Accountable Care Bulletin
  Complimentary from the publishers of Accountable Care News               May 2021  
     
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Quote
  "Deferred care will be a major challenge for health systems as they look to rebound financially from the pandemic, especially value-based systems."
-  John Frownfelter MD FACP, Chief Medical Officer at Jvion.
 
Factoid
 

According to Medica’s analysis of 200,000 members’ data, costs were 13% lower for ACOs than for open access plans, employer plan costs were 11% lower and individual plan costs were 38% lower.

Source: Accountable Care News, Volume 12 Number 5, May 2021, Surveys & Trends: "Medica: ‘Provider Relationships Lower Costs, Improve Outcomes Over Open Access Plans’."
 

 
HealthSprocket List
 
  Share of seniors with dementia who were hospitalized in their last 30 days of life, in TM, ACOs and MA

1.
Traditional Medicare enrollees: 27.9%
2. Those attributed to an Accountable Care Organization: 28.1%
3. Medicare Advantage enrollees: 20.5%


Notes: From an article entitled, "Dying with dementia in Medicare Advantage, Accountable Care Organizations, or traditional Medicare," by Joan M. Teno MD, MS; Laura M. Keohane PhD; Susan L. Mitchell MD, MPH; David J. Meyers PhD; Jennifer N. Bunker MPH; Emmanuelle Belanger PhD; Pedro L. Gozalo PhD; and Amal N. Trivedi MD, MPH. This is a retrospective study of 370,094 seniors with dementia who had a nursing home stay between 91 and 180 days prior to death, two or more functional impairments, and mild to severe cognitive impairment.

Source: Journal of the American Geriatrics Society, May 14, 2021
 
 
healthsprocket: the home for health care lists check out more lists on healthsprocket. "What's on your list?"
 
 
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare Flash Interview: Accountable Care Learning Collaborative (ACLC)

Flash Interview with Eric Weaver, CEO of the Accountable Care Learning Collaborative (ACLC). Provided by ACOExhibitHall.com.

 
 
  Check out HealthshareTV, the home for health care videos   
 
 
 
Insights
  How to simplify and improve physician referrals with data
Medical Economics, May 7, 2021
 
     
  A Path Forward for Alternative Payment: Build a Portfolio Not a Garden
JAMA Health Forum, May 6, 2021
 
     
  Medical groups urge CMS to walk back ACO quality overhaul
FierceHealthcare, May 4, 2021
 
     
  Profiling ACO Success: What Drives High Performance in the MSSP?
CareJourney Blog, May 3, 2021
 
     
  New ACO Playbook: Can Coordination Of Care Save Enough Money To Save ACOs?
Roji Health Intelligence, April 29, 2021
 
     
  Providers Want Another Shot at Applying for Direct Contracting
RevCycle Intelligence, April 26, 2021
 
     
What's News
  Dying with dementia in Medicare Advantage, ACOs, or traditional Medicare
Journal of the American Geriatrics Society, abstract only, May 14, 2021
 
     
  Left behind again: Rural home health services in a Medicaid pediatric ACO
The Journal of Rural Health, May 12, 2021
 
     
  Decreasing Primary Care Use and Blood Pressure Monitoring During COVID-19
The American Journal of Managed Care, May 10, 2021
 
     
  Association of ACO Shared Savings Success and Serious Illness Spending
Journal of Healthcare Management, abstract only, May-June 2021
 
     
This Month in Accountable Care News
 
  • Washington DC Watch: Medical Groups Urge CMS to ‘Walk Back ACO Quality Overhaul’; Caravan Offers Rural Providers ‘Risk-Free, No-Cost Value-Based Care Opportunity’; ACO Coalition Letter to HHS on MSSP Quality Overhaul; ‘For 1st Time,’ Humana, Providers to Offer Value-Based Care Under Traditional Medicare; NCQA Offers Advice to White House: Health Equity, Data, Quality Measuremen
  • Surveys & Trends: HealthScape: ‘Highmark’s Integrated Medical, Pharmacy Benefits Lower Costs, Improve Outcomes’; Medica: ‘Provider Relationships Lower Costs, Improve Outcomes Over Open Access Plans’
  • Perspectives: ‘To Sustain the Value Movement, Make Next Generation ACOs a Permanent Option’
  • Accountable Care Collaboration with briefs regarding: New Initiative in NY; AllianceRx Walgreens Prime and Highmark; Healthmap Solutions and Florida Blue; MVP Health Care and The University of Vermont Health Network; Jvion and Community Health Network.
  • Expert Advice: 5 Ways to Integrate Behavioral Health into Your Care Model by Theresa Hush
 
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