Complimentary from the publisher

Complimentary from the publishers of Accountable Care News October, 2015

“Narrow network products and benefit designs based on payer-provider shared risk are definitely a trend going forward. Customers are appropriately demanding value on day one and not an aspiration for value sometime in the ambiguous future. ACOs ultimately competing on (risk adjusted) total cost of care and measurable quality with appropriately aligned patient benefit designs are a means to sustainable long term value. Current inherent subsidization of high cost, low value providers by high performing ACOs within open access, broad PPO products will become obsolete due to the unsustainable cost trajectory. We are rapidly headed toward a market with differentiated health insurance premium cost at the ACO level based on total cost of care, patient experience, and quality outcome transparency."
- Opella Finley Ernest, MD, DSVP Health Care Delivery & Chief Medical Officer, Blue Cross Blue Shield of Illinois

"Millennials share referrals and negative health care experiences, e.g. among young Millennials (aged 18-24) 70 percent choose a primary care physician based on recommendations from family and friends, compared to only 41 percent of patients over the age of 65 ."

Excerpted from: Accountable Care News, Volume 6 Number 10, October 2015, Industry News: "Millenials vs. Baby Boomers and Health Care."

Solutions for Filling Gaps in Accountable Care Measure Sets
American Journal of Managed Care, October 9, 2015

CMS launches Comprehensive ESRD Care, accountable care model for kidney care
Healthcare Finance News, October 7, 2015

The story behind top Pioneer ACO Montefiore's success
The Advisory Board Company/Care Transformation Center Blog, October 5, 2015

The centrality of health IT to ACO success
Modern Healthcare, October 3, 2015

Will New Model of Accountable Care Organizations Cut Costs?
HealthPayerIntelligence, October 2, 2015

Getting Beyond the Buzzwords of Accountable Care
Gastroenterology & Endoscopy News, October 2015

Empowering Seniors through Social Technology to Actively Manage Their Health and Wellness by Renae Pemberton and Steve Milligan, MD
Patient-Centered Healthcare: Why Health Systems Need to Move beyond Sick Care by Bryan Oshiro, MD
Editor’s Corner: Welcome to Emily Brower, MBA; Gwen Sherwood, PhD, RN, FAAN, ANEF and Sara Horton Deutsch, PhD, RN, FAAN, ANEF on Reflective Practice
The Medicare Part D Enhanced Medication Therapy Management Model Test by Ken Perez
Thought Leader’s Corner: "Will the creation of “product-based” ACOs -- an insurance product partnership between a health plan and a respected Accountable Care Organization -- become a new trend going forward?”
Industry News with briefs regarding CMS, American Journal of Managed Care, Health Affairs Blog, Nuance, WEDI, Office of Management and Budget, GAO, the American Association for Physician Leadership and HFMA, AtlantiCare and Geisinger.
Catching Up with … Peter Angood, MD, FRCS(C), FACS, MCCM

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