Sarah O'Hara on January 25, 2013 |
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Topics: Clinical Integration, Hospital-Physician Alignment, Physician Issues, Accountable Care, Market Trends, Strategy, ACO
Clinical integration (CI) is evolving. Many networks are moving past basic performance improvement to take on more advanced challenges around care transformation and population management.
Our new publication, Next-Generation Clinical Integration, explores this journey and offers guidance for CI networks looking to accelerate their own transition to population accountability.
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Announcing a new publication: Next-Generation Clinical Integration
Sarah O'Hara on October 28, 2011 |
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Topics: Clinical Integration, Hospital-Physician Alignment, Physician Issues, Accountable Care, Market Trends, Strategy
With the release last week of CMS’ final rule for the Medicare Shared-Savings Program, many clinical integration (CI) programs may be wondering what the changes mean for them. Our take: with lower eligibility hurdles and less onerous participation criteria, joining the program is now a more attractive prospect for providers, and CI programs especially—already down the road toward building a care management infrastructure—should take a second look. Read on for more of our thoughts on what the final rule may mean for CI programs.
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What the Shared Savings Program Final Rule Means for CI Programs
on June 17, 2011 |
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Topics: Clinical Integration, Hospital-Physician Alignment, Physician Issues, Medicare, Reimbursement, Finance, Payer and Regulatory Policy, Market Trends, Strategy
Sarah O'Hara, Health Care Advisory Board
Would advance payment from CMS encourage more organizations to participate in the Medicare Shared-Savings Program? Testing the waters with this idea, CMS has asked for comments on a proposed Advance Payment Initiative, in which organizations interested in forming an ACO, but lacking the capital to do so, could be fronted a portion of their future shared savings to support infrastructure investment costs. In a CMS-sponsored conference call earlier this week, several organizations weighed in, largely arguing that the effectiveness of advance payment will depend on how much money's made available when--and how much has to be paid back. Read on for more.
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Showing you the money, up front: CMS weighs advance ACO payment