Medical Home Bulletin

Accountable Care Bulletin             |           May 10, 2011             |           Volume Two Issue Five
Complimentary from the publishers of Accountable Care News      www.accountablecarenews.com

 
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Quote

"If ACOs are managed effectively, the patient experience in an ACO should be far superior. But the current version of the ACO regs includes a perverse incentive for ACOs to avoid new, sick patients because of the 3 year risk adjustment lock in. It is very understandable and appropriate that CMS does not want a model in which they pay out shared savings because providers improved their diagnosis coding but didn’t really get more efficient. However, if this is not addressed differently in the final rules, ACOs will be penalized for attracting new enrollees who are very ill. This will make it less likely for them to invest in being responsive to the needs of very ill populations, leading to less satisfied patients and a huge missed opportunity." Ann Robinow, President, Robinow Health Care Consulting

What's News

  
Contracts Should Spell out Everyone's Role in an ACO
American Medical News, May 9, 2011 

Balance of Better Care, Privacy in Federal ACO Proposal
California Healthline, May 9, 2011

How IRS Guidance Addresses ACO Participation for Exempt Hospitals
JD Supra, May 9, 2011

Doctors' Group Calls Rules ‘Stingy'
The Desert Sun, May 5, 2011

Medical Device Industry Warns About "Cheapest is Best" ACO Model
DOTmed, April 27, 2011

Primary Care Focus Key to ACO Success, Group Says
MedPage Today, April 14, 2011

In an ACO, Who's Accountable?
HealthLeaders Media, April 14, 2011

This Month
 
  In the May issue of Accountable Care News, you'll find:
  • Staying Accountable in Accountable Care - How one ACO maintains clinical and financial alignment - by Rosaleen Derington, Kristen Miranda, and Mary Carol Todd
  • Hospital-Physician Alignment: Managing Change in the Shifting Health Care Environment by Frank Marshall
    Editor’s Corner - Charles A. Coleman, PhD, CMPH,  Worldwide Healthcare Solutions Senior Executive -- Providers/ACO/Bio-Surveillance/Clinical Research AMRC, IBM
  • Accountable Care Organizations – Pediatric Care by Thomas F. Long, MD
  • Thought Leader’s Corner - "What methods can be used for doctors to raise capital for their ACO without having to rely exclusively on hospitals?"
  • Industry News with briefs regarding Becker's Hospital Review, Modern Healthcare, George Washington University School of Public Health, Care Continuum Alliance, Health Affairs and HealthLeaders Media
  • Catching Up with…. Ann Robinow

Accountable Care News on April 4 released a special complimentary edition containing detailed expert  analysis of the proposal CMS rule on ACOs as well as the FTC/DOJ, IRS, and HHS OIG guidance documents. Click here for the document.

Accountable Care News is the 12 page monthly newsletter for health care professionals interested in Accountable Care Organizations. If you're not already a subscriber, you can get a subscription to Accountable Care News for $39 per month or $468 annually. You may cancel at any time, and receive a refund for remaining issues with annual subscriptions. You can get detailed information, and subscribe at www.AccountableCareNews.com or call 209.577.4888.

 
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