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Complimentary from the publishers of
Accountable Care News
October, 2017 |
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"From a physician-led ACO perspective, decreasing costly inpatient
utilization does not negatively impact a provider-based revenue stream
and aligns with its focus on avoiding unnecessary utilization through
its care model, which is designed to help keep patients safer, healthier
and out of the hospital. However, decreasing emergency department or
hospital admissions could adversely impact a hospital’s bottom line. In
addition, physician-led ACOs are able to negotiate rates for services,
specialists and post-acute care, whereas when hospitals provide these
services, it can be difficult to limit costs.”
- Amar A. Desai, M.D., MPH, Region President, HealthCare
Partners.
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"The cost of chronic pain is staggering, estimated to be $560
billion to $635 billion annually in the United States. These
expenditures include healthcare expenses and lost productivity ($61.2
billion)."
Excerpted from:
Accountable Care News, Volume 8 Number 11, October 2017, "Facing Opioid
Crisis Head on: Key Considerations for Implementing Prescription Risk
Management Plans," by Diane Doherty.
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Measuring Quality for Person-Centered Accountable Care
New payment and delivery system models for Medicare, Medicaid
and private coverage rely on accurate quality measures to
improve care for patients. This in-depth briefing covers what it
means to design “person-centered” quality measures, and how the
patient perspective can be used to improve how care is delivered
to patients with complex needs.
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NAACOS & Leavitt Partners: Top
13 Areas of Focus for ACO's in 2017
1. Prevent readmissions/transt. care improvement -
Approx. 58%
2. Management of chronic conditions - Approx. 56%
3.
Continue reading here
Source:
Health Affairs Blog |
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- Medicare Alternative Payment Models: Not
Every Provider Has a Path Forward by Angela Bowen, Natalie Burton
and David Muhlestein
- Value-Based Care: The Payers' Role by Darryl
Drevna
- What's On Your Mind: Facing Opioid Crisis
Head on: Key Considerations for Implementing Prescription Risk
Management Plans by Diane Doherty
- Bundles: Opportunity to Scale Accountable
Care by Jean Drouin, M.D., MBA
- Thought Leaders' Corner: "What Is the
Difference Between Physician-Led and Hospital-Led ACOs?"
- Industry News with briefs regarding Baylor
Scott & White Quality Alliance, Cigna, Fallon Health and Berkshire
Health Systems.
- Catching Up With... Lynn Barr, MPH
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Bulletin, a publication of Health Policy Publishing LLC
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