Pathways to a Successful Accountable Care Organization

Pathways to a Successful Accountable Care Organization
Author: Peter A. Gross
Publisher: JHU Press
Total Pages: 343
Release: 2020-08-18
Genre: Medical
ISBN: 1421438267

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A valuable guide to starting and running a successful accountable care organization. Health care in America is undergoing great change. Soon, accountable care organizations—health care organizations that tie provider reimbursements to quality metrics and reductions in the cost of care—will be ubiquitous. But how do you set up an ACO? How does an ACO function? And what are the keys to creating a profitable ACO? Pathways to a Successful Accountable Care Organization will help guide you through the complicated process of establishing and running an ACO. Peter A. Gross, MD, who has firsthand experience as the chairman of a successful ACO, breaks down how he did it and describes the pitfalls he discovered along the way. In-depth essays by a group of expert authors touch on • the essential ingredients of a successful ACO • monitoring and submitting Group Practice Reporting Option quality measures • mastering your patients' responses to the Consumer Assessment of Health Plans Survey • how bundled payments and CPC+ can meld with your ACO • how MACRA and MIPS affect your ACO • the role of an ACO/CIN • the complexities of post-acute care • data analytics • engaging and integrating physician practices Dr. Gross and his colleagues are in a perfect position to guide other health care leaders through the ACO process while also providing excellent case studies for policy professionals who are interested in how their work influences health care delivery. Readers will come away with the necessary knowledge to thrive and be rewarded with cost savings. Contributors: Joshua Bennett, Allison Brennan, Glen Champlin, Kris Corwin, Guy D'Andrea, Joseph F. Damore, Mitchel Easton, Andy Edeburn, Seth Edwards, Jennifer Gasperini, Kris Gates, Shawn Griffin, Peter A. Gross, Brent Hardaway, Mark Hiller, Beth Ireton, Thomas Kloos, Jeremy Mathis, Miriam McKisic, Morey Menacker, Denise Patriaco, Elyse Pegler, John Pitsikoulis, Michael Schweitzer, Bryan F. Smith

Pathways to a Successful Accountable Care Organization

Pathways to a Successful Accountable Care Organization
Author: Peter A. Gross
Publisher: Johns Hopkins University Press
Total Pages: 343
Release: 2020-08-18
Genre: Medical
ISBN: 1421438259

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Gross, Brent Hardaway, Mark Hiller, Beth Ireton, Thomas Kloos, Jeremy Mathis, Miriam McKisic, Morey Menacker, Denise Patriaco, Elyse Pegler, John Pitsikoulis, Michael Schweitzer, Bryan F. Smith

Blueprint for ACO Success

Blueprint for ACO Success
Author: Jeffrey R. Ruggiero
Publisher: Healthcare Intelligence Net
Total Pages: 47
Release: 2011-02
Genre: Medical
ISBN: 1936186683

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High Performance Accountable Care

High Performance Accountable Care
Author:
Publisher:
Total Pages: 40
Release: 2011
Genre:
ISBN:

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A key provision of the Affordable Care Act is the establishment of the Medicare Shared Savings Program, which provides incentives for improved quality and efficiency to a new category of provider - the accountable care organization (ACO). The program, slated to begin in January 2012, rewards groups of providers who agree to collaborate to offer more accountable, effective, and efficient care with a share of the savings they achieve. While the prospect of participating in this initiative has generated a groundswell of interest and activity among providers, many issues need to be addressed about the methods that will be used to determine how that accountability is to be achieved, assessed, and rewarded. This report provides recommendations for ensuring the successful implementation and spread of ACOs to achieve the goals of a high performance health system.

Accountable Care Organizations

Accountable Care Organizations
Author: Bruce Flareau
Publisher:
Total Pages: 237
Release: 2011-01-01
Genre: Accountable care organizations
ISBN: 9780615436029

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Essential Guide to Accountable Care Organizations

Essential Guide to Accountable Care Organizations
Author: John Harris
Publisher: Healthcare Intelligence Net
Total Pages: 67
Release: 2010-12
Genre:
ISBN: 1936186616

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The Essential Guide to Accountable Care Organizations: Challenges, Risks and Opportunities of the ACO Model answers key questions surrounding ACOs so that hospitals, PHOs, IPAs and other physician organizations, networks or group practices can weigh the merits now of creating an ACO and complete the necessary groundwork before CMS's ACO operation date of January 2012.

