Complimentary from the publisher

Complimentary from the publishers of Accountable Care News June 10, 2013

“Participants in commercial ACOs will be hoping for the same type of complete claims data that is being furnished by CMS to Medicare ACOs...One frequent and critical omission from commercial health plan payment rates is provider payment amount information on the claims. This data is omitted to avoid revealing confidential provider contract information, but its absence inhibits the ability to identify high-cost patients and providers, manage out-of-network costs, and project financial results. While confidentiality may be contractually necessary, plans should establish some surrogate for the payment rate (perhaps pricing services at Medicare payment rates) to allow ACOs to perform these analyses.” Jonathan Pearce, CPA, FHFMA, Principal, Singletrack Analytics, LLC Association

"Overall, only 8.4% of U.S. seniors chose Family Medicine this year, far short of the over 20% needed to increase our U.S. primary care physician workforce."

Excerpted from: Accountable Care News, Volume 4, Number 6, June 2013, Family Medicine Match Rate in 2013 - Implications for PCMHs and ACOs

There is no one-size-fits-all solution for ACOs
MedCity News, June 5, 2013

Healthcare's Accountable Care Organizations Face Daunting IT Task, Deadlines
CIO, June 3, 2013

Are HIEs Ready for Accountable Care?
Health Data Management, May 31, 2013

Patient Data Flow in Accountable Care Model [infographic]
Institute for Health Technology Transformation, May 31, 2013

Accountable care movement depends on clinical analytics
KMWorld, May 28, 2013

ACOs, PHOs and Shared Savings Agreements: Too Risky of a Business?
Becker's Hospital Review, May 13, 2013

Confronting Challenges, Leading Change: How Leaders Can Contribute to ACO Success by Amy Edmondson
The Physician Decision of Our Time? Evaluating ACO Participation by Robin Gelburd
Editor’s Corner: Bill Warning MD, CMM, FAAFP
ACOs and Physicians Face Challenges in Navigating Physician Exclusivity Restrictions by Rick L. Hindmand
Thought Leader’s Corner: “Recent articles have focused on ACO concerns about the quality and timeliness of data from health plans. What are the issues and
what are the possible solutions?”
Industry News with briefs regarding Health Affairs; State of Alabama; Michigan BCBS and Trinity Health; CMS; Premier; OSF and BCBS Illinois; Accenture; and
URAC
Catching Up with….Charles Kennedy, MD

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