Complimentary from the publisher

Complimentary from the publishers of Accountable Care News October, 2014

VitreosHealth: Better Prediction = Better Outcomes

“While the CMS ACO announcement provided good news on quality improvement and some positive news on cost savings, a deeper look into the results show that a minority of ACOs are sharing in savings with CMS. Given seven-figure start-up costs and other expenses related to running an ACO, this is unlikely to serve as an incentive to attract new ACOs or encourage existing ACOs to remain in the program. These uneven financial results are less about inefficient care delivery and more about operational problems within the ACO framework -- its attribution method, problematic data sharing, risk scores that cannot increase, and others. Of greater importance, but not mentioned in the release, is whether or not the patients/beneficiaries of the participating organizations had improved outcomes in health status as a consequence of their care being delivered in the context of an ACO. That kind of an ultimate result is the real measure of an ACO’s success and is not necessarily correlated to savings shared.”
- Donald W. Fisher, PhD, CAE, President and Chief Executive Officer, American Medical Group Association

According to the recently conducted 2014 FTI Consulting Payer-Provider Survey, 41 percent of physicians not currently in a value-based relationship say their biggest obstacle to entering into one is their distrust of payers.

Excerpted from: Accountable Care News, Volume 5 Number 10, October 2014, Industry News: "Survey Underscores Physician Distrust of Payers"

ACO manifesto: 75 things to know about accountable care organizations
Becker's Hospital Review, October 9, 2014

Leveraging the clinical data warehouse for accountable care
Health IT Analytics, October 8, 2014

The Road to Accountable Care: Building Systems for Population Health Management
The Commonwealth Fund, October 2014

Turbulent Times for Accountable Care Organizations
MedPage Today, September 29, 2014

A taxonomy of accountable care organizations for policy and practice
Health Services Research, abstract only, September 23, 2014

A Glass Half-Empty Or a Glass Half-Full? Parsing the ACO Evidence in Real-Time
Healthcare Informatics, September 21, 2014

Case Managers May Gain New Responsibilities in PCMHs and ACOs under Mental Health Parity Rules by Betsy B, Waterman, PhD, and Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP
From Iowa to Asheville and Back, an Accountable Care Perspective from the Trenches by Anthony Pudlo, PharmD, MBA, BCACP
Editor’s Corner: Dr. Charles Kennedy on the Aetna-Banner Health Network ACO
An Introduction to an Accountable Anesthesia Organization TM by Hugh Morgan, CPHQ, CMPE, MHA
Thought Leader’s Corner: “What is your take on the latest MSSP and Pioneer ACO performance numbers with respect to quality and cost savings?”
Industry News with briefs regarding CMS; Navigant; FTI Consulting; ARAC; H.R. 5558; The Center for American Progress; Health Affairs; and Aetna
Catching Up with …. Tami Graham

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