Accountable Care Bulletin
  Complimentary from the publishers of Accountable Care News              December, 2017  
     
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Quote
  "Although providers can often name specific drugs or other spending components that are beyond their control, it is a great challenge to specify exactly, and in advance, the spending categories that should be removed. In general, sophisticated ACOs could handle a much larger set of spending categories, while newer ones could handle only a much smaller set. Currently, the Medicare ACO programs do not allow this flexibility because providers are accountable for all spending in Parts A & B with varying levels of upside/downside risk and no accountability for Part D.”
- Derek DeLia, Ph.D., Director of health economics and health systems research, MedStar Health Research Institute.
 
Factoid
 

"Respondents [to an HCP-LAN tracking survey] reported 29% were reimbursing under APMs [alternate payment models] in 2016, a 5% increase from the previous 12-month survey period. These payers also reported a 1% decrease in traditional FFS business."

Excerpted from: Accountable Care News, Volume 8 Number 13, December 2017, "Health Value Management: The New Payer World ," by Adele Allison

 
What's News
  Accountable Care at the Frontlines of a Health System
Journal of the American Medical Association (JAMA), December 11, 2017
 
     
  Coordinated care with doctors and hospitals can improve health and save money
USA Today, December 2, 2017
 
     
  Why physicians will need analytics to thrive within an ACO
Health Data Management, December 1, 2017
 
     
  Medicare ACO Program Savings Not Tied To Preventable Hospitalizations
Health Affairs, abstract only, December 2017
 
     
  Why more tech vendors are targeting ACOs with analytics, care management tools
Healthcaere IT News, November 30, 2017
 
     
  Top risks and rewards of ACOs
Medical Economics, November 25, 2017
 
     
  Effects of Accountable Care on Treatment for Alcohol and Opioid Use
Addiction Medicine, abstract only, November 20, 2017
 
     
  3 traits of successful ACOs: internal culture, population health & improvement
FierceHealthcare, November 16, 2017
 
     
  Employers Want Greater Transparency Into Health Plan ACO Arrangements
American Journal of Managed Care, November 9, 2017
 
     
  Explaining Sluggish Savings under Accountable Care
The New England Journal of Medicine, abstract only, November 9, 2017
 
     
Blogs
  Five Simple Charts Show That Risk-Based ACOs Are Working
Health Affairs Blog, December 13, 2017
 
     
  Medicare ACO Results For 2016: Seeing Improvement, Transformation Takes Time
Health Affairs Blog, November 21, 2017
 
     
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare Levers of Successful ACOs Webinar

The Health Care Transformation Task Force designed and conducted a qualitative study analyzing the highest performers in the Medicare ACO program to learn about common attributes of successful organi-zations. Join us as we present the findings from our study, and hear from administrative and clinical leadership at Atrius Health - a physician-led Pioneer ACO that showed steady improvement in savings to Medicare in each of its five years participating in the model - as they reflect on the organizational strate-gies that led to their success and discuss plans for the future.

 
 
  Check out HealthshareTV, the home for health care videos     
 
HealthSprocket List
 
  Five Things to Know About Cigna ACO Collaborative Care Arrangements

1. There are currently 191 Cigna Collaborative Care arrangements with large physician groups
2. The program encompasses more than 2.2 million commercial Cigna customers
3. Continue reading here

Source: Cigna website - accessed December 8, 2017
 
     
 
This Month in Accountable Care News
  • Preparing for Success in ACO or CIN Consolidation by John M. Harris, MBA, and Idette Elizondo, MBA
  • Health Value Management: The New Payer World by Adele Allison
  • What's On Your Mind: CMS Presents Final Quality Payment Program Ruling by Brian Manning
  • ACOs: Five 'Needs' for Successful Move From Volume to Value by Wren Keber, MBA
  • Thought Leaders' Corner: What Are the Most Effective Strategies for Achieving Value-Based Reimbursement?
  • Industry News with briefs regarding MassHealth ACO and AbleTo.
  • Catching Up With... Derek DeLia, Ph.D.
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