Accountable Care Bulletin
  Complimentary from the publishers of Accountable Care News               November, 2017  
     
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  "The significant additional compensation possible through risk sharing is the single most effective tactic for re-engaging primary care clinicians and unleashing their innovative power. To be effective, potential additional compensation from risk sharing must be significant, and the compensation formula must be transparent, easy to understand and include strong institutional support.”
- Tom Davis, Principal, Tom Davis Consulting.
 
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"Fifty-one percent of respondents believe their current electronic medical record (EMR) is not prepared for value-based care, including alternative payment models (APMs), such as the OCN, MIPS and other bundled payment programs."

Excerpted from: Accountable Care News, Volume 8 Number 12, November 2017, "Specialty Practices Have Way to Go to Meet MACRA Requirements".

 
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare Managing New ACO Risk Models 5 Essential Steps

Medicare is rapidly moving towards risk based models wherein ACO’s bear financial risk associated with an attributed patient population in exchange for some of the savings. This presentation explains the five steps health insurance companies have historically used to minimize risk and maximize profits. Attendees will learn how tools like reinsurance agreements and captive insurance companies can be used in risk bearing ACOs. A case study illustrates an application of these elements.

 
 
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  AJMC: 7 Policies in the Healthcare Environment that Affect the Impact of Accountable Care

1. Governance and culture, which requires sufficient leadership to shift an organization’s focus toward achieving better patient outcomes and value
2. Financial readiness, which makes it possible for an organization to bear risk and reallocate financial resources
3. Continue reading here

Source: AJMC: New Framework Provides Direction for Implementing Accountable Care Reform
 
     
 
This Month in Accountable Care News
  • The Oncology Care Model at Two Years: What we Know and Don't Know by Bruce Feinberg, D.O., Chadi Nabhan, M.D., Robin Frink, Ph.D., and Martie Ross
  • Quality, Efficiency Measurement: It's All About the Data by Adele Allison
  • What's On Your Mind: The Future of Medicare's Episode-Based Payments by L. Daniel Muldoon, M.A., and Pamela M. Pelizzari, MPH
  • Specialty Practices Have Way to Go to Meet MACRA Requirements
  • Thought Leaders' Corner: "What Are the Most Effective Strategies for Achieving Value-Based Reimbursement?"
  • Industry News with briefs regarding Allina Health, HealthPartners and Caravan Health.
  • Catching Up With... Zubin J. Eapen, M.D., MHS
     
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