April 27, 2017

ACO roundup: How to pick the right Medicare ACO program

Daily Briefing
    • Accountable care pays off in Rhode Island. Rhode Island's decision last year to launch Medicaid accountable care organizations (ACOs) has improved the cost of care for the most complex patients and helped curb overall health care costs in the state, according to Jim Fanale, chief clinical officer at Care New England. Fanale said prior to the ACOs, "the coordination of services was so fragmented that the most complex patients would default to the highest-cost setting, which is the inpatient unit." Today, more than 100,000 Rhode Island Medicaid beneficiaries are part of an ACO, according to the state Office of Health & Human Services.

    • Partners Healthcare teams up for interoperability. The health system has launched a joint venture with Persistent Systems to create an open platform for information exchange across health care providers. The four-year collaboration will be open-source, meaning the software can be modified by others, and aims to boost population health among other care transformation goals.

    • New Jersey collaborative cuts ED utilization. Providers increasingly are focusing on the social determinants of health to rein in health care spending associated with so-called "super-utilizers," Kaiser Health News (KHN) reports. For instance, Jeffrey Brenner—a family physician in Camden, New Jersey—and a team of social workers at the Camden Coalition are using ED data to map concentrations of super-utilizers and help with tasks like finding housing. According to KHN, the model has resulted in significant savings: ED visits fell by 40 percent and monthly hospital bills decreased from $1.2 million to $500,000 among the model's first group of patients.

    From Advisory Board:

    • How to build data-driven initiatives. Join us on May 1 to learn best practices for identifying growth opportunities and translating them into outreach initiatives so that your efforts are measurable and in line with organizational goals.

    Register now

    • Health care reform beyond the ACA. Join us May 2 to explore what the Trump administration and GOP-controlled Congress will mean for the future of coverage expansion, payment reform, and federal entitlement programs.

    Register now

    • How to pick the right Medicare ACO program. With the government’s continued focus on alternative payment models and the implementation of MACRA underway, providers must confront major Medicare contracting decisions. Join us on May 12 to learn how to evaluate risk for your fee-for-service Medicare population with the Health Care Advisory Board’s latest analysis of the Medicare ACO programs.

    Register now

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