Accountable Care Organizations

Accountable Care Organizations

SMI’s Accountable Care Organization Resource Listing

Listed below are links to various industry articles, papers, and other resources related to accountable care organizations and related healthcare reform issues. This listing will be periodically updated. Please contact SMI to recommend additional resources not currently listed.

I.  Aligning Physician Decision Making with Goals of Healthcare Care Organizations: Are There any Lessons From Law Firms?  by Edward Correia 

II. Afterword:  The Final ACO Rule  by Edward Correia


 

1.  Title: Accountable Care Organization for PPO Patients

Source:  Integrated Healthcare Association

Date: 2011

http://www.iha.org/ACOWhitePaper_PPO_final.pdf

Overview: This White Paper examines the challenges and opportunities facing contemporary efforts to adapt ACO principles and practices to the commercial PPO population in California. It builds on an earlier IHA White Paper that examined the record of medical groups and IPAs in coordinating care using ACO principles for the HMO population, including patients enrolled in commercial HMO, Medicare Advantage, and Medicaid managed care plans.

 

2.  Title: The OIG Issues An OIG Rule On ACOs And The IRS Provides Additional Guidance For Tax-Exempt Organizations

Source: Barnes & Thornburg LLP

Date: 10/20/2011

http://www.btlaw.com/files/Uploads/Documents/Firm%20Alerts/ALERT%20-%20Healthcare_OIG%20Issues%20Final%20Rule%20on%20ACOs.pdf

Overview: On October 20, 2011, the Center for Medicare and Medicaid Services (CMS) and the Department of Health and Human Services Office of Inspector General (OIG) released an Interim Final Rule (OIG Rule) providing fraud and abuse waivers for …

 

3. Title: Final ACO Rule Eases Requirements for Physicians, Hospitals

Source: Healthcare Financial Management News

Date: 10/20/2011

http://www.hfma.org/templates/blogpost.aspx?id=29372

Overview: The final rule on Medicare accountable care organizations (ACOs) released by the Centers for Medicare & Medicaid Services (CMS) on Oct. 30 introduces several modifications that the agency says will make it easier for physicians and ...

 

4.  Title: Providers Cheering for the Revisions

Source: Fierce Healthcare

Date: 10/21/2011

http://www.fiercehealthcare.com/story/providers-cheer-aco-final-rule-reactions-revised-cut/2011-10-21

Overview: After delivering severe criticisms when the Centers for Medicare & Medicaid Services (CMS) issued its proposed rules in the spring, professional medical groups--for the most part--now are applauding the final rule, an easier-to-swallow …

 

5.  Title: Building ACOs and Outcome Based Contracting in the Commercial Market: Provider and Payor Perspectives

Source: THINC

Date: 10/28/2011

http://0101.nccdn.net/1_5/307/0d0/1b8/THINC-ACO-White-Paper-FINAL.pdf

Overview: THINC white paper addresses payor/provider ACO issues, finds middle ground

Value-based payment models and accountable care opportunities pose challenges for both plans and providers; Taconic Health Information Network and Community (THINC) white paper discusses these challenges and identifies issues providers should consider before they begin the contracting conversation.

 

6.  Title: FTC/DOJ Final Policy on Accountable Care Organizations: Important Antitrust Issues Remain Uncertain for Healthcare Collaborations

Source: Morgan Lewis

Date: 10/31/2011

http://www.morganlewis.com/index.cfm/publicationID/15edec63-48d8-4e8c-a797-4c476f0e6dfd/fuseaction/publication.detail

Overview: The Federal Trade Commission (FTC) and Department of Justice (DOJ) (together, the Agencies) issued their final "Statement of Antitrust Enforcement Policy Regarding Accountable Care Organizations Participating in the Medicare Shared Savings Program" (Policy Statement) on October 20, on the same day that the Centers for Medicare and Medicaid Services (CMS) issued extensive regulations governing the formation, registration, and operation of accountable care organizations (ACOs).

 

7.  Title: CMS’s Final Rule on Medicare Shared Saving Program Eases Some Regulations But Leaves Unanswered A Number Of Questions

Source: Proskauer Rose

Date: 10/31/2011

http://www.proskauer.com/news/detail.aspx?news=6972

Overview: The Medicare Shared Savings Program (MSSP) final rule will be published in the Federal Register on November 2, 2011, approximately seven months after it was proposed. The final rule is the next major step by the Department of Health and …

 

8.  Title: Dodging an ACO chilling effect; Regulators ease up on provider collusion warnings

Source: Modern Healthcare

Date: 10/31/2011

http://www.modernhealthcare.com/article/20111031/MAGAZINE/310319954

Overview: Although the mammoth CMS final rule guiding Medicare accountable care organizations encourages close cooperation among healthcare providers, a companion set of rules from regulatory agencies reminds hospitals and doctors that too much ...

 

9.  Title: IRS to review nonprofit hospitals in tax-exempt ACOs

Source: Fierce Healthcare

Date: 11/1/2011

http://www.fiercehealthfinance.com/story/irs-review-nonprofit-hospitals-tax-exempt-acos/2011-11-01

Overview:  The Internal Revenue Service (IRS) will review accountable care organization (ACO) arrangements on a case-by-case basis, partly aimed at ensuring that tax exemptions go to legitimate nonprofit hospitals participating the Medicare Shared …

 

10.  Title: ACOs and Productivity Metrics in Medicine

Source: Renal & Urology News

Date: 11/1/2011

http://www.renalandurologynews.com/acos-and-productivity-metrics-in-medicine/article/216185/

Overview: Individuals, businesses and nations grapple with how to measure success. Productivity metrics represent a cornerstone of economic principles used to allocate resources. In baseball, batting average and slugging percentage predict a player's …

 

11.  Title: Harnessing BIG DATA to Improve Healthcare Recognized as a Top Ten Innovation

Source: PR Newswire

Date: 11/1/2011

http://www.prnewswire.com/news-releases/harnessing-big-data-to-improve-healthcare-recognized-as-a-top-ten-innovation-132989918.html

Overview: Clinic unveiled "Harnessing BIG DATA" as one of the 2012 Top Ten medical innovations at the Clinic's annual Medical Innovation Summit in October.

