Accountable Care Bulletin
  Complimentary from the publishers of Accountable Care News               November 2020  
     
  Sponsor Message  
Quote
  "Making providers accountable for the whole patient and total costs incentivizes a delivery system to identify problems early and intervene to prevent long-term consequences. These incentives and the close clinical relationship to the patient through data may be the reason ACOs produce better results and why they are the best model for health care in the decades to come."
-  Clif Gaus, ScD, President and CEO of the National Association of ACOs (NAACOS)
 

 
Factoid
 

Data show ACOs are lowering Medicare spending annually by 1% to 2%. ACOs earned an average quality score of 94% in 2019.

Source: Accountable Care News, Volume 11 Number 11, November 2020, Washington DC Watch: "NAACOS Urges New White House to ‘Prioritize ACO Models in Value-Based Care Work’."
 

 
HealthSprocket List
 
  JAMA Internal Medicine: First-year Effects on Medicare Beneficiaries Whose Primary Care Physician Stopped Practicing

1.
18.4% fewer primary care visits compared with those who did not lose a primary care physician (PCP)
2. 6.2% more specialty care visits compared with those who did not lose a PCP
3. 17.8% more urgent care visits compared with those who did not lose a PCP
4. 3.1% more emergency department visits compared with those who did not lose a PCP
5. Greater spending ($189 per beneficiary-year) after PCP exit compared with those who did not lose a PCP
.

NOTES: From an article entitled, "Changes in Health Care Use and Outcomes After Turnover in Primary Care," by Adrienne H. Sabety, PhD; Anupam B. Jena, MD, PhD; Michael L. Barnett, MD, MS. In a study of 359,470 Medicare beneficiaries who visited a primary care physician from 2008 to 2017, 10.4% of the PCPs (9,491 of 90,953) exited Medicare during the study period.

Source: JAMA Internal Medicine, November 16, 2020
 
 
healthsprocket: the home for health care lists check out more lists on healthsprocket. "What's on your list?"
 
 
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare Case Study Debrief: How Physician Engagement Can Drive Real Change in a Medicare Advantage Population

When Genesis Physicians Group decided to partner with Innovista Health Solutions in 2017, its single value-based contract, a Medicare Advantage product, was struggling to meet its performance threshold for shared savings. health management platform. Join ACO ExhibitHall and Innovista Health Solution’s North Texas Market President, Selase Dow, to learn more about the techniques and practices implemented that brought that product to over $2M in Shared Savings in performance year 2019.

 
 
  Check out HealthshareTV, the home for health care videos   
 
 
 
Insights
  The Value-Based Care Crossroad: Have ACOs Reached a Tipping Point?
Healthcare Innovation, November 23, 2020
 
     
  5 Strategies To Help ACOs & Independent Specialists Create Common Ground
Roji Health Intelligence, November 20, 2020
 
     
  Provider groups pressure Congress to freeze incentive payment thresholds
Healthcare Finance, November 20, 2020
 
     
  ACOs, Population-Based APMs Most Effective at Lowering Costs
RevCycle Intelligence, November 18, 2020
 
     
  Investigating Research Gaps in Value-Based Care
Council of Accountable Physician Practices, November 17, 2020
 
     
  Understanding the latest ACO “savings”: Curb your enthusiasm – Part 1
USC-Brookings Schaeffer Initiative for Health Policy, November 12, 2020
 
     
  How the Integration of Specialty Pharmacies Into ACOs Helps Lower Costs
Pharmacy, November 12, 2020
 
     
  Comparing Part B and D Treatment Patterns of ACO and Non-ACO Providers
Avalere, October 22, 2020
 
     
What's News
  Delaware Care Collaboration to serve as a Medicaid ACO
Delaware State News, November 19, 2020
 
 
  State of Vermont employee health care plan to participate in ACO
Vermont Business Magazine, November 19, 2020
 
     
  Health Affairs Publishes Blog Outlining the Superiority of Accountable Care Models
NAACOS Press Release, November 12, 2020
 
     
  Blue Cross NC, Caravan to Launch ACO for Rural Providers
Healthcare Innovation, November 4, 2020
 
  MACRA in Small to Medium-Sized Primary Care Practices
Journal of the American Board of Family Medicine, November 2020
 
     
This Month in Accountable Care News
 
  • Washington DC Watch: NAACOS Urges New White House to 'Prioritize ACO Models in Value-Based Care Work'
  • LAN: Pandemic Shows Need for Moving to 'Resilient' APMs
  • ACOs Boast of High Quality Scores, Huge Savings Under APM Programs
  • Social Determinants of Health: Manatt Report Tracks Growth of SDOH in Medicaid MCOs
  • Industry News with briefs regarding HealthPartners and Delaware's Department of Health & Social Services
 
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