ACO roundup: Boeing adds new direct contracts with health systems

Key accountable care news from July 30 to Aug. 5

The Daily Briefing editorial team rounds up accountable care news from the last week.

Lots of PCPs are unsure if ACOs improve quality of care. A new survey of more than 1,600 primary care physicians (PCPs) and other providers by the Kaiser Family Foundation and the Commonwealth Fund finds that just 14% of PCPs feel ACOs are having a positive effect on quality of care, including 30% of PCPs participating in ACOs. About 24% of all PCPs respondents that are participating in ACOs said the organizations are having a negative effect on care quality, 20% said they are having no effect, and 25% said they were unsure.  

Premier Health and Humana partner on new accountable care initiative. Dayton, Ohio-based Premier announced that it has agreed to a value-based contract with Humana to offer in-network care to about 30,000 of Humana's Medicare Advantage members in southwest Ohio. The new agreement includes value-based payments tied to performance and quality improvement metrics. 

Boeing expands the use of value-based contracts directly with providers. The aerospace giant Boeing recently entered into direct contracts with two health systems: Roper St. Francis Health Alliance in South Carolina and Missouri-based Mercy. Under the arrangements, which will be available to about 19,000 Boeing employees for 2016, the systems have agreed to hit certain cost, patient satisfaction, and quality targets. The latest deals are in addition to similar arrangements Boeing has with University of Washington Medicine and Providence Health & Services.

From the Advisory Board:

CMS to test new models of cardiovascular care. Providers are now eligible to participate in a five-year test of a new CMS care delivery and payment model that could result in some serious returns for some. The Million Hearts Cardiovascular Disease Risk Reduction Model, set to launch in January 2016, will enroll 720 total practices to test new cardiovascular disease risk reduction among certain Medicare beneficiaries.

Think readmission reduction is hard? It's about to get harder. With readmission penalties for certain patients kicking in October 2016, cardiovascular leaders have to switch gears from managing just heart failure and heart attack readmissions to focusing on a procedural patient population with complex needs. Here's how to start preparing.

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