ACO Map
May 19, 2015
More than 400 accountable care organizations are participating in Medicare's Shared Savings Program. Is an ACO in your future?
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Providers and payers both win when they share population health data September 18, 2017 | Susan Morse - Associate Editor, Healthcare Finance
Insurers provide the broader view on claims while hospitals have the deeper information on patient care through electronic medical records.
OnBase unveils new platform for increased transparency for payers September 11, 2017 | Mike Miliard - Contributing Editor
Mackinac enables easier collaboration, expedited document sharing between providers and payers, Hyland says.
NQF says interoperability goes far beyond EHR-to-EHR data exchange September 05, 2017 | Tom Sullivan - Executive Editor, HIMSS Media
The National Quality Forum has released new guiding principles for a truly interoperable healthcare system.
Only 3.3% of emergency room visits are 'avoidable,' study says September 05, 2017 | Susan Morse - Associate Editor, Healthcare Finance
Most patients who are in the emergency department belong there and insurers should cover those visits, ACEP says.
Employers are seeking bundled payment assistance with help from a start-up that makes suggestions about surgery options based on analyzed data.
So often missing in the healthcare debate: women's voices August 28, 2017 | Anna Gorman and Jenny Gold, Kaiser Health News
Women have a lot at stake in the fight over the future of healthcare and are more likely to be poor and depend on Medicaid and plan healthcare coverage for the whole family.
Canopy Health to add UnitedHealthcare to unique provider-payer network in California August 28, 2017 | Susan Morse - Associate Editor, Healthcare Finance
The health system pays the claims, accepts the risk of a health insurer, but does not sell coverage directly to consumers.
Hospices struggle between opioid theft and supply chain access for dying patients August 22, 2017 | Melissa Bailey, Kaiser Health News
Hospices struggle between opioid theft and supply chain access for dying patients
Sutter Health, Quartet Health partner on mental health coordination August 22, 2017 | Bernie Monegain - Editor, Healthcare IT News
Pilot aims to integrate mental and physical health by using Quartet's virtual, data-driven environment for shared care planning.
Mayo Clinic says neonatology telehealth saves infants' lives, avoids transfers August 22, 2017 | Bill Siwicki - Managing Editor of Healthcare IT News
Pre-term infants, newborns with respiratory distress and babies who require advanced resuscitation located in community hospitals get the specialty care they need through video.
The Every Prescription Conveyed Securely Act, filed in the U.S. House of Representatives, would mandate e-prescribing for controlled substances under Medicare Part D.
Non-physician providers, support staff a driving factor behind more profitable physician groups, MGMA survey says August 07, 2017 | Beth Jones Sanborn - Managing Editor of Healthcare Finance News
Survey was based on data from more than 2,900 organizations, 40 specialties and practice types, MGMA said.
How providers and vendors can stop patient portals from collecting dust August 01, 2017 | Mike Miliard - Contributing Editor
Improved user interfaces, more forward-looking features and comprehensive connections with HIEs are essential to improving patient engagement tools, says one expert.
Are micro-hospitals the answer for systems looking for low-cost expansions? They might be July 17, 2017 | Beth Jones Sanborn - Managing Editor of Healthcare Finance News
Model allows a system to expand their presence without making major capital commitments, or having to locate huge parcels of land.
Genetic testing could haunt patients' insurability under new GOP bill July 05, 2017 | Kaiser Health News - www.kaiserhealthnews.org
With the protections of ACA, doctors screened for diseases feeling confident it wouldn't affect insurability. Now, many are concerned it will.
Cerner, Epic shops begin electronic exchange of patient records July 05, 2017 | Bernie Monegain - Editor, Healthcare IT News
Competitors Novant Health, Carolinas HealthCare say it boosts patient safety.
SMS: The digital health tool of the century June 26, 2017 | Tom Sullivan - Executive Editor, HIMSS Media
Leading hospitals deploying secure messaging are finding that once the technology is in use, it opens up new doors to more innovation.
MACRA virtual groups provide more flexibility for physicians, though guidance needed, expert says June 26, 2017 | Jeff Lagasse - Healthcare Finance Associate Editor
Virtual groups allow solo physicians, or those in groups of 10 or fewer, to band together for participation in MIPS.
Plans sold to individuals might exclude coverage for prescription drugs, mental health, addiction, maternity care, other expensive benefits.
