Accountable Care Bulletin
  Complimentary from the publishers of Accountable Care News               December 2020  
     
  Sponsor Message  
Quote
  "The cracks in our healthcare system are much more visible than they were just a few years ago. An increasing number of employers are searching for ways to better manage quality with emerging and more cost-effective delivery options."
-  Julie Stone, Managing Director, Health & Benefits, Willis Towers Watson
 

 
Factoid
 

A recent Wellframe survey found that 57% of respondents had been frustrated when seeking support or guidance from their health plan, 60% wanted more personalized information and care, and 51% found it hard to understand healthcare costs.

Source: Accountable Care News, Volume 11 Number 12, December 2020, Surveys & Trends: "Wellframe Survey: ‘Most Consumers Want More Personalized Resources From Health Plans’."
 

 
HealthSprocket List
 
  Strive Health: 7 Things to know about End-Stage Renal Disease (ESRD) in MSSP ACOs

1.
70,000: number of ESRD patients in MSSP Accountable Care Organizations (ACOs)
2. 0.7%: share of ESRD patients in MSSP ACO populations
3. 1.7: average annual number of hospital admissions for ESRD patients
4. $84,000: the average per-patient, per-year spending on an ESRD patient
5. 7%: share of spending on ESRD patients in MSSP ACO populations
6. Almost $6 billion: the amount ACOs spend annually on members with ESRD
7. 38%: share of MSSP ACOs that lost money on their ESRD population in 2019 (Strive Health estimate)
.

NOTES: Based on CMS data, from an article entitled, "Managing the ESRD Population: ACOs and the Need for Specialized Kidney Care Programs," by Renee George.

Source: Strive Health, November 17, 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 The Pathway to Success in 2021: Is Your ACO on It?

Presenters are Sharon Fisher (PointRight), Brian Jones, MD (Guidehouse), Lisa Trumble (SOHO Health) - originally presented by World Congress.

 
 
  Check out HealthshareTV, the home for health care videos   
 
 
 
Insights
  ACO saves $600,000 and improves patient outcomes with pop health platform
Healthcare IT News, December 10, 2020
 
     
  ACOs & Provider Organizations Ask Congress to Save VB Payment Incentives
Health IT Answers, December 8, 2020
 
     
  CMS Announces 'GEO' Model for Regional Value-Based Care
HealthLeaders, December 4, 2020
 
     
  UHS: ACOs Saved Medicare $90M in 2019
HealthLeaders, December 3, 2020
 
     
  CMS Announces Changes to Medicare MD Payment Related to Telehealth, ACOs
Healthcare Innovation, December 1, 2020
 
     
  Rewarding Results: Texas Medicare ACOs Perform Promisingly
Texas Medical Association, December 2020
 
     
  The Power of Community: TMA Envisions Locally Focused ACO Model
Texas Medical Association, December 2020
 
     
  Do ACOs reduce kidney failure-related healthcare costs?
American Society of Nephrology via EurekAlert!, November 24, 20200
 
     
What's News
  An Integrated Mobile Acute Care Service Enhances Value
Population Health Management, December 9, 2020
 
 
  Prospective or Retrospective ACO Attribution Matters for Seriously Ill Patients
American Journal of Managed Care, December 8, 2020
 
     
  Differences in Savings and Quality by Type of ACO Model
American Journal of Managed Care, December 8, 2020
 
     
  Patient Experiences of Integrated Care in Medicare ACOs and MA vs FFS
Medical Care, abstract only, December 2, 2020
 
     
  Aledade Primary Care ACOs' Collaboration w/ BCBS of Kansas Achieves Savings
PR Newswire, November 25, 2020
 
     
This Month in Accountable Care News
 
  • 3 Predictions for ACOs, Value-Based Models in 2021 by Theresa Hush
  • Washington DC Watch: Affected Entities Circle Wagons to Halt CMS Changes to VBP Incentives
  • Genworth: COVID 'Exacerbates Already-Rising' Long-Term Care Costs; Opportunity Seen for Home Care
  • Wakely Report for AHIP Scores COVID Impact on Risk Adjustment Predictions, Urges CMS to Make Model Adjustments
  • Surveys & Trends: Wellframe Survey; Manatt Survey; Willis Towers Watson report
 
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