Accountable Care Bulletin
  Complimentary from the publishers of Accountable Care News               September, 2014  
 
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Quote
  "Hospitals whose only product is acute care will have a difficult time managing in the post reform environment. Many hospitals have ventured into outpatient services competing with physicians. This has proven to be a mistake long term when seeking collaboration with physicians. Many hospitals do not understand how ACOs actually make money and have been so confused about managed care controlling their utilization and revenue that they believe this is the same strategy, yet it is not. There are successful collaborations between hospitals and physicians such as Geisinger, Baylor, and Intermountain. There are also several new PHOs emerging as underlying structures to contract with the ACO. However, there are still traditional scenarios where the hospital runs it all and then the PHO becomes the HPO."
- William DeMarco, MA, CMC, President and Chief Executive Officer, Pendulum Healthcare Development Corporation
 
Factoid
 

According to a National Business Group on Health poll of 46 large U.S. employers, 17 percent already had a high performance network in place, while an additional 24 percent were considering it for 2015 and another 20 percent for 2017.

Excerpted from: Accountable Care News, Volume 5 Number 9, September 2014, "High Performance Networks Promote Accountability"

 
What's News
  URAC Seeks Public Comments on Accountable Care Measures
URAC, September 12, 2014
 
     
Accountable Care Around The World: A Framework To Guide Reform Strategies
Health Affairs, abstract only, September 2014
     
  Medicare ACOs See Benefits Despite Issues
MedPage Today/Public Health & Policy, September 5, 2014
 
 
Will More Pioneer ACOs Defect?
HealthLeaders Media, September 2, 2014
     
Aetna, Banner Health accountable care initiative achieves $5M in shared savings
Becker's Hospital Review, August 29, 2014
     
  Accountable care driven by data
Healthcare IT News, August 29, 2014
 
This Month in Accountable Care News
  • The Year of Next Generation Population Health Management by Katherine Schneider, MD, M.Phil, FAAFP and Larry Schor, MPH
  • High Performance Networks Promote Accountability by Joseph Berardo Jr.
  • Editor’s Corner: Sandeep Misra on Six Signs that Your ACO is Headed for Trouble
  • Will ACOs Raise (or Lower) Liability Risks for Physicians? By Julian D. (“Bo”) Bobbitt, Jr., JD
  • Thought Leader’s Corner: “Hospital-Run ACOs Do Not Work, Says Physician” was the title of an August 15 article in Health Data Management. What do you think?”
  • Industry News with briefs regarding Health Affairs; Medicare and Medicaid Research Review; Aetna and Weill Cornell Physicians; MedPAC; Cook County Health and Hospitals System; and Aetna and Baylor Scott & White
  • Catching Up with …. Lee Barrett
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