 

12.  Title: Patients pose challenges in provider-payer ACOs

Source: Fierce Healthcare

Date: 11/2/2011

http://www.fiercehealthcare.com/story/patients-pose-challenges-provider-payer-acos/2011-11-02

Overview: Representing a national provider-payer trend, physician organizations and health plans are actively partnering in coordinating care--specifically in California--for cost-effective management, according to an Integrated Healthcare …

 

13.  Title: ACO Waivers, EHR Subsidies and Stark/Anti-Kickback Exceptions

Source: HIMSS

Date: 11/2/2011

http://www.himss.org/ASP/ContentRedirector.asp?type=HIMSSNewsItem&ContentId=78881

Overview: Earlier this month, CMS and the Office of Inspector General for HHS, (the “OIG”) published new and improved waivers of healthcare fraud and abuse laws related to the formation and operation of Accountable Care Organizations (“ACOs”).

 

14.  Title: Obsession With Meaningful Use Could Backfire

Source: InformationWeek

Date: 11/3/2011

http://www.informationweek.com/news/healthcare/policy/231902161

Overview: Don't let your push to obtain the government's EHR financial incentives blind you to the next big hurdle: accountable care.

 

15.  Title: Hospitals eager to replace RCM systems

Source: Healthcare IT News

Date: 11/3/2011

http://www.healthcareitnews.com/news/hospitals-eager-replace-rcm-systems

Overview: Nearly half of the providers KLAS interviewed for the recent study, "Seismic Shift in Revenue Cycle: Market Heading toward Sole-Source Landscape," told the research firm they plan to replace their existing revenue cycle … One in four say that accountable care organizations (ACOs), ICD-10, or other government initiatives were also influences …

 

16.  Title: Physician Practice Groups: Industry shifts lead many doctors to align with hospital systems

Source: Business First of Louisville

Date: 11/4/2011

http://www.bizjournals.com/louisville/print-edition/2011/11/04/physician-practice-groups-industry.html?page=all

Overview: Larger physician groups maintain independence to retain greater say in patient care.

 

17.  Title: Meaningful Use about better care, not just better technology

Source: Fierce Healthcare

Date: 11/5/2011

http://www.fiercehealthit.com/story/meaningful-use-about-better-care-not-just-better-technology/2011-11-05

Overview: About a quarter of hospitals are qualified to meet the Stage 1 Meaningful Use criteria, according to a recent CHIME survey. Many institutions are still finding it difficult to implement the necessary software and reengineer their operations …

 

18.  Title: Doctor Groups Seem Less Wary of Medicare Changes

Source: New York Times: Prescriptions

Date: 11/7/2011

http://prescriptions.blogs.nytimes.com/2011/11/07/doctor-groups-seem-less-wary-of-medicare-changes/

Overview: Influential groups like the Mayo Clinic and Cleveland Clinic, often cited by President Obama as cost-effective models of high quality medical care, are only now warming to the administration's "accountable care organization" concept for the ...

 

19.  Title: Minnesota payer-provider ACO reports first year savings of $6 million

Source: Healthcare Finance News

Date: 11/7/2011

http://www.healthcarefinancenews.com/news/minnesota-payer-provider-aco-reports-first-year-savings-6-million

Overview:  A one-year-old accountable care organization established by Allina Hospitals & Clinic and payer HealthPartners has reported that it reduced medical cost by $6 million in 2010 and reduced the medical cost trend to 3 …

 

20.  Title: Report: Providers under pressure to moderate ACO costs of care

Source:  Cardiovascular Business

Date: 11/7/2011

http://www.cardiovascularbusiness.com/index.php?option=com_articles&view=article&id=30301:report-providers-under-pressure-to-moderate-aco-costs-of-care

Overview: Accountable care organization (ACO) principles have captured the interest of health plans and providers that are under pressure to moderate the costs of care and the premiums they are charging employers and individuals, according to a ...

 

21.  Title: ACOs focus on teamwork, quality care

Source: Nurse.Com

Date: 11/7/2011

http://news.nurse.com/article/20111107/MW02/311070033

Overview: Incentives for quality care and a team approach to treatment are two components of a healthcare reform provision that could have a significant impact on the nursing profession. …

 

22.  Title: Federal panel begins work on Stage 3 meaningful use

Source: Healthcare IT News

Date: 11/10/2011

http://www.healthcareitnews.com/news/federal-panel-begins-work-stage-3-meaningful-use

Overview: Some members of the Health IT Policy Committee on Wednesday cautioned against making the measures required under Stage 3 meaningful use too burdensome. The panel also began to focus on medical specialties.

 

23.  Title: Full Committee Hearing - Improving Quality, Lowering Costs: The Role of Health Care Delivery System Reform

Source: Senate.gov

Date: 11/10/2011

http://www.help.senate.gov/hearings/hearing/?id=68fdfd16-5056-9502-5d63-058b8c2b38ec

Overview: Video of full committee hearing. Chairman Harkin has been a has been a champion of prevention and primary care. Senator Mikulski has been a forceful advocate for quality improvement. She took the lead on the quality title of the Affordable Care Act, and so the HELP Committee has been engaged in this for a while as has the Finance Committee under the leadership of Chairman Baucus, his ready-to-launch program well before the health care bill helped position us into the payment reform mode that the health care bill so much reflects. …

 

24.  Title: Government Policy Versus Marketplace Reality: Healthcare Executives Discuss Challenges, Solutions at MedeAnalytics-Sponsored Summit

Source: The Business Journals

Date: 11/10/2011

http://www.bizjournals.com/prnewswire/press_releases/2011/11/10/SF04991

Overview: With implementation of the Affordable Care Act in process, senior executives from payer and provider organizations around the country agreed today that less-fragmented, more-usable financial and clinical ...

