Accountable Care Bulletin
  Complimentary from the publishers of Accountable Care News               October 2019  
     
Accountable Care Directory
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Quote
  "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.
 
Factoid
 

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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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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HealthSprocket List
 
  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
 
     
 
This Month in Accountable Care News
  • 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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