AHIP: The role of payer and pharma in affordability of drugs June 12, 2017 | Susan Morse - Associate Editor, Healthcare Finance
Value-based agreements are increasing between health insurers and pharmaceutical manufacturers.

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The ideal time for practices to join an ACO May 13, 2015 | Sherree Geyer - Contributing Writer
Clock Hands
Medicare's Shared Savings program is a viable front door to value-based care, particularly for medical groups not already aligned with a hospital. Here's how to decide whether it's right for your practice.
The problem with new payment models March 19, 2015 | Frank Irving - Editor
stethoscope and money
Before agreeing to work in an alternative payment model, be ready to dig for details.
FHIR blazes a path to interoperability February 16, 2015 | Frank Irving - Editor
Fire
The emerging standard will make it easier for doctors to share and obtain clinical data. Here's why the technology is heating up EHR and mobile application development.
One practice's formula for PCMH success December 22, 2014 | Janet Duni, RN, BSN, CCM, MPA - Director of Care Coordination at Vanguard Medical Group
flow chart
IT tools, continuous process improvement and team-based care all factor in to Vanguard Medical Group's efforts to improve patient care and control costs.
Making the human condition computable December 16, 2014 | Eric Whitney - Kaiser Health News
Among the many innovations coming with the mapping of healthcare data are ways to give doctors a more holistic view of their patients' care.
How Intermountain is personalizing care – and the clinic October 22, 2014 | Madelyn Kearns - Associate Editor
doctor hands support
A glimpse inside Intermountain's emerging Personalized Care Clinics designed to serve those patients with chronic illnesses that consume so much time and healthcare cost.
There's nothing fluffy about physician engagement October 16, 2014 | Michael Paskavitz - Vice President for Healthcare Solutions at Quantia, Inc.
calculator and stethoscope
Independent physician practices are now fully accountable for a wide range of metrics with very real implications. Consider these four ways to harmonize with the rest of the healthcare community.
What to know before patients arrive September 29, 2014 | Max Burger, MD, FAAFP
health it button on keyboard
Here's how one practice fine-tuned collecting patient and benefits information ahead of time to more effectively manage patient populations.
Top 10 reasons telemedicine will transform your practice September 09, 2014 | Ash Mehta - CEO of PatientClick
telemedicine technology
Emerging applications and services give physicians new opportunities well beyond traditional teleradiology. Here's why the technology is making a difference.
6 burning questions about ACOs September 08, 2014 | Samantha DuPont - Health Policy Consultant — Kaiser Permanente Institute for Health Policy.
team of workers
Equipped to handle financial risk sharing, electronic health records, quality benchmarks, patient engagement and care coordination, ACOs are an attractive option to healthcare leaders and providers. Could this be the predominant healthcare model moving forward?
How social media impacts public health July 03, 2014 | Austin Chiang, MD - Contributing Writer
social network connected
Capabilities extend far beyond raising awareness. Here's a look at major public health initiatives in which social media has had a noticeable effect.
Mitigating the downside of ACOs April 25, 2014 | Madelyn Kearns - Associate Editor
Thomas Doerr, MD
The accountable care organization model certainly ups the financial stakes for interested physicians and, if handled properly, the rewards can be equally elevated.
The ACO upside for burned-out physicians March 11, 2014 | Madelyn Kearns - Associate Editor
The ACO upside for otherwise burned-out physicians
New care models do more than set up doctors to share in cost-savings. They also remove some of the psychological burdens of traditional fee-for-service.
3 ways ACO affiliation can cut costs February 26, 2014 | Madelyn Kearns - Associate Editor
3 ways affiliating with an ACO can cut costs for your practice
With over 600 ACOs operating nationwide — compared to the 32 in 2011 — it's time to look at the practicalities of participation. Here's how harnessing the ACO construct can deliver cost rewards.
How the ACA will transform medical practices February 13, 2014 | Frank Irving - Editor
Phil Pollakoff, MD
In a gradual shift to value-based care, small and midsize practices will have to aggregate their abilities in order to negotiate higher reimbursements. Here are some strategic moves to ease the transition.
5 tactics to enrich patient engagement February 05, 2014 | Tiffany Nelson, MD - Founder, Desert Ridge Family Physicians
5 tactics to enrich patient engagement
Here's how one practice is tethering open communications and portal technology to help patients more actively participate in their own healthcare.