 

25.  Title: Interview: Why finalist Iowa Health System is vying to be a Pioneer ACO

Source: Fierce Healthcare

Date: 11/11/2011

http://www.fiercehealthcare.com/story/interview-why-finalist-iowa-health-system-vying-be-pioneer-aco/2011-11-11

Overview: Some hospitals and other providers have been taking a "wait-and-see" approach when it comes to accountable care organizations (ACO), perhaps concerned about the capital expense, uncertain return on investment, and compliance issues. Not Des …

 

26.  Title: Nurses bring coordinated care expertise to ACOs

Source: Fierce Healthcare

Date: 11/12/2011

http://www.fiercehealthcare.com/story/nurses-bring-coordinated-care-expertise-acos/2011-11-11

Overview:  With coordinated care at the heart of accountable care organizations (ACO), nurses are applauding the Department of Health & Human Services' (HHS) final rule released last month, anticipating more opportunity to improve care. Expanding the role of nurses will be beneficial to ACO success …

 

27.  Title: ACOs and Their Impact on Pharma

Source: Pharmaceutical Commerce

Date: 11/13/2011

http://pharmaceuticalcommerce.com/index.php?pg=opinion&articleid=2603

Overview:  Obamacare, officially known as the Patient Protection and Affordable Care Act (PPACA) was signed into law March 23, 2010. It’s now being challenged in the Supreme Court by the Department of Justice and 26 states on constitutional grounds, …

 

28.  Title: Accountable Care Lives Or Dies On Performance Data

Source: Information Week Healthcare

Date: 11/14/2011

http://www.informationweek.com/news/healthcare/clinical-systems/231902880

Overview: If your organization hopes to get a piece of the ACO pie, not only will your clinicians need to perform, but your IT team must crunch their performance numbers in ways that motivate them to improve.

 

29.  Title: NCQA launches ACO accreditation

Source: Fierce Healthcare

Date: 11/14/2011

http://www.fiercehealthcare.com/story/ncqa-launches-aco-accreditation/2011-11-14

Overview: The National Committee for Quality Assurance (NCQA) has released details of its accountable care organization (ACO) accreditation program that will launch Nov. 21.

 

30.  Title: ACO service industry blooms

Source: Modern Healthcare

Date: 11/14/2011

http://www.modernhealthcare.com/article/20111114/MAGAZINE/311149948

Overview: A rocky start to Medicare’s approach to accountable care has done little to deter companies eager to market ancillary services and products to hospitals and medical groups.

 

31.  Title: The Once and Future Challenges of Implementing Health Reform

Source: The Commonwealth Fund

Date: 11/14/2011

http://www.commonwealthfund.org/Blog/2011/Nov/Once-and-Future-Challenges-of-Implementing-Health-Reform.aspx

Overview: We are rapidly approaching the halfway point between enactment and implementation of the most sweeping provisions of the Affordable Care Act. While many changes are already underway, the work ahead for the public and private sectors is both …

 

32.  Title: Call Yourself an ACO? Prove It.

Source: Health Leaders

Date: 11/16/2011

http://www.healthleadersmedia.com/content/LED-273369/Call-Yourself-an-ACO-Prove-It.html

Overview: Healthcare providers that boast they're accountable care organizations may now have their services vetted by the National Committee for Quality Assurance, which on Monday announced a three-tiered accreditation program to verify and score …

 

33.  Title: Interview: Children's Hospital LA pledges accountable care for kids

Source: Fierce Healthcare

Date: 11/16/2011

http://www.fiercehealthcare.com/story/interview-childrens-hospital-la-pledges-accountable-care-kids/2011-11-16

Overview: Most of the development and media attention regarding accountable care organizations (ACOs) has centered on an adult patient population. That's not necessarily surprising considering the Affordable Care Act's push for the creation of ACOs …

 

34.  Title: Accountable Care Organizations: Update on Medicare Implementation

Source: Healthcare Economist

Date: 11/17/2011

http://healthcare-economist.com/2011/11/17/accountable-care-organizations-update-on-medicare-implementation/

Overview: Health Reform’s Accountable Care Act (ACA)mandates the creation of Accountable Care Organizations (ACOs).  Dartmouth researcher Elliott Fisher stimulating much of the interest in ACOs by introducing the concept of an “extended hospital ...

 

35.  Title: New NCQA Accreditation Program Identifies ACOs That Are Most Likely to Succeed

Source: Business Wire

Date: 11/18/2011

http://www.businesswire.com/news/home/20111118005698/en/NCQA-Accreditation-Program-Identifies-ACOs-Succeed

Overview: On November 21, the National Committee for Quality Assurance (NCQA) will release the standards and guidelines that compose its new Accountable Care Organization (ACO) Accreditation program.

 

36.  Title: Q&A: ACOs not profitable for hospitals

Source: Healthcare Finance News

Date: 11/18/2011

http://www.healthcarefinancenews.com/news/qa-acos-not-profitable-hospitals

Overview: Even with the major revisions to the final regulations for accountable care organizations (ACOs), uncertainty remains. The risks and technical challenges hospitals will face in transforming to the ACO model are daunting and require …

 

37.  Title: New ACO model in Virginia is first Aetna plans for mid-Atlantic, U.S.

Source: Insurance & Financial Advisor News

Date: 11/21/2011

http://ifawebnews.com/2011/11/21/new-aco-model-in-virginia-is-first-aetna-plans-for-mid-atlantic-u-s/

Overview: Aetna has launched Aetna Whole Health in western Va., one of its first new health benefit plan using the accountable care organization (ACO) model. Aetna and Carilion Clinic in Roanoke, Va., have launched the new suite of new health benefit plans now available to Virginia employers with two to 100 eligible employees.

