Healthcare Analytics, Population Health Management, Healthcare Big Data

Accountable Care Organizations

Senate Bill Might Bolster Medicare Chronic Care Management

May 16, 2017 - The Senate Committee on Finance will be taking a hearing today on a bill that aims to improve the delivery of chronic care management and provide more opportunities for Medicare patients to benefit from population health management activities. The bipartisan legislation, “Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017,” was introduced...


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MA Medicaid Embraces Accountable Care, Population Health Models

by Jennifer Bresnick

MassHealth, the Massachusetts Medicaid program has received a CMS waiver allowing providers to significantly expand participation in accountable care organizations and innovative integrated delivery models focused on population health management....

ACOs Lack Resources, Skills for Population Health Management

by Jennifer Bresnick

Accountable care organizations are having difficulty developing and deploying successful population health management programs due to the underlying challenges of coordinating with community services and accessing the resources required to deliver...

What Big Data, EHR Vendors Do Accountable Care Organizations Use?

by Jennifer Bresnick

Selecting a vendor for an electronic health record, big data analytics system, or population health management tool can be a difficult process for a healthcare provider – and it only gets harder if that provider wants to participate in...

ACO Success Relies on Population Health Management Tools

by Jennifer Bresnick

Healthcare providers who wish to succeed as accountable care organizations have to address a lengthy checklist of tasks, strategies, and technologies long before they can hope to accrue shared savings from Medicare or a private payer.  Developing...

Patient Engagement, Population Health Are Key to ACO Success

by Jennifer Bresnick

There is no standard recipe for success when it comes to developing an accountable care organization that can earn incentives through the Medicare Shared Savings Program (MSSP).  The chequered history of the initiative, which has faced an...

PCMHs, ACOs More Likely to Use EHRs for Population Health

by Jennifer Bresnick

A new survey published this month in the American Journal of Managed Care found that providers who had adopted EHRs in 2012 were significantly more likely than non-users to engage in population health management, patient communication, and care...

MSSP ACOs Need Better Cost Data, Benchmarking for Success

by Jennifer Bresnick

Medicare Shared Savings Program (MSSP) accountable care organizations will not be able to succeed long term without access to more detailed, localized, and targeted data sets and refined benchmarking frameworks, state a coalition of professional...

CMS to Update to MSSP Accountable Care Organization Benchmarks

by Jennifer Bresnick

CMS is continuing to make much-needed tweaks to its healthcare reform programs, using a new proposed rule to tackle benchmarking issues with its Medicare Shared Savings Program (MSSP) accountable care organization framework. While the number...

How Accountable Care Impacts Population Health Management

by Jennifer Bresnick

It’s no secret that value-based reimbursement and population health management go hand-in-hand as two of the primary drivers of quality reform, but it hasn’t always been easy to get providers to embrace the risk involved in making...

Accountable Care Organizations Still Face Interoperability Woes

by Jennifer Bresnick

The growing number of public and private accountable care organizations (ACOs) may bode well for the healthcare industry’s efforts to transform into a value-based, patient-centered care continuum, but big, bad data is still getting in the...

HHS, CMS Announce Accountable Care Organization Growth Plans

by Sara Heath

The Centers for Medicare & Medicaid Services (CMS) accountable care organization (ACO) programs are growing larger than ever before, according to a press release from the Department of Health & Human Services (HHS). The programs will...

176M May Be Covered by Accountable Care Organizations by 2020

by Jennifer Bresnick

Accountable care organizations (ACOs) have quickly become one of the industry’s most successful strategies for enlisting providers in value-based reimbursement arrangements, and have rapidly brought significant changes to population health...

Establishing the Basis for Accountable Care Organization Success

by Sylvia Dochterman

Care management is the key to ACO success, but many healthcare organizations overlook the most fundamental factor in care coordination…an advanced system of primary care! ACO models involve many varied elements of care management, but...

Bringing the Patient Voice into an Accountable Care Organization

by Shanti Wilson

While the growth rate of accountable care organizations (ACOs) has slowed over the past two years, and despite several departures from Medicare’s Pioneer ACO program, approximately 70 percent of the US population live in areas served by...

Big Data, Population Health Management Make Successful ACOs

by Jennifer Bresnick

As healthcare spending continues to spike into the stratosphere, Medicare and its commercial counterparts have an urgent mission on their hands.  They must find a way to effectively control costs, stem the tide of chronic disease, and deliver...

3 Ways to Win the EHR, Health IT Argument on Thanksgiving

by Jennifer Bresnick

There are a few universal truths about the great American Thanksgiving holiday.  The turkey is never cooked just right, the TV is on too loud, there’s that one family member that will show up late to the party – and someone,...

What Makes for a Successful Accountable Care Organization?

by Jennifer Bresnick

Medicare and private payers have both pinned a large part of their financial hopes on developing the accountable care organization, which aims to improve coordination, cut costs, and raise quality in a fiscally responsible – but somewhat...

CMS’ Pioneer ACO Program Not Conducive to Small Hospitals

by Sara Heath

Despite claims that accountable care organizations (ACOs) have tremendous benefits to the delivery of care, several participants in the Centers for Medicare & Medicaid Services’ (CMS’s) Pioneer ACO Program have chosen to leave...

Will Inadequate Metrics Doom the Accountable Care Organization?

by Jennifer Bresnick

Accountable care organizations are all about the data.  Detailed quality reporting and cost benchmarking are the hallmarks of this value-based reimbursement model, and the carefully balanced system of risk, savings, performance, and quality...

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