Accountable Care Bulletin
  Complimentary from the publishers of Accountable Care News               December 2021  
     
  Sponsor Message  
Quote
  "Today any career path in physician leadership is going to put you directly into the fray of population health and Accountable Care. It is a large portion of our business and is a health system model that has been shown to have a positive impact on the quadruple aim. It’s now simply part of what we do, a major part."
-  Mark A. Meeker, D.O., FACP, CPE, Vice President Community Medicine, OSF HealthCare Multispecialty Services
 

 
Factoid
 

An annual AMA survey of about 3,500 physicians found that for Medicare ACOs, 47.9% of multi-specialty group physicians participate, compared to 32.6% of single specialty and 20.0% solo practice (43.4% for other types.) With Medicaid ACOs, 36.8% of multi-specialty group MDs participate, compared to 25.0% of single specialty and 13.2% solo practice (42.5% for other types.) Participation is highest for Commercial ACOs, with 50.6% of multi-specialty group MDs participating, compared to 40.7% of single specialty and 24.0% solo practice (50.9% for other types.)

Source: Accountable Care News, Volume 12 Number 12, December 2021, "New AMA Report: Physician Participation in ACOs and Medical Homes Increased Amid Pandemic."
 

 
HealthSprocket List
 
  Reported Expenses of AIM ACOs by Type of Care Input, 2016 through 2018

1.
Personnel: 55.5%
2. Infrastructure: 22.3%
3. Management firm expenses: 15.3%
4. Internal programs and systems: 6.9%

Notes: ACO Investment Model (AIM) ACOs reported expenses of $264.8 million over 3 performance years (2016-2018). From an article entitled, "An Analysis of Medicare Accountable Care Organization Expense Reports," by Catherine Hersey, MPH; J. Michael McWilliams, MD, PhD;, Betty Fout, PhD; Matthew J. Trombley, PhD; Lauren Scarpati, PhD.
 

Source: The American Journal of Managed Care, December 2, 2021
 
 
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Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare Maximizing Medicare Revenue Through Payment Models

It’s time to prepare for the inevitable: The Centers for Medicare and Medicaid Services is moving more strongly to downside risk. This webinar covers: Differences among Medicare Advantage, Medicare Direct Contracting, Medicare Shared Savings Program and traditional fee-for-service; Key considerations for providers and for health plans; How they fit into a broader value-based payments strategy implications of the QPP changes and the new APM Performance Pathway (APP).

 
 
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Insights
Using Remote Patient Monitoring to Improve Quality Metrics, Experience
mHealth Intelligence, December 14, 2021
     
  Achieving success in a physician-led ACO
Medical Group Management Association, December 14, 2021
 
     
  How Morgan Health is making its accountable care pitch to providers
FierceHealthcare, December 10, 2021
 
     
  Direct Contracting With ACOs: The Purchaser Perspective
The American Journal of Accountable Care, December 9, 2021
 
     
  Doctor participation in ACOs, medical homes grows amid pandemic
The American Medical Association, December 7, 2021
 
     
  6 ACOs in St. Louis produce $58M in Medicare savings
Becker's Hospital Review, December 7, 2021
 
     
  Vermont to Seek 1-Year Extension of All-Payer ACO Model
Healthcare Innovation, December 6, 2021
 
     
  How Health IT Can Support ACO Healthcare Quality Improvement
EHR Intelligencee, December 3, 2021
 
     
  Contributor: The Future of Accountability for Total Cost of Care
The American Journal of Managed Care, December 2, 2021
 
     
What's News
  Why Not Home? A Study of an Effort to Reduce Postacute Expenditures
Professional Case Management, January/February 2022
 
     
  ACO & Social Service Org Partnerships: Payment, Challenges, & Perspectivess
NEJM Catalyst, summary only, December 15, 2021
 
     
  US Pop Health Management Market 2021: ACOs Increasing into Risk-based Plans
GlobeNewswire, December 13, 2021
 
     
  An Analysis of Medicare Accountable Care Organization Expense Reports
The American Journal of Managed Care, December 2, 2021
 
     
  Policy Research Perspectives Payment & Delivery in 2020: Participation in ACOs
The American Medical Association, December, 2021
 
     
This Month in Accountable Care News
 
  • MedPAC Releases Report on ACO Payment Systems and Explores Benchmark Challenges
  • New AMA Report: Physician Participation in ACOs and Medical Homes Increased Amid Pandemic
  • Policies to Amend Shared Savings Program Included in CMS CY2022 PFS Final Rule
  • Profile: OSF Healthcare Emphasizes a Team Approach in Accountable Care
  • Research Briefs
  • Provider Risk Manage-ment Is Hard to Do by Mark Fish
  • Industry News with briefs regarding Trella Health, Skylight Health, United Healthcare and Banner Health, and HealthLynked
  • ACO Performance Part IV
 
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