One hundred and six new ACOs were announced in January, bringing the total to over 250. About 4 million Medicare beneficiaries—8 percent of the total Medicare population—are now getting their care within a Medicare ACO. That means ACOs are overseeing about $40 billion of annual Medicare spending. Four million lives is an impressive number for […]
If you’re already participating in or thinking about a new payment model, you’ve probably seen that the pundits insist you must have a full IT infrastructure in place before you push the button on these initiatives. Whether it’s a Medicare accountable care organization (ACO), bundled payment, an ACO-like arrangement for a payer’s Medicare Advantage or […]
The number of physician-led ACOs is growing faster than the number of hospital-physician ACOs. Increasing numbers of physician groups are evaluating bundled payment arrangements. Payers are working directly with physicians on patient-centered medical homes (PCMHs). It appears that physician-led accountable care initiatives are here to stay. In some markets, physician-led networks may compete successfully by […]
John M. Harris and Idette Elizondo examine 2014 results from the Medicare Shared Savings Program and describe the key takeaways for current and prospective participants.
A health system’s efforts in deploying strategic network initiatives will be effective only if its leaders understand the unique factors affecting multi-provider networks.