 

38.  Title: Why Doctors Won't Like ACOs

Source: Information Week

Date: 11/21/2011

http://www.informationweek.com/news/healthcare/CPOE/231903460

Overview: Accountable Care Organizations require hard data to support treatment decisions. IT's job is to build that evidence into your organization's systems.

 

39.  Title: Aetna, Banner partner on ACO

Source: Healthcare IT News

Date: 11/21/2011

http://www.healthcareitnews.com/news/aetna-banner-partner-aco

Overview: Aetna and Banner Health Network will create an accountable care organization made up of Banner employed and affiliated physicians and hospitals in Arizona. The ACO will employ information technology and a team-based approach to …

 

40.  Title: Accountable Care Organizations: The Private Sector Will Lead

Source: Mondaq Business Briefing

Date: 11/23/2011

http://www.mondaq.com/unitedstates/x/154708/Healthcare/Accountable+Care+Organizations+The+Private+Sector+Will+Lead

Overview: The Patient Protection and Affordable Care Act ("PPACA") became law on March 23, 2010. Since then, one of the provisions generating the most discussion and interest among health care providers is the Shared Saving Program ("SSP"). ...

 

41.  Title: ACO Investing 101: Buy Hospitals, Sell Device Makers, Hold The Rest

Source: Forbes

Date: 11/23/2011

http://www.forbes.com/sites/davidwhelan/2011/11/23/aco-investing-101-buy-hospitals-sell-device-makers-hold-the-rest/

Overview: As payment for medical services shifts from fee-for-service to more integrated, bundled charges, health providers will have to work together to provide services that not only heal the sick but also keep healthy people out of the system.

 

42.  Title: Clinical Leadership Is Critical in Building a Successful ACO

Source: HIMSS

Date: 11/29/2011

http://www.himss.org/ASP/ContentRedirector.asp?type=HIMSSNewsItem&ContentId=78882

Overview: Acountable care has arrived. With the final rule submitted, approved and published, we now have a good idea of the qualifications and requirements for participating in shared savings. What the final rule does not provide, however, are the …

 

43.  Title: Let's wake up about ACOs

Source: Not Running A Hospital (blog)

Date: 11/30/2011

http://runningahospital.blogspot.com/2011/11/lets-wake-up-about-acos.html

Overview: Comments by two folks recently should reawaken our concern about how to hold accountable care organizations accountable and whether creation of ACOs will lead to market dominance that will not bring value to patients.

 

44.  Title: New report takes close look at ACOs

Source: Healthcare Finance

Date: 11/30/2011

http://www.healthcarefinancenews.com/news/new-report-takes-close-look-acos

Overview: A white paper released Wednesday by Leavitt Partners’ Center for ACO Intelligence takes a close look at the current status of ACOs following healthcare reform.

 

45.  Title: Roundtable: Private market ACOs

Source: Managed Healthcare Executive

Date: 12/1/2011

http://managedhealthcareexecutive.modernmedicine.com/mhe/article/articleDetail.jsp?id=750633

Overview: There is little doubt the advent of accountable care organizations (ACOs) and the Medicare Shared Savings program will reshape healthcare delivery for the next decade. However, the commercial market is positioned to drive the revolution of …

 

46.  Title: Final ACO Rules a Mixed Bag for NPs & PAs

Source: Advance for NPs & PAs

Date: 12/1/2011

http://nurse-practitioners-and-physician-assistants.advanceweb.com/News/Front-Center/Final-ACO-Rules-a-Mixed-Bag-for-NPs-PAs.aspx

Overview: The final rules for initial implementation of Accountable Care Organizations (ACOs) contain some positive as well as some disappointing news for NPs and PAs. Although the national organizations representing the two professions expressed …

 

47.  Title: 5 things to note about the growth of ACOs

Source: Healthcare Finance News

Date: 12/1/2011

http://www.healthcarefinancenews.com/news/5-things-note-about-growth-acos

Overview: A recent white paper from the Leavitt Partners’ Center for ACO Intelligence gave some interesting insight into the types, growth and location of ACOs. The report is the first of its kind, using data and analysis on the …

 

48.  Title: Risk-adjustment process calls for deep dive into data; Record health status yearly to ensure balance

Source: Managed Healthcare Executive

Date: 12/1/2011

http://managedhealthcareexecutive.modernmedicine.com/mhe/Healthcare+Reform/Risk-adjustment-calls-for-deep-dive-into-data/ArticleStandard/Article/detail/750630

Overview: NOT ALL patients are created equal, which reinforces why risk adjustment is so critical to the solvency of Medicare Advantage plans. As the provisions of the Patient Protection and Affordable Care Act take effect, plans are evaluating best practices in risk adjustment for the upcoming health exchanges and accountable care organizations. …

 

49.  Title: Shared Savings, Shared Risk: First-Year Potential Gains and Losses of ACOs

Source: Healthcare Financial Management News

Date: 12/1/2011

http://www.hfma.org/Templates/Print.aspx?id=29810

Overview: The term accountable care organization (ACO) is now ubiquitous in the healthcare landscape. Nearly every healthcare organization has investigated whether it should invest in becoming an ACO or participate in one. On Jan. 1, 2012, the first …

 

50.  Title: Roundtable: Private market ACOs; How well can accountable care in the private market make the shift away from fee for service?

