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Complimentary from the publishers of
Accountable Care News
April, 2018 |
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"Many of my ACO clients are venturing into the world of
direct-to-employer health plans. These arrangements can offer employers
a customized, patient-centric benefit plan option for their employees.
The problem is these arrangements can be very complicated and often
involve not only ACO rules, but also the Employee Retirement Income
Security Act and state insurance laws as well.”
- Matt Amodeo, Partner, Albany Office, Drinker Biddle & Reath
LLP.
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"Researchers conducted a sensitivity analysis that showed that,
on average, Medicare Shared Savings Program Accountable Care
Organizations that saved enough to share savings, “holding all else
equal, spent 0.36% less on inpatient, 0.31% less on skilled nursing
facilities and 0.16% less on home health expenditures” than ACOs that
didn’t save."
Excerpted from:
Accountable Care News, Volume 9 Number 4, April 2018, Journal Scan:
"ACOs, Other Models Struggle With Getting, Using Data."
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Primary Care ACO Models - Way of the Future?
Evidence shows that primary care–led, risk-bearing, ACO-like
practices and independent physician group models generate more
savings. Oak Street Health Chief Medical Officer Griffin Myers,
Harvard health policy expert and internist Michael McWilliams,
and Harvard Health Care Initiative Chair Robert Huckman discuss
this question during the NEJM Catalyst event Navigating Payment
Reform for Providers, Payers, and Pharma.
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The 7 Medicare Next Generation
ACOs Leaving Program Mid-Year in 2018
1. The Accountable Care Coalition of Chesapeake
2. Allina Integrated Medical Network
3.
Continue reading here
Source:
Healthcare Finance |
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- Balancing Risk and Rewards: Advanced
Alternative Payment Model Participation in 2018 and Beyond by Matt
Amodeo and Jeanna Palmer Gunville
- Journal Scan: ACOs, Other Models Struggle
With Getting, Using Data
- Washington DC Watch: MGMA Finds Members
Oppose Mandatory APMs; Reps Form Value-Based Payment Caucus; 7 ACOs
Call It Quits After Next-Gen Program Risk Rules Change
- Thought Leaders' Corner: "Which type of ACO
activity will have more impact on stakeholders in the long term:
Medicare, Medicaid or commercial?"
- Industry News regarding Evolent Health and
MassHealth
- Catching Up With... Matt Amodeo and Jeanna
Palmer Gunville
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