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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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 ACOsJune 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
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.
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.
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.
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.
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.