Source: Managed Healthcare Executive

Date: 12/1/2011

http://managedhealthcareexecutive.modernmedicine.com/mhe/article/articleDetail.jsp?id=750633

Overview: There is little doubt the advent of accountable care organizations (ACOs) and the Medicare Shared Savings program will reshape healthcare delivery for the next decade. However, the commercial market is positioned to drive the revolution of …

 

51.  Title: Humana, Norton use information to keep employees healthier under ACO

Source: Business First

Date: 12/2/2011

http://www.bizjournals.com/louisville/print-edition/2011/12/02/humana-norton-use-information-to.html?page=all

Overview: About a year into their formal collaboration, Norton Healthcare Inc. and Humana Inc. are beginning to see benefits of their accountable care organization.

 

52.  Title: Physicians uncertain about taking part in ACOs

Source: American Medical News

Date: 12/5/2011

http://www.ama-assn.org/amednews/2011/12/05/bisb1205.htm

Overview: Many physicians are familiar with accountable care organizations as a concept, but some are either opting out of them or are unsure whether they will participate, according to a recent survey.

 

53.  Title: Nursing Industry Leader Says New Health Care Model Offers Nurses Expanded Career Opportunities

Source: American Sentential University

Date: 12/5/2011

http://www.americansentinel.edu/about-american-sentinel-university/newsroom/nursing-industry-leader-says-new-health-care-model-offers-nurses-expanded-career-opportunities

Overview: New guidelines for accountable care organizations (ACO) are expected to create expanded opportunities for savvy, career-minded nurses to thrive in the next wave of healthcare reform, according to one nursing industry leader, Dr. Catherine …

 

54.  Title: Aetna collaboration puts IT to work toward ACO goals

Source: Healthcare IT News

Date:  12/06/2011

http://www.healthcareitnews.com/news/aetna-collaboration-puts-it-work-toward-aco-goals

Overview: Aetna on Tuesday announced results of a collaborative relationship with Connecticut-based primary care organization ProHealth Physicians, which since 2007 has made strides using information technology to improve quality of …

 

55.  Title: State proposes Medicare-Medicaid integration, ACO partnerships

Source: Fierce Healthcare

Date: 12/6/2011

http://www.fiercehealthcare.com/story/state-proposes-medicare-medicaid-integration-aco-partnerships/2011-12-06

Overview: The healthcare system in New York is looking to optimize care and reduce costs by partnering with the Centers for Medicare & Medicaid Services (CMS) to integrate Medicaid and Medicare services and funding for dual-eligibles, according …

 

56.  Title: Quality of Care; Lehigh Valley Health Network Selects Orion Health for Enterprise Health Information Exchange

Source: Orion Health

Date: 12/6/2011

http://www.orionhealth.com/newsroom/press-releases/lehigh-valley-health-network-selects-orion-health-for-enterprise-health-information-exchange

Overview: Orion Health, the leader in health information exchange (HIE) and healthcare integration solutions, announced that Pennsylvania's Lehigh Valley Health Network (LVHN) has selected the Company's HIE solution for …

 

57.  Title: Clinical Integration for Business Intelligence

Source: Healthcare Informatics

Date: 12/8/2011

http://www.healthcare-informatics.com/article/clinical-integration-business-intelligence

Overview: To clinically align and engage its medical staff, Covenant Health System created a clinical integration program to deliver improvements in quality and cost of care. Some key results of this program have been a reduced average length of stay …

 

58.  Title: HealthEdge Research Shows Majority of Healthcare Payor Organizations Plan to Support New Healthcare Business Models in the Next Three Years

Source: HealthEdge

Date: 12/14/2011

http://www.healthedge.com/pages/news_events/press_releases/111214-2011_Market_Survey.htm

Overview: The results of the survey clearly showed that while many payor organizations intend to participate in new healthcare business models including value-based plans, pay-for-performance and Accountable Care Organizations (ACOs), most do not have the technology in place that will be required to realize this goal. The study also revealed …

 

59.  Title: As doctors use more devices, potential for distraction grows

Source: NY Times

Date: 12/14/2011

http://www.nytimes.com/2011/12/15/health/as-doctors-use-more-devices-potential-for-distraction-grows.html?pagewanted=all

Overview: Hospitals and doctors’ offices, hoping to curb medical error, have invested heavily to put computers, smartphones and other devices into the hands of medical staff for instant access to patient data, drug information and case studies. But …

 

60.  Title: Final Rules for Accountable Care Organizations - Impact on Nursing Homes

Source: Blum Shapiro

Date: 12/15/2011

http://blumshapiro.com/kbarticle/final-rules-for-accountable-care-organizations-impact-on-nursing-homes

Overview: Incentives for quality care and a team approach to treatment are two components of a healthcare reform provision that could have a significant impact on the nursing profession.

 

61.  Title: Steward Health Care to participate in new Medicare system

Source: Steward.org

Date: 12/18/2011

http://www.stewardhealth.org/news/Steward-Main/Steward-Health-Care-to-participate-as-Medicare-Pioneer-Accountable-Care-Organization

Overview: Steward Health Care LLC in Boston today announced it has been selected to participate in the Pioneer Accountable Care Organization (ACO) model. …

 

62.  Title: Majority of Hospitals, Health Systems, Insurers Undecided About Medicare ACO Participation, KPMG, EBG Led Poll Shows

Source: KPMG

Date:12/19/2011

http://www.kpmg.com/us/en/issuesandinsights/articlespublications/press-releases/pages/hospitals-health-systems-insurers-undecided-about-medicare-aco.aspx

Overview:  Many Believe Their Organizations Lack Comprehensive Understanding of Changes and Financial Implications; Do Not See Real Results in Coordinated Care in the U.S. for 5-10 Years …

 

63.  Title: St. Vincent's HealthCare Chooses Orion Health For Health Information Exchange

Source: Orion Health

Date: 12/19/2011

http://www.orionhealth.com/newsroom/press-releases/st-vincents-healthcare-chooses-orion-health-for-health-information-exchange

