Accountable Care Bulletin
  Complimentary from the publishers of Accountable Care News               November 2019  
     
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Quote
  "Larger ACOs do not necessarily perform better overall; physician-led ACOs achieve higher rates of shared savings and total net savings compared to hospital-based ACOs but have trouble staying in the program longer; and, setting a lower financial benchmark makes it more difficult to achieve shared savings, no matter the size of the ACO."
-  David Muhlestein, PhD, JD, Chief Research Officer, Leavitt Partners.
 
Factoid
 

In 2018, 548 MSSP ACOs provided care to 10 million beneficiaries and reduced spending by $739 million. In 2018, 43% of ACOs were considered low-revenue; 57% were considered high-revenue.

Excerpted from: Accountable Care News, Volume 10 Number 11, November 2019, "Avalere: "Physician-Led ACOs Outperform Hospital-Led Counterparts"."

 
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How cutting off subsidy payments to insurance companies would affect Obamacare Expanding Behavioral Health Solutions for ACOs

During this presentation we discuss these important steps to expanding behavioral Health Solutions in your ACO: provide PCP access to mental health care team and psychiatry services; focus on screenings such as PQH-9, GAD-7, trauma and substance abuse; evidence-based process to reduce symptoms in 50% less time than traditional approach; deliver population-level behavioral health outcomes; increase net reimbursements of $100 or more per engaged member monthly.

 
 
  Check out HealthshareTV, the home for health care videos     
 
HealthSprocket List
 
  Greg Paris: The 5 Habits of Successful ACOs

1. Pool Lives to Mitigate Risk. 
2. Gain Physician Buy-In and Connect the Organization.
3. Adopt an Effective Change Management Process.
4. Control Costs and Pinpoint Gaps in Care Through Actionable Analytics.
5. NRemain Disciplined and Hold Everyone Accountable.


Source: Caravan Health, November 8, 2019
 
     
 
This Month in Accountable Care News
  • Perspectives: How ACOs Can Face Off With New Competition From MA Plans, by Theresa Hush, CEO & Co-Founder, Roji Health Intelligence
  • Perspectives: New Research Shows Impact of Recent Policies on ACO Growth
  • Social Determinants of Health: MEDecision Offers Steps to Better Use of SDOH Data; Healthy Alliance, MVP 'Unite to Improve Health, Well-Being of Capital Region'; NIHCM Infographic Offers Basics of Leveraging SDOH
  • Journal Scan: 'Did Medicare Advantage Payment Cuts Affect Beneficiary Access and Affordability?'; Coordinated Care Model 'Leads to Decreases in Preventable Hospitalizations'
  • Washington DC Watch: Organizations Thank Senators for ACO Payment Fix; Groups Applaud New Payment Models
  • Avalere: 'Physician-Led ACOs Outperform Hospital-Led Counterparts'
  • ACO Bragging Rights Season in Full Swing
     
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