Pathways to a Successful Accountable Care Organization

Pathways to a Successful Accountable Care Organization PDF

Author: Peter A. Gross

Publisher: Johns Hopkins University Press

Published: 2020-08-18

Total Pages: 343

ISBN-13: 1421438259

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Gross, Brent Hardaway, Mark Hiller, Beth Ireton, Thomas Kloos, Jeremy Mathis, Miriam McKisic, Morey Menacker, Denise Patriaco, Elyse Pegler, John Pitsikoulis, Michael Schweitzer, Bryan F. Smith

Accountable Care Organizations: A Roadmap for Success: Guidance on First Steps

Accountable Care Organizations: A Roadmap for Success: Guidance on First Steps PDF

Author: Bruce Flareau

Publisher:

Published: 2011-04-01

Total Pages: 246

ISBN-13: 9780983482420

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Accountable Care Organizations: A Roadmap for Success, presents a culmination of important and timely issues being dealt with by healthcare providers, physician practices, insurers, and government agencies with regard to the movement for establishing accountable care organizations. The past decade has provided tremendous insights based on demonstrations and pilot projects related to healthcare quality and payment reform and led our nation to this point of transition in healthcare delivery system reform. The authors have examined a number of issues and pertinent literature from healthcare germane material, regulatory guidance, and historical legislation to support ideas and concepts presented. A number of models and illustrations are provided for readers to convey visually the underlying and most critical issues being discussed. NOTE: For information on quantity purchase discounts or ordering hard cover editions, please contact Convurgent Publishing, LLC.

Accountable Care Organizations

Accountable Care Organizations PDF

Author: Marc Bard

Publisher: ACHE Management

Published: 2011

Total Pages: 0

ISBN-13: 9781567934151

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Is the ACO strategy right for your organization? Accountable Care Organizations will help you understand the ACO framework and assess your readiness to embark on an ACO strategy. This book provides the structural blueprints, management skills, and cultural tools necessary to implement a successful ACO. Practical advice is bolstered with real world examples of leading healthcare providers that are pioneers in the rapidly changing world of accountable care. This guidebook is designed to facilitate