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Complimentary from the publishers of
Accountable Care News
October 2019 |
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"All ACOs strive to reduce spending while improving quality in the
new value-based world. However, the financial incentives to reduce
hospital spending are stronger for ACOs that don’t receive a substantial
amount of revenue from hospital admissions."
- John Feore, Associate Principal, Avalere.
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Primary PartnerCare Management Group Inc., reports results of a
research study in which patients with diabetes were divided into five
cohorts based on the number of HbA1c tests performed annually.
• 0-test patients incurred an average inpatient hospital cost of
$4,103.32 each
• 1-test patients incurred an average inpatient hospital cost of
$3,281.67 each
• 2-test patients incurred an average inpatient hospital cost of
$2,870.98 each
• 3-test patients incurred an average inpatient hospital cost of
$2,762.31 each
• HbA1c tests cost $11.75 each.
Excerpted from:
Accountable Care News, Volume 10 Number 10, October 2019, Industry News:
"Primary PartnerCare Study: ‘More HbA1c Tests Improves Quality,
Decreases Costs’."
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How to Succeed in a Risk-Bearing ACO
New Medicare requirements present hospitals and providers with
new opportunities, but not without risk: Physicians must
participate in alternative payment models AND take on downside
risk or they could face declining incomes. Join Caravan Health’s
CEO & Founder Lynn Barr to learn how hospitals and physicians
can align together in Medicare ACOs to thrive under payment
reform.
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The State of ACOs at the start
of Q3 2019: 8 things to know
1. Number of all currently active ACOs: 995
2. Number of Physician-led ACOs: 425 (43%)
3. Number of Hospital-led ACOs: 274
4. Number of Jointly-led ACOs: 294
5. Number of Medicare ACO contracts: 596 (38%)
6. Number of Medicaid ACO contracts: 114 (7%)
7. Number of Commercial ACO contracts: 876 (55%)
8. Number of MSSP ACOs that qualify as an advanced alternative
payment model (APM): 146 out of 518 (28%)
Source:
Health Affairs Blog, October 21, 2019 |
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- CMS, NAACOS Differ on Meaning of 2018 MSSP
Performance Data
- Report: Denver Market Built on Value-Based
Infrastructure & Mile-High Prices
- Washington DC Watch
- AMA Research Tracks Growing Physician
Participation in ACOs
- Anthem BlueCross BlueShield, Cigna Enhance
Medicare Advantage Plan Benefits in 2020
- Industry News with briefs regarding Oscar,
Primary PartnerCare, and Innovaccer.
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