the ACO’s effectiveness, particularly if the organization offers that service. This is not to say patient choice of providers should be reduced, but under such circumstances, out-of-pocket costs should apply. The AAFP has called for payments for primary care services to be made on a per-patient basis, with a prospective global payment and a global care management fee. The global payment would capture 'core primary care services', and any services provided by the family physician that fall outside the core primary care suite would be paid on a fee-for-service basis, through an appropriate bundle, or via another global payment structure.”
- Wanda Filer, MD, MBA, President, American Academy of Family Physicians.

"Slightly more than one quarter (26.8%) of respondents believe that if ACO Medicare pilots are not ultimately successful, commercial and Medicaid ACO arrangements will fail as well."

Excerpted from: Accountable Care News, Volume 7 Number 2, February 2016, "Results of the 2015 ACO e-Poll."

Participation in Risk-Bearing Accountable Care Organizations Triples; CMS Proposes Rule on Medicare Shared Savings Program Benchmark Methodology
Avalere, February 10, 2016

How Medicare Accountable Care Organizations Keep CAHs Afloat
RevCycle Intelligence, February 9, 2016

Effect of Attribution Length on the Use and Cost of Health Care for a Pediatric Medicaid Accountable Care Organization
JAMA Pediatrics, abstract only, February 2016

Antitrust and Accountable Care Organizations: Observations for the physician market
Medical Care Research and Review, abstract only, January 29, 2016

When It Comes to ACO Requirements, Yes: The Devil Really Always Is in the Details
Healthcare Informatics, January 29, 2016

Why Did Experienced Accountable Care Organizations Fail?
RevCycle Intelligence, January 28, 2016

How Accountable Care Impacts Population Health Management
Health IT Analytics, January 26, 2016

PBMI Launches Industry’s First Pharmacy Trends in Accountable Care Organizations Report
Pharmacy Benefit Management Institute News Release, January 25, 2016

Medicare ACOs Announced: What Happened and Why it Matters
Leavitt Partners, January 20, 2016

Results of the 2015 ACO e-Poll by MCOL and Accountable Care News
The 2016 Medicare PFS Rule: Another Step towards Value by Chris Emper
Editor’s Corner: Steve Whitehurst on How Technology Can Help ACOs
How Strategic Technology Will Determine Home Healthcare Success by Chris Abel
Thought Leader’s Corner: "What do you think of proposed MSSP Track One ACOs assignment options?”
Industry News with briefs regarding CMS; CHCS supported by the Commonwealth Fund; JAMA Pediatrics and Market Research Store.
Catching Up with ... Timothy Hernandez, MD


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