April 23rd 2025
Accountable care organizations (ACOs) are increasingly playing the role of data sleuths as they identify and report trends of anomalous billing in hopes of salvaging their shared savings. This mission dovetails with that of CMS, which under the new administration plans to prioritize rooting out fraud, waste, and abuse.
Panel: COVID-19 Presents Opportunity to Reform Health Care Payment, Delivery
February 17th 2021During a 2021 AcademyHealth National Health Policy Conference session, members of The Commonwealth Fund Task Force on Payment and Delivery System Reform discussed policy recommendations aimed at preparing the United States for future pandemics and addressing care inequities brought to light by the coronavirus disease 2019 crisis.
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Contributor: A Practical Path Forward to More Patient-Centered Value Assessment
February 16th 2021To ensure that value assessment accounts for patient needs, we need a better understanding of the outcomes that are most important to patients, write authors from COVIA Health Solutions and the University of Washington School of Pharmacy.
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Uncertainty From COVID-19 Delays Progress on the Road to Value-Based Cancer Care
October 30th 2020COVID-19 has created a significant distraction from normal practice operations. The uncertainty that comes along with the pandemic is a huge worry, and can distract from practice transformation.
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Whole-Person Health Care: Integrating Mental and Behavioral Health Into Primary Care
October 16th 2020Panelists highlight approaches for integrating behavioral and physical health into a whole-patient model and discuss emerging opportunities for the integration of behavioral mental health in value-based care.
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The second of a 5-part webinar series examining value assessment in the COVID-19 era hosted by ISPOR and the Innovation and Value Initiative (IVI) will explore whether the methods on which health economists have relied are up to the task or in need of improvement for the pandemic era.
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Experts Argue COVID-19 Provides Opportunity to Implement Value-Based Care Practices
August 13th 2020In a webinar, experts outlined challenges providers face amid the coronavirus disease 2019 (COVID-19) pandemic and the benefits of increased access to high-value care during the outbreak and beyond.
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Effective Care Management by Next Generation Accountable Care Organizations
A complex care management program implemented at 5 Next Generation accountable care organizations reduced all-cause inpatient admissions and total medical expenditures for participating beneficiaries.
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How Can Data Sharing Evolve Population Health Management?
June 25th 2020During the National Association of Accountable Care Organizations Virtual 2020 Spring Conference, panelists discussed how data sharing can be implemented in health care systems and spur the evolution of population health management.
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Accountable Care Organizations Are Increasingly Led by Physician Groups Rather Than Hospital Systems
May 14th 2020Since 2015, the majority of new accountable care organizations (ACOs) have been led by physician groups rather than hospital systems. This shift requires policies that address the characteristic strengths and weaknesses of physician-led ACOs.
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This Week in Managed Care: April 17, 2020
April 17th 2020This week, the top managed care news included a report that accountable care organizations may drop out of the Medicare Shared Savings Program; states and healthcare plans address unemployment brought on by COVID-19; a sneak peek of the virtual 2020 Community Oncology Conference.
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One Size Will Not Fit All: Factors That Drive Strategy in Accountable Care Organizations
April 6th 2020Differences in patients’ clinical and social complexity and accountable care organization (ACO) network configuration highlight why specific strategies may have variable effectiveness in different types of ACOs.
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Spending Variation Among ACOs in the Medicare Shared Savings Program
Analysis of spending differences among accountable care organizations (ACOs) may help identify cost savings opportunities. We examined the magnitude and sources of spending variation among ACOs over 4 years.
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Clinical Pathways: Reducing Costs and Improving Quality Across a Network
February 19th 2020As the cost of oncology drugs only continues to rise, incorporating clinical pathways into cancer care helps streamline the integration of evidence-based best practices while improving quality and reducing costs for patients and payers.
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