Strategies for Partnering with Physician-Led Accountable Care Initiatives

by John M. Harris, Director & Idette Elizondo, Manager
HFM Blog
October 2014

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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 […]

Integration and/or Independence: Physician-Hospital Futures

by John Harris, Director & Karin Chernoff Kaplan, Director
HFM Blog
September 2013

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Of the 41,000 physicians in the 2013 MGMA Physician Compensation and Production Survey, 56 percent are employed by hospitals or health systems, compared with 42 percent in the 2010 survey. Conventional wisdom is that the remaining physicians will rapidly join the ranks of the employed. However, hospitals and physicians can explore many types of relationships […]

Primary Care Physicians and Clinically Integrated Networks: Some Factors to Consider

HSS Blog
August 2014

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Clinically Integrated Networks (CINs) and Accountable Care Organizations (ACOs) are vehicles for evolved forms of capitation that include value-based and risk sharing performance incentives, unlike past reimbursement models which focused primarily on utilization (see Figure below). Both aggregate and align providers, but differ in types of payors. ACOs are paid by Medicare and/or Medicaid, while CINs have commercial insurers. […]