AHLA The ACO Handbook (Non-Members)

AHLA The ACO Handbook (Non-Members)
Author:
Publisher:
Total Pages:
Release: 2016
Genre:
ISBN: 9781632820709

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It is the importance of accountable care organizations (ACOs), as much as the uncertainty about their future, that makes the Second Edition of The ACO Handbook: A Guide to Accountable Care Organizations necessary for those grappling with the changes brought about by healthcare reform. The contributors to this handbook are among the best professionals in America today who are seriously considering what it will take to succeed under the new healthcare environment. Their astute observations about the legal issues, both novel and familiar, likely to be encountered by those contemplating ACO development will be useful to the reader no matter what role these organizations ultimately play in the reformed U.S. healthcare system.Since the passage of the Affordable Care Act, many health care opinion leaders have predicted that the ACO may be one of the most significant transformative aspects of health care reform. The ACA directed the Centers for Medicare & Medicaid Services to experiment with ways to employ high-performance provider organizations to deliver comprehensive care to a specific group of patients over an event, an episode, or a lifetime, while assuming responsibility for the clinical and financial outcomes of that care.This new health care delivery method will require a level of cooperation and joint decision making that has often been lacking in traditional health care organizations. AHLA is pleased to bring you this greatly expanded and comprehensive second edition of The ACO Handbook: A Guide to Accountable Care Organizations.The book analyzes various components of an optimized delivery system, and examines issues ranging from the financial aspects of ACOs to the unique nature of academic medical center, pediatric, and commercial ACOs.The eBook versions of this title feature links to Lexis Advance for further legal research options.

Accountable Care Organization 33 Success Secrets - 33 Most Asked Questions on Accountable Care Organization - What You Need to Know

Accountable Care Organization 33 Success Secrets - 33 Most Asked Questions on Accountable Care Organization - What You Need to Know
Author: Stephen Acevedo
Publisher: Emereo Publishing
Total Pages: 42
Release: 2014-10-30
Genre: Reference
ISBN: 9781488865244

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An excellent Guide of Accountable Care Organization. There has never been a Accountable Care Organization Guide like this. It contains 33 answers, much more than you can imagine; comprehensive answers and extensive details and references, with insights that have never before been offered in print. Get the information you need--fast! This all-embracing guide offers a thorough view of key knowledge and detailed insight. This Guide introduces what you want to know about Accountable Care Organization. A quick look inside of some of the subjects covered: Accountable care organization - ACO Pilots and Learning Networks, Telepsychiatry - Routine Telepsychiatry, Catholic Healthcare West - History, Aco - Organizations, Fee-for-service - Health care, Accountable care organization - History, Health care reform in the United States - Patient Protection and Affordable Care Act, Chronic disease - Chronic diseases and US Health Care Reform, Accountable care organization - Patients, Affordable Care Act - Healthcare cost inflation, Health care reforms proposed during the Obama administration - Pilot programs, Accountable care organization - In the Affordable Care Act, Accountable care organization - Providers, Hennepin County Medical Center - History, Health information exchange - Established HIE communities, Independent Payment Advisory Board - Predicted outcomes, Medicaid expansion - Healthcare cost inflation, Accountable care organization - Challenges, Emergency Department - Non-emergency use, Blue Shield of California - History, Health care reforms proposed during the Obama administration - Overview, Health care reform debate in the United States - Proposed strategies for reform, CalPERS - Health benefits, Accountable care organization - ACO Quality Measures, Accountable care organization - Cost savings, Aco - Other uses, Emergency room - Non-emergency use, and much more...

Telemedicine

Telemedicine
Author: Dee W. Ford
Publisher: Springer Nature
Total Pages: 200
Release: 2021-03-03
Genre: Medical
ISBN: 3030640507

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This book provides an overview of key issues with regards to implementing telemedicine services as well as an in depth overview of telemedicine in pulmonary, critical care, and sleep medicine. Topics range from specific practices to program development. Telemedicine has experienced explosive growth in recent years and yet, implementing telemedicine solutions is complex with substantial regulatory, legal, financial, logistical, and intra-organization/intra-personal barriers that must be overcome. This book provides the necessary information and guidance to address those complex issues. This book is broadly divided into two parts 1) a primer on requisite steps before embarking on telemedicine service development and 2) specific applications and examples where telemedicine is successfully utilized to improve quality of care in pulmonary, critical care, and sleep medicine. The first part includes coverage of telemedicine and finance, regulatory and legal issues, and program development. The second part delves into specifics with information on ambulatory telemedicine programs, inpatient consultations, and tele-ICU programs. All chapters are written by interprofessional authors that are leaders in the field of telemedicine with extensive knowledge of diverse telemedicine programs and robust real-world experience on the topic. This is an ideal guide for telehealth program managers, and pulmonary, critical care, and sleep medicine professionals interested in improving their telehealth practice.

Accountable Care Organizations as a Model of Integrated Care

Accountable Care Organizations as a Model of Integrated Care
Author: Daniel P. DelVecchio
Publisher: Nova Science Publishers
Total Pages: 0
Release: 2012
Genre: Accountable care organizations (Medical care)
ISBN: 9781621001201

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The provision of health care in the United States has been described as fragmented, with patients seeing multiple providers. Fragmented care has been found to be, among other things, both costly, since provider payments are not linked to performance or outcomes and services can be duplicative, and of lower quality, since providers lack financial incentives to coordinate care. This book examines ACOs as a model of integrated care with a focus on delivery systems such as the Mayo Clinic, Geisinger Health System, Kaiser Permanente and Intermountain Healthcare. While ACOs can be designed with varying features, most models put primary care physicians at the core, along with other providers, and emphasize simultaneously reducing costs and improving quality.