payments will simultaneously encourage competition as providers become better equipped for new reimbursement models. For example, hospitals will compete for physician preference. One hospital may choose to differentiate itself on high quality/low cost orthopedic surgery and
another on high quality/low cost cardiac surgery. The value based payment movement will also incentivize competition among providers in markets where payers have more lives and bargaining power to choose among hospitals where to send those lives. The ACO movement may further drive competition as hospitals compete to expand their patient base even as they conduct fewer tests per patient.”
- Douglas Hervey, Project Manager, Leavitt Partners
When the Medicare Shared Savings Program launched, there was a
widespread belief that hospitals and megaproviders – with their
resources and reach – were best positioned to achieve success (and earn
reimbursements). The results from the first year of the program
dispelled that idea – 72 percent of the ACOs that earned reimbursements
were physician-led.
Excerpted from:
Accountable Care News, Volume 5 Number 12, December 2014, "Catching up
with … Farzad Mostashari, MD, MSc"
The Commonwealth Fund, December 11, 2014
Office of the Federal Register, December 8, 2014
EHR Intelligence, December 3, 2014
Medical Practice Insidre, December 3, 2014
Government Health IT, December 2, 2014
Becker's Hospital Review, December 2, 2014
Healthcare Finance News, November 20, 2014
- Collaboration Between Hospitals and Physicians - A Post Reform Imperative By William DeMarco, MA, CMC
- Using Gainsharing to Transition to an ACO at JFK Health: Six Critical Success Factors By William Oser, MD, and Jo Surpin
- Editor’s Corner: Paul Gardner at Leavitt Partners on the new CMS rule
- CHARTing a Course to the Right Care at the Right Time in the Right Place: Readying Community Hospitals for Transformation to Accountable Care in Massachusetts By Iyah K. Romm, Margaret Senese, Ipek Demisoy, MBA, and Amy Boutwell, MD, MPP
- Thought Leader’s Corner: “Will ACO development ultimately result in more competition or just more consolidation?”
- Industry News with briefs regarding Aetna and Humana
- Catching Up with …. Farzad Mostashari, MD, MSc
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