Complimentary from the publisher

Complimentary from the publishers of Accountable Care News November, 2013

“Many policy influencers, CMS officials among them, believe that the first phase of accountable care already is over, that the pace of change will accelerate, and that shared savings is not a sustainable model -- that providers will need to be at risk for managing the health of their populations. For a period of time, most hospital and health systems will be managing the difficult balance of being paid a mixture of fee-for- service and value-based payments. Their ability to influence the pace of change and stay balanced while investing for the future will determine their success.” Doug Hastings, Chair of the Board of Directors, Epstein, Becker & Green, P.C.

"Typical margins for payers managing generally healthy patients reimbursed by Medicaid range between 2-5%. Higher-risk patients, particularly those that are Medicare-Medicaid Dually Eligible (Duals), can lead to margins as high as 10-15%, if managed effectively. Conversely, some Duals can cost $60,000 per year."

Excerpted from: Accountable Care News, Volume 4, Number 11, November 2013, Eliminating Health Disparities by Filling the Digital Health Investor Knowledge Gap: An Opportunity for Medicaid ACOs

Delivering Successful Care Coordination
Healthcare Informatics, November 5, 2013

Medicaid turning to analytics, accountable care
Government Health IT, November 5, 2013

Achieving accountable care goals with mobile monitoring systems
Healthcare IT News, October 29, 2013

The role of post-acute providers under accountable care: A Law Review Q&A
The Advisory Board Company/Daily Briefing, October 25, 2013

ACO Formation Is Associated With Integrated Systems But Not High Medical Spending
Health Affairs, abstract only, October 2013

8 Recently Formed ACOs
Becker's Hospital Review, October 10, 2013

The Year of the Provider-Sponsored Health Plan by Kevin Weinstein
Eliminating Health Disparities by Filling the Digital Health Investor Knowledge Gap: An Opportunity for Medicaid ACOs by Andrey Ostrovsky, MD
Editor’s Corner: Manish Sharma and Shyam Manoj on Making ACOs a Reality
How ACOs Can Prevent Avoidable Hospital Admissions by Matt Adamson
Thought Leader’s Corner: “Will shared-savings ACO arrangements, increased market share, and lower variable costs generate enough revenue for hospitals to offset lost utilization?”
Industry News with briefs regarding CMS; Cigna; and Highmark
Catching Up with…. The Latest ACO Infographics

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