How to prepare your practice for payment reform December 19, 2013 | Frank Irving - Editor
How to prepare your practice for payment reform
Successfully navigate the healthcare landscape by adhering to these 5 key concepts.
Leveraging technology to monitor care transitions November 04, 2013 | Janet Duni, RN, BSN, CCM, MPA - Director of Care Coordination at Vanguard Medical Group
Here's how a multi-site primary care practice uses a hybrid system of traditional faxing/scanning, EHR analytics and web applications to partner with local acute care facilities, payers and other providers to better manage patient care.
How practices can prosper in the ACO environment October 11, 2013 | Frank Irving - Editor
How practices can prosper in the ACO environment
Mark Wagar, president of Heritage Medical Systems, explains how physicians and health plans can collaboratively work through the complex responsibilities that impact healthcare quality, service and cost in today's rapidly changing market.
Engaging the patient: Crucial to improved outcomes September 09, 2013 | Janet Duni, RN, BSN, CCM, MPA - Director of Care Coordination at Vanguard Medical Group
Engaging the patient: Crucial to improved outcomes
Vanguard Medical Group, a 20-provider, three-location primary care practice in Northern New Jersey, leverages information technology tools to identify and track high-risk patients and engage them in their care. Using a team-based care model, the goal is for providers to develop a disease-related "action plan" with each high-risk individual.

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At a time when providers are being challenged to become more innovative, it seems reasonable to think one good place to look for ideas or inspiration might be the retailers who've made healthcare innovation a core of their business strategies.
Can Harvard help Google master the art and science of medicine? March 21, 2016 | Jack McCarthy - Contributing Writer
Googlers attended an executive education program to better understand how doctors function and hope, in turn, the take-aways will inform product development.
What patients really want: better health, not more services March 10, 2016 | Jack McCarthy - Contributing Writer
Recent improvements in technology, advances in behavioral science, and shifts in health financing are creating exciting new possibilities for patients and physicians alike.
New healthcare career: transitionalist February 17, 2016 | Jeff Rowe - Contributing Writer
The new job focuses on identifying patient health goals, ensuring coordination and continuity of care.
What's next for ACOs' continued growth? June 04, 2015 | Amanda Guerrero - Marketing Specialist for Bridge Patient Portal
Amanda Guerrero
As ACOs gain more experience, care quality will improve and shared savings will continue to increase. In the meantime, practices are looking for a better understanding of the factors critical to success.
Have you hired a care coordinator yet? April 22, 2015 | Amanda Guerrero - Marketing Specialist for Bridge Patient Portal
Amanda Guerrero
The cost of hiring a care coordinator could be largely offset by Medicare incentives for chronic care management.
What can't be afforded February 27, 2015 | Rob Lamberts, MD
Rob Lamberts, MD
Many patients are putting off necessary care because of high-deductibles or under-insurance.
Here are the top med tweets you missed December 08, 2014 | Madelyn Kearns - Associate Editor
twitter button on keyboard
Welcome to "#Med tweets you may have missed," a new biweekly feature on Medical Practice Insider wherein we detail the top social media trends and tweets of the week for the benefit of you and your practice.
Where would you invest in digital health? October 16, 2014 | Arlen Meyers, MD, MBA - CEO, Society of Physician Entrepreneurs
Arlen Meyers
There's plenty of financial backing for emerging healthcare information and communications technologies. But the question remains whether they are mature enough to make a difference.
Influential voices accentuate ACA's results September 24, 2014 | Bernie Monegain - Editor, Healthcare IT News
Bernie Monegain
HHS Secretary Sylvia Burwell and former ONC chief Farzad Mostashari, MD, use different channels to broadcast a similar message: the Affordable Care Act is working as intended.
10 reasons why value-based licensing could save money September 03, 2014 | Arlen Meyers, MD, MBA - CEO, Society of Physician Entrepreneurs
Arlen Meyers
Providing healthcare services at a modest, affordable cost would require dismantling existing business models and substituting others, using non-MD providers. It would also free up physicians to do what they do best.
