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Complimentary from the publishers of
Accountable Care News
May 2021 |
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"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.
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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’."
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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 |
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check out more lists on
healthsprocket. "What's on your list?" |
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How to simplify and improve physician referrals with data
Medical Economics, May 7, 2021 |
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A Path Forward for Alternative Payment: Build a Portfolio Not a Garden
JAMA Health Forum, May 6, 2021 |
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Medical groups urge CMS to walk back ACO quality overhaul
FierceHealthcare, May 4, 2021 |
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Profiling ACO Success: What Drives High Performance in the MSSP?
CareJourney Blog, May 3, 2021 |
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New ACO Playbook: Can Coordination Of Care Save Enough Money To Save
ACOs?
Roji Health Intelligence, April 29, 2021 |
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Providers Want Another Shot at Applying for Direct Contracting
RevCycle Intelligence, April 26, 2021 |
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Dying with dementia in Medicare Advantage, ACOs, or traditional Medicare
Journal of the American Geriatrics Society, abstract only, May 14, 2021 |
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Left
behind again: Rural home health services in a Medicaid pediatric ACO
The Journal of Rural Health, May 12, 2021 |
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Decreasing Primary Care Use and Blood Pressure Monitoring During
COVID-19
The American Journal of Managed Care, May 10, 2021 |
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Association of ACO Shared Savings Success and Serious Illness Spending
Journal of Healthcare Management, abstract only, May-June 2021 |
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-
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
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Surveys & Trends:
HealthScape: ‘Highmark’s Integrated Medical,
Pharmacy Benefits Lower Costs, Improve Outcomes’;
Medica: ‘Provider Relationships Lower Costs, Improve
Outcomes Over Open Access Plans’
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Perspectives: ‘To Sustain
the Value Movement, Make Next Generation ACOs a
Permanent Option’
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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.
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Expert Advice: 5 Ways to
Integrate Behavioral Health into Your Care Model by
Theresa Hush
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