Overview: Preeminent Florida health system partners with Orion Health to drive integrated connectivity across software systems and facilities, and enable improved communications with community physicians

 

64.  Title: Affordable Care Act helps 32 health systems improve care for patients, saving up to $1.1 billion

Source:  U.S. Department of Health and Human Services

Date:  12/19/2011

http://www.hhs.gov/news/press/2011pres/12/20111219a.html

Overview: Leading health care providers will be Pioneer Accountable Care Organizations

 

65.  Title: Providers, payers still unsure about ACO participation

Source: Healthcare IT News

Date: 12/19/2011

http://www.healthcareitnews.com/news/providers-payers-still-unsure-about-aco-participation

Overview: Majorities of senior executives at hospitals, health systems and insurers are on the fence about their organizations' participation in the Medicare ACO program, according to a poll conducted by KPMG, alongside law firm Epstein …

 

66.  Title: Deadline today for $1B CMS Innovation Challenge

Source: Healthcare IT News

Date: 12/19/2011

http://www.healthcareitnews.com/news/deadline-today-1b-cms-innovation-challenge

Overview: Letters of intent are due today from those interested in participating in the CMS Innovation Center's Health Care Innovation Challenge, which promises up to $1 billion for new ideas that improve care, shift incentives and help …

 

67.  Title: Heritage Provider Network to Participate as Medicare Pioneer Accountable Care Organization

Source: Heritage Provider Network

Date: 12/19/2011

http://www.heritageprovidernetwork.com/?p=hpn-today&article=28

Overview: Heritage Provider Network (HPN) today announced it has been selected to participate in the Pioneer Accountable Care Organization (ACO) model, a transformative new initiative sponsored by …

 

68.  Title: Sharp HealthCare to Participate as Medicare Pioneer Accountable Care Organization

Source: PR Newswire

Date: 12/19/2011

http://www.prnewswire.com/news-releases/sharp-healthcare-to-participate-as-medicare-pioneer-accountable-care-organization-135867858.html

Overview: Sharp HealthCare today announced it has been selected to participate in the Pioneer Accountable Care Organization (ACO) Model, a new initiative sponsored by the Centers for Medicare & Medicaid Services (CMS) Innovation Center.

 

69.  Title: Brown & Toland Physicians to Participate as Medicare Pioneer Accountable Care Organization

Source: Brown & Toland

Date: 12/19/2011

http://www.brownandtoland.com/visitors/Documents/PioneerACO12192011.pdf

Overview:  Brown & Toland Physicians announced today it has been selected to participate in the Pioneer Accountable Care Organization (ACO) model, a transformative new initiative sponsored by the Centers for Medicare & Medicaid Services (CMS) Innovation Center. …

 

70.  Title: DMC Selected as National "Pioneer" in Medicare's Innovative New "Accountable Care" Health Initiative

Source: Detroit Medical Center

Date: 12/19/2011

http://www.dmc.org/news/?sid=1&nid=235

Overview: One of Only 32 Medical Organizations Chosen Nationwide, Detroit-Based Hospital Group Will Help Lead Trailblazing Effort to Greatly Improve Medical Care for Older Patients

 

71.  Title: Montefiore's Bronx Accountable Healthcare Network to Participate as Medicare Pioneer Accountable Care Organization

Source: PR Newswire

Date: 12/19/2011

http://www.prnewswire.com/news-releases/montefiores-bronx-accountable-healthcare-network-to-participate-as-medicare-pioneer-accountable-care-organization-135871133.html

Overview:  Montefiore Medical Center announced today that its Bronx Accountable Healthcare Network (BAHN), has been selected to participate as a Pioneer Accountable Care Organization (ACO), a transformative new initiative sponsored by the Centers for Medicare & Medicaid Services (CMS) Innovation Center. …  

 

72.  Title: University of Michigan, IHA to Participate as Medicare Pioneer Accountable Care Organization

Source: PR Newswire

Date: 12/19/2011

http://www.prnewswire.com/news-releases/university-of-michigan-iha-to-participate-as-medicare-pioneer-accountable-care-organization-135873918.html

Overview: The University of Michigan Health System will participate in the Pioneer Accountable Care Organization (ACO) model, in partnership with IHA Health Services Corporation, an Ann Arbor, Mich.-based multi-specialty group practice. …

 

73.  Title: Three MN healthcare providers chosen for new Medicare plan

Source: St. Paul Business Journals

Date: 12/19/2011

http://www.bizjournals.com/twincities/news/2011/12/19/allina-fairview-park-nicollet-chosen-hhs.html

Overview: Three Minnesota health care providers were among 32 chosen Monday to participate in a new program designed to lower the costs of Medicare.

 

74.  Title: Presbyterian Healthcare tapped for program to improve Medicare

Source: New Mexico Business Daily

Date: 12/19/2011

http://www.bizjournals.com/albuquerque/news/2011/12/19/presbyterian-healthcare-tapped-for.html

Overview: The Albuquerque-based nonprofit health care system was chosen to participate in the Pioneer Accountable Care Organization model by the U.S. Centers for Medicare and Medicaid Services, Presbyterian said in a news release. It was one of 32 health care organizations chosen for the program, and will be the only Pioneer ACO in New Mexico. …

 

75.  Title: North Texas Specialty Physicians, Texas Health Resources Selected by CMS to Participate in the Pioneer ACO Model

Source: Texas Health Resources

Date: 12/19/2011

http://www.texashealth.org/body.cfm?id=1629&action=detail&ref=1257

Overview: North Texas Specialty Physicians (NTSP) and Texas Health Resources have been selected by the Centers for Medicare and Medicaid Services (CMS) to participate in the Pioneer ACO Model. Texas Health and NTSP are among an elite group of health care organizations nationwide chosen to participate in this new ACO pilot program. …

 

76.  Title: Seton, Austin Regional Clinic partnering in experiment

Source: Statesman.com

Date: 12/19/2011

http://www.statesman.com/blogs/content/shared-gen/blogs/austin/health/entries/2011/12/19/seton_austin_regional_clinic_p.html

Overview: About 11,000 Central Texas Medicare patients will soon receive letters asking if they want to be part of an experiment in health care that starts Jan. 1. …

 

77.  Title: Six California Physician Groups Selected As Pioneer Accountable Care Organizations by Department of Health and Human Services

Source: Businesswire

Date: 12/19/2011

http://www.businesswire.com/news/home/20111219006510/en/California-Physician-Groups-Selected-Pioneer-Accountable-Care

Overview: The California Association of Physician Groups (CAPG) announced today that US Department of Health and Human Services (HHS) selected six of its member physician groups as part of its “pioneer” accountable care organizations initiative. …

 

78.  Title: 5 Mass. groups join Medicare care experiment

Source: Boston.com

Date: 12/19/2011

http://www.boston.com/news/local/massachusetts/articles/2011/12/19/5_mass_groups_join_medicare_care_experiment/

Overview: Five health care organizations in Massachusetts will be part of a major new program meant to push hospitals and physicians to pay more attention to Medicare patients’ overall care, improving their health and lowering the cost of …

 

79.  Title: Seton chosen for national Medicare pilot study

Source: Austin Business Journal

Date: 12/19/2011

http://www.bizjournals.com/austin/news/2011/12/19/seton-chosen-for-national-medicare.html

Overview: … Seton Health Alliance will be responsible for detailed patient reporting and outcomes, including readmission rates, treatment in the most effective setting, provider satisfaction and patient satisfaction, Hartle said. If Seton’s ACO meets and exceeds quality standards, it will be eligible for payment from CMS …

 

80.  Title: HHS names 32 ‘pioneers’ in key program to cut healthcare costs

Source: The Hill

Date: 12/19/2011

http://thehill.com/blogs/healthwatch/health-reform-implementation/200289-hhs-names-32-pioneers-in-key-program-to-cut-health-costs

Overview: The Health and Human Services Department on Monday named 32 organizations that will take the lead in testing out the healthcare law’s biggest effort to cut costs and improve quality. …

 

81.  Title: Baucus Praises Formation of New Pioneer Accountable Care Organizations - Senate Finance Committee News Release

Source: The United States Senate Committee on Finance

Date: 12/19/2011

http://finance.senate.gov/newsroom/chairman/release/?id=5e88529c-3a3e-415e-b048-e28ded23b972

Overview: …” These Pioneer Accountable Care Organizations will improve treatment and save money by making Medicare more nimble and responsive to our seniors’ needs.  And these organizations will pave the way to …

 

82.  Title: Franciscan to Roll Out Medicare Program

Source: Inside Indiana Business

Date: 12/19/2011

http://www.insideindianabusiness.com/newsitem.asp?ID=51334

Overview: The Franciscan Alliance in Indianapolis says it's the first medical provider in the state to be selected for Medicare's Pioneer Accountable Care Organization Model. The program offers federal incentives for providers that form organizations …

 

83.  Title: Half of hospital execs unsure of ACO participation

Source: Fierce Healthcare

Date: 12/19/2011

http://www.fiercehealthcare.com/story/half-hospital-execs-unsure-aco-participation/2011-12-19

Overview: Even though the Centers for Medicare & Medicaid Services (CMS) estimates 50 to 270 ACOs will sign up, half of senior executives at hospitals and health systems are still unsure about whether to participate in the Medicare ACO program, …

 

84.  Title: Report: ACO participation poses risks despite revised regulations

Source: CMIO

Date: 12/19/2011

http://www.cmio.net/index.php?option=com_articles&article=30914

Overview: Although the final regulations regarding the shared savings program (SSP) between Medicare and accountable care organizations (ACOs) addresses shortcomings in earlier proposed regulations that may have made ACO entry too difficult for …

 

85.  Title: 'Pioneer ACOs' to encompass 860,000 Medicare patients

Source: Nurse.Com

Date: 12/19/2011

http://news.nurse.com/article/20111219/NATIONAL02/112190017

Overview: The U.S. Department of Health and Human Services on Monday said 32 leading healthcare organizations will participate in Pioneer Accountable Care Organizations, a newly announced type of ACO. …

 

85.  Title: We're never leaving: House to vote on a 'motion to reject Senate bill' and instruct conferees on SGR, payroll - Pelosi: We won't go to conference - Patients: The ACO x-factor

Source: Politico

Date: 12/20/2011

http://www.politico.com/politicopulse/1211/politicopulse647.html

Overview: THE SUN WILL COME OUT TOMORROW?— Or it won’t. After a very long Monday, House Republican leaders announced last night they would not hold an up-or-down vote on the Senate’s two-month payroll tax cut and SGR patch. Instead the House plans to …

 

86.  Title: State to debut Medicare pay plan ; Partners, Steward doctors to be paid for total care, rather than piecemeal

Source: The Boston Globe

Date: 12/20/2011

http://articles.boston.com/2011-12-20/business/30534565_1_accountable-care-medicare-patients-primary-care-doctors

Overview: Massachusetts is set once again to become a testing ground for a major federal effort to overhaul the health care industry. …

 

87.  Title: Pioneer ACO Model Offers Participants More Flexibility

Source: Health Leaders Media

Date: 12/20/2011

http://www.healthleadersmedia.com/content/FIN-274474/Pioneer-ACO-Model-Offers-Participants-Flexibility.html##

Overview: The Department of Health & Human Services announced on Monday that 32 healthcare systems have been selected to participate as Pioneer Accountable Care Organizations. The initiative will encourage primary care doctors, specialists, …

 

88.  Title: Hospitals That Serve The Poor Struggle With Readmissions

Source: NPR

Date: 12/20/2011

http://www.npr.org/blogs/health/2011/12/20/144008734/hospitals-that-serve-the-poor-struggle-with-readmissions

Overview: Hospitals across the country are trying to clamp down on frequent readmissions in anticipation of new penalties Medicare is readying. But it's a bigger problem at hospitals that treat lots of low-income patients.

 

89.  Title: West Valley Physician Organization Partners with Banner Health in CMS selected Medicare Pioneer ACO

Source: SurgiStrategies – Solutions for Outpatient Healthcare

Date: 12/20/2011

http://www.surgistrategies.com/news/2011/12/west-valley-physician-organization-partners-with.aspx

Overview: West Valley Physician Organization Partners with Banner Health in CMS selected Medicare Pioneer ACO …

 

90.  Title: An interview with health reform's best hope

Source: The Washington Post

Date: 12/20/2011

http://www.washingtonpost.com/blogs/ezra-klein/post/an-interview-with-health-reforms-best-hope/2011/12/20/gIQAQnYT7O_blog.html

Overview: Within the health reform law, Accountable Care Organizations are meant to serve as a crucial tool to bring down health care costs by bringing American medicine past the fee-for-service model. The idea is to encourage health care providers …

 

91.  Title: Healthcare initiative launched in Lakki

Source: Dawn Newspaper

Date: 12/20/2011

http://dawn.com/2011/12/22/healthcare-initiative-launched-in-lakki/

Overview: LAKKI MARWAT: The People’s Primary Healthcare Initiatives (PPHI) programme has been launched in the district with the objective to improve the performance of basic health facilities and provide the people with better healthcare …

 

92.  Title: Bay Area groups take part in Medicare test program

Source: San Francisco Chronicle  

Date: 12/21/2011

http://www.sfgate.com/cgi-bin/article.cgi?f=/c/a/2011/12/20/BU4B1MEHS8.DTL

Overview: This is only a test, but it's an important one. …

 

93.  Title: INTEGRIS Health Selects MedVentive as its Clinical Integration Partner

Source: PR Web

Date: 12/21/2011

http://www.prweb.com/releases/2011/12/prweb9057684.htm

Overview: Oklahoma’s largest health system to implement MedVentive platform to improve quality of care while lowering costs. … The MedVentive platform was well-conceived, and is unique in the industry with its practical, real-world approach and fundamental components such as disease registries and automated patient interventions. …

 

94.  Title: Cigna expands accountable-care organization into N.J.

Source: NJ Biz

Date: 12/21/2011

http://www.njbiz.com/article/20111221/NJBIZ01/111229962/Cigna-expands-accountable-care-organization-into-NJ

Overview: Connecticut insurer Cigna announced Tuesday it is expanding its accountable-care organization into New Jersey by partnering with Partners in Care, of New Brunswick. …

 

95.  Title: IOM Authors Disagree With HHS Decision On Essential Benefits

Source: Kaiser Health News

Date: 12/22/2011

http://www.kaiserhealthnews.org/Daily-Reports/2011/December/22/health-reform-issues.aspx?p=1

Overview: Political Pro talks to researchers who helped develop the IOM recommendations for the federal government on what should be offered in health plans. At the same time, a number of media outlets look at news about the implementation of the …

 

96.  Title: State Pilot Prompts Children's Hospital To Form ACO

Source: California Healthline

Date: 12/22/2011

http://www.californiahealthline.org/features/2011/state-pilot-prompts-children-s-hospital-to-form-aco.aspx

Overview: The other organizations launching pilots are Children's Hospital of Orange County, L.A. Care Health Plan, Health Plan of San Mateo County and Alameda County Health Care. All five organizations will test care models such as ACOs, enhanced primary care case management and an existing Medi-Cal managed care organization system. Medi-Cal is California's Medicaid program. …

 

97.  Title: managing the physician revenue cycle

Source: Healthcare Financial Management (via Insurancenewsnet)

Date: 12/23/2011

http://insurancenewsnet.com/article.aspx?id=318882

Overview: Hospital leaders entering the physician practice acquisition pool should take into account the inherent differences between hospital and physician revenue cycles. …

 

98.  Title: Hooper, Lundy & Bookman Releases ACO White Paper

Source: Business Wire

Date: 12/26/2011

http://www.businesswire.com/news/home/20111214005355/en/Hooper-Lundy-Bookman-Releases-ACO-White-Paper

Overview: National Health Law Firm Hooper, Lundy & Bookman, PC (HLB) has just released Accountable Care Organization Final Regulations: Analysis and Implications, an in-depth report addressing the significant issues …

 

99.  Title: Electronic Medical Records; Cloud Networking Initiatives Drive Healthcare IT Provider to Choose Aerohive's Enterprise Wi-Fi Solution

Source: Healthcare Technology Magazine

Date: 12/31/2011

http://healthcaretechnologymagazine.com/healthcare-it-technology-news/53-healthcare-it-news/484-cloud-networking-initiatives-drive-healthcare-it-provider-to-choose-aerohives-enterprise-wi-fi-solution

Overview: Aerohive Networks, the pioneer in controller-less Wi-Fi and cloud-enabled networking, announced that Greenway Medical Technologies, Inc., a leading provider of innovative electronic health record (EHR) …

 

100.  Title: bumps along the ACO road

Source: Healthcare Financial Management

Date: December 2011

http://davidyoung.org/Resources/Docs/BumpsAlongtheACORoad.pdf

Overview: Accountable care organizations (ACOs) can expect to encounter several challenges that are not addressed in the final guidelines for participation in Medicare's ACO project. ...

 

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