Patterson gives glimpse of Cerner's intentions in Siemens acquisition August 07, 2014 | Eric Wicklund - Editor, mHealth News
Eric Wicklund
The full impact of Cerner's pending acquisition of Siemens' healthcare IT business won't be known for months or years, but comments attributed to CEO Neal Patterson indicate some areas to watch.
Dr. Nobody August 06, 2014 | Rob Lamberts, MD
Rob Lamberts
After visiting one of my patients who had been admitted to the local hospital, I left ever more aware of how badly our healthcare system treats people.
Someone is noticing the problems with ACOs June 13, 2014 | Tom McGuinness, CPA, CVA - Founding Partner, Reimer, McGuinness & Associates, P.C., Boyle Henderson, Jr., CPA - Director of the Healthcare Practice at Daenen Henderson & Company
Tom McGuinness
If you are contemplating participation in an accountable care organization, beware of the issues that could eat up a lot of your time and money.
Reduction of patient suffering as a strategic goal May 21, 2014 | Thomas H. Lee, MD - Chief Medical Officer at Press Ganey
Thomas H. Lee, MD
Small practices should focus on improving the value of healthcare as perceived by their patients. Care coordination can help take away physical pain as well as anxiety about what will happen next.
Doctors, infinite data and the Internet of Things April 17, 2014 | Arlen Meyers, MD, MBA - CEO, Society of Physician Entrepreneurs
Arlen Meyers
Systems engineers see a utopia of connecting data points driving better outcomes, lower costs and an improved patient experience. However, doctors just see more hassles.
Fatal error April 08, 2014 | Rob Lamberts, MD
Rob Lamberts, MD
Care should not be about codes, procedures, medications, tests or interventions, but instead about helping people live their lives with as few problems as possible.
Giving primary care a public health playbook March 06, 2014 | Tom Sullivan - Executive Editor, HIMSS Media
CDC ONC public health population health Duke
Calling it "a stepping stone to health transformation" the Practical Playbook offers tips for working with state and local public health units to harness modern population management techniques and better treat your patients.
Do doctors care about cost? February 21, 2014 | Dan Michelson - CEO, Strata Decision Technology
Dan Michelson
Research bears out that positive things will happen if we provide physicians with information about the cost of care they're providing.
The future of healthcare is not in health and not in care January 22, 2014 | Arlen Meyers, MD, MBA - CEO, Society of Physician Entrepreneurs
Arlen Meyers
Look outside the industry for companies that have already solved some of our problems.

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TCI Software tackles wait time problem at VA facilities April 14, 2015 | Medical Practice Insider Staff
New version of Rounds analytical software enables VA administrators to track in real-time how long veterans are waiting for appointments.
ZirMed acquires Intelligent Healthcare May 22, 2014 | Medical Practice Insider Staff
ZirMed, a leading health information connectivity and management solutions company, today announced that it has acquired California-based Intelligent Healthcare, a data-driven clinical integration and population health management company.
Home health market soars as medical providers seek to cut costs May 08, 2014 | Medical Practice Insider Staff
Research firm HIS Technology predicts device convergence, meaning that home health products will become richer in features.
North Carolina HIE upgrades secure messaging capabilities May 01, 2014 | Medical Practice Insider Staff
Orion Health Direct Secure Messaging (DSM) upgrade enables providers of all types statewide to securely and electronically communicate about a patient’s health.
Leading Healthcare Platforms Partner to Deliver a More Seamless and Open Experience for Shared Clients.
Vidyo, Inc. and the Alaska Native Tribal Health Consortium (ANTHC) today announced that they have partnered to add Vidyo’s visual communications and collaboration capabilities to ANTHC’s existing statewide telehealth network -- AFHCAN.
COLA, a laboratory accreditor, today announced an agreement with the American College of Physicians (ACP) to promote a program of laboratory excellence to ACP members. The joint initiative is designed to assist Patient-Centered Medical Home practices in delivering quality and value-driven laboratory medicine to their patients through a new COLA laboratory recognition program, called Patient-Centered Laboratory Excellence (PCLE).
Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) and Optimus Healthcare Partners (Optimus) today announced the launch of an Accountable Care Organization (ACO) agreement to deliver more effective care at lower costs to more than 40,000 Horizon BCBSNJ members. The new ACO agreement will include 42 primary care practices and 104 primary care physicians within 11 New Jersey counties.
Blue Cross Blue Shield of Michigan has designated a record number of Michigan physician practices across the state as patient-centered medical homes, a 28 percent increase over the number of PCMH practices designated in 2011. The 994 practices, comprising 3,017 physicians, make this the country's largest PCMH effort of its kind for the fourth consecutive year.
26% of primary care physicians report poor financial health in the most recent QuantiaMD Physician Wellbeing Index. This financial instability, coupled with mounting professional challenges, and a dearth of incentives, are major factors driving new physicians away from primary care and into more lucrative subspecialties. This trend is especially worrying at a time when key aspects of the Patient Protection and Affordable Care Act (ACA) rely heavily on primary care physicians for success.
Orion Health, the leader in health information exchange (HIE) and healthcare integration solutions, and the North Carolina Health Information Exchange (NC HIE), today announced that NC HIE has expanded the reach and capabilities of the statewide HIE with the implementation of Orion Health Direct Secure Messaging, a secure communications network that will provide healthcare organizations throughout the state with an additional means of safely sharing health data between physicians and facilities. The success marks the latest milestone for NC HIE's development of a robust exchange that connects providers, hospitals and public health departments throughout North Carolina. NC HIE already relies on Orion Health HIE, powered by Orion Health Rhapsody Integration Engine, Clinical Data Repository and Clinical Portal, as the technology backbone for the statewide exchange.
4medica has announced that its cloud-based Integrated Electronic Health Record (4medica iEHR®) will include medical speech recognition powered by Nuance Healthcare's 360 | Development Platform. Completely web-based, the combined solution will allow physicians to document care via voice anytime or anywhere they can connect to the Internet.
Colorado Beacon Community partner Rocky Mountain Health Plans (RMHP) will be part of a project to re-envision the role of behavioral health in primary care. If it succeeds, the effort could transform the nation's approach to behavioral health by better integrating the delivery of behavioral and physical health care.
As health care providers set up accountable care organizations (ACOs) and other value-based care programs, pharmaceuticals offer one avenue to help minimize overall costs and meet recognized standards for quality patient care.
HealthLeaders-InterStudy, the leading provider of managed care market intelligence, finds that Aetna is adapting to the changing healthcare market by focusing on key markets and embracing the Accountable Care Organization (ACO) model.
CERECONS, a private-cloud-based SaaS Health IT company for care coordination, population management and patient engagement, has provisioned its software platform for AppleCare Medical ACO, a network of physicians that provides care to patients throughout Los Angeles and Orange Counties.
Arcadia Solutions, a leading provider of data-driven Health IT solutions, announced today it has launched a partnership with the California Primary Care Association (CPCA), the statewide leader and recognized voice representing the interests of California community clinics and health centers and their patients. The new partnership will transform primary care practices into Patient-Centered Medical Homes (PCMHs) with its Health Home Accelerator Program and will provide health systems with the most timely, efficient path to PCMH recognition with a target of reducing recognition time by thirty percent.
Oakwood ACO, a collaboration between physicians and Oakwood Healthcare Inc. that currently encompasses over 1,000 physician members, has selected Care Team Connect’s care coordination platform to power care navigation for their patients included in the Michigan Primary Care Transformation Project (MiPCT). Launched in 2010, Oakwood ACO was founded on the guiding principles important to physicians, such as trust, transparency and physician leadership. MiPCT is the largest of eight Multi-Payer CMS Demonstration Projects in the U.S.
eClinicalWorks®, a market leader in ambulatory clinical systems, today announces that College Park Family Care Center, the largest non-hospital owned multi-specialty group in the Kansas City-area, has chosen eClinicalWorks comprehensive electronic health records (EHR) solution for its 91 providers across 12 locations. Designed to improve communication with access to real-time information, this initiative will aid the group in pursuing quality of care initiatives, including Meaningful Use and Patient-Centered Medical Home™ (PCMH) recognition.
Chilmark Research examines changing HIE market May 10, 2012 | Industry Release
Even as the last of the federal funds earmarked for public health information exchanges (HIEs) run dry this year, rapid growth and evolution will continue to define the nascent HIE market, according to a report released this week by Chilmark Research. The report, 2012 HIE Market Report: Analysis and Trends, uncovers a market that is making a significant shift to serving healthcare organizations (HCOs) of all sizes -- what the report defines as the enterprise market.

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