Complimentary from the publisher

Complimentary from the publishers of Accountable Care News March, 2016

“Changes to incorporate regional cost differences in second and third contract periods make a lot of sense; regional cost differences take into account the patterns of care that are more within the ACO’s locus of control. The Pioneer model has already moved in this direction, incorporating some regional differences in its second contract period. In fact, if a Pioneer were to transition to MSSP at the end of the second Pioneer term, there would need to be a provision to allow the Pioneer to be considered to be coming in for their third contract term. Otherwise Pioneers would be taking a step backwards in terms of the evolution of the ACO model.”
- Emily Brower, Vice President, Population Health, Atrius Health.

"Briefly summarized, beginning in 2017 for all second and subsequent contract periods, CMS proposes to reset ACO benchmarks using a blend of regional and historical expenditures. In the second contract the blend will be 35 percent regional expenditures and 65 percent historical expenditures. In the third and all subsequent contracts, CMS proposes to use a 70 percent regional and 30 percent historical blend."

Excerpted from: Accountable Care News, Volume 7 Number 3, March 2016, "Will CMS's Proposed Changes to ACO Financial Benchmarking Revitalize the Program?"

Private accountable care organizations take off; What to know about these value-based models
Healthcare Finance News, March 14, 2016

ACO Infrastructure: ‘Building the Plane While Flying It’
Healthcare Informatics, March 9, 2016

Hospitals Participating In ACOs Tend To Be Large And Urban, Allowing Access To Capital And Data
The Commonwealth Fund citing Health Affairs, March 8, 2016

Academic Medical Centers Forming Accountable Care Organizations and Partnering With Community Providers: The Experience of the Johns Hopkins Medicine Alliance for Patients
Academic Medicine, March 2016

Telehealth and Accountable Care Organizations
Executive Insight, February 29, 2016

Why Patient-Centered Accountable Care Organizations Thrive
Revcycle Intelligence, February 22, 2016

Payment and Delivery System Reform in Medicare: A Primer on Medical Homes, Accountable Care Organizations, and Bundled Payments
The Henry J. Kaiser Family Foundation, February 22, 2016

What the New CMS Accountable Health Communities Model Says About U.S. Healthcare’s Future
Healthcare Informatics, February 20, 2016

Missed opportunity for accountable care organizations
The Hill/Congress Blog, February 17, 2016

Will CMS's Proposed Changes to ACO Financial Benchmarking Revitalize the Program? by David Introcaso, PhD
A Roadmap for Payment Reform Success by Juliet Spector
Editor’s Corner: James U. King III on Five Key Questions for Children’s Hospital Leaders in the ACO Era
How to Get New and Established Primary Care Physicians Aligned on the Delivery of Accountable Care by Debbie Zimmerman
Thought Leader’s Corner: "What do you think of the recently-released CMS proposed rule on changing the benchmarking calculation for MSSPs?”
Industry News with briefs regarding CMS, Health Affairs, NHS, CAQH, Executive Insight, IHA, and JAMA.
Catching Up with … Donald Berwick, MD, MPP, FRCP




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