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.
Reforming the Healthcare Delivery System
September 30th 2014At the America's Health Insurance Plans' National Conference on Medicare and Medicaid and Dual Eligibles Summit in Washington, DC, Patrick Conway, deputy administrator for innovation and quality and chief medical officer for CMS, spoke on the future of delivery system reform.
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For the Right Employers, ACOs Can Bring Shared Savings
September 29th 2014The accountable care organization, or ACO, can be a mechanism for employers to achieve healthcare savings, according to a just-published article in The American Journal of Accountable Care, the publication of The American Journal of Managed Care dedicated to healthcare reform.
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Employers May Find Savings From ACOs, Journal Reports
September 29th 2014The accountable care organization, or ACO, can be a mechanism for employers to achieve healthcare savings, according to a just-published article in The American Journal of Accountable Care, the publication of The American Journal of Managed Care dedicated to healthcare reform.
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American Journal of Managed Care's ACO Coalition to Meet in Miami
September 26th 2014The American Journal of Managed Care brings the next meeting of its ACO and Emerging Healthcare Delivery Coalition to the Miami Marriott Biscayne Bay October 16-17, 2014, where participants can learn and share best practices in an effort to improve overall patient outcomes.
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Three More Quit Medicare's Pioneer ACO Program
September 26th 2014Life for accountable care organizations (ACOs) in Medicare's Pioneer program appears to be as tough as that on the prairie itself: only the strongest are surviving. Yesterday, 3 more ACOs exited the program, according to numerous news reports. This morning the web site for the Centers for Medicare and Medicaid Services' Pioneer program listed only 19 ACOs from the original 32 that were part of the initiative when it launched in 2012.
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Alignment of Consumer and Provider Incentives: As Easy as Peanut Butter and Jelly
September 24th 2014The United States is in the throes of multiple experiments aimed to shift care delivery from a volume-based to a value-based system. This issue of AJAC examines a number of cutting-edge strategies.
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PCORI Announces Pilot Projects Program Awards Recipients
September 13th 2014The Patient-Centered Outcomes Research Institute (PCORI) has announced the approval of 50 research funding awards, totaling $30 million over two years, through its Pilot Projects Program, which will address a broad range of questions about methods for engaging patients in the health research and dissemination process.
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Kimberly Westrich Highlights How to Use Medications Thoughtfully in ACOs
September 9th 2014Kimberly Westrich, director for health services research for the National Pharmaceutical Council, explained why accountable care organizations should consider medications an essential part of condition management.
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$10 Billion in CMS Funding Aimed at Healthcare Innovation
August 15th 2014The Affordable Care Act was implemented to change healthcare in the United States. In order to support that change, the government established the Center for Medicare and Medicaid Innovation (CMMI)-a sector of the government agency that aims to incentivize innovation among providers and payers.
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