Complimentary from the publisher

Complimentary from the publishers of Accountable Care News August, 2016

“Bundled payments allow consumers to compare comprehensive, fixed prices as a surrogate for value (because poor quality providers will need to charge a higher price to cover costs associated with adverse events). This can be effective when a bundled payment is less than a high deductible. However, the majority of bundles (particularly those currently being introduced) cost far more than the deductible, eliminating consumer incentives to seek value. As bundles gain momentum, high-deductible plans may give way to other designs in which consumers become responsible for the portion of a bundled payment above an established reference price and are rewarded (e.g., contributions to a health savings account) for selecting providers with prices below the reference price.”
- Gregory Pine, CEO, MPA Healthcare Solutions.

"Fifty percent of U.S. health systems have applied—or intend to apply—for an insurance license. In the last year, 26 new provider-sponsored plans (PSPs) were added, and PSP enrollment increased by 10% from 2014 to 2015."

Excerpted from: Accountable Care News, Volume 7 Number 8, August 2016, "The Great Risk Shift: Growth of Provider-Sponsored Plans"

Pharmacists in ACOs, Part 1: Basics Every Pharmacist Should Know
Pharmacy Times, August 11, 2016

9 recent accountable care, shared savings agreements
Becker's Hospital Review, August 11, 2016

The Past and Future of the Affordable Care Act
The Journal of the American Medical Association (JAMA), August 2, 2016

ACO Participation Prepares FPs for MACRA Implementation
American Academy of Family Physicians (AAFP), August 2, 2016

Physicians’ Participation In ACOs Is Lower In Places With Vulnerable Populations
Health Affairs, abstract only, August 2016

How CMS Would Reimburse ACOs for Value-Based Care under MIPS
RevCycle Intelligence, July 28, 2016

3 Next Generation ACOs drop out with two citing financial targets as reason
Healthcare Finance News, July 18, 2016

Hospital Participation in ACOs Associated With Other Value-Based Improvement
American Journal of Managed Care (AJMC), July 14, 2016

IRS Denies Exempt Status for Non-MSSP Accountable Care Organizations
Healthcare Law Today, July 14, 2016

The Great Risk Shift: Growth of Provider-Sponsored Plans by Jonathan Rickert
Achieving Data-Driven Success Under the Oncology Care Model by Kelly Price and Alyssa Dahl
Sharing Success: Addressing Diabetes in a Family Practice Environment
Merit-Based Incentive Payment System (MIPS) to Reward Quality, Resource and Information Use, Clinical Improvement by Chris Emper
Leveraging Technology to Maximize Shared Savings by Karen Handmaker, MPP
Thought Leaders' Corner: "What Are the Implications of Offering Bundled Payments Under High-Deductible Health Plans?”
Industry News with a brief regarding Wellmark.
Catching Up with … Len M. Nichols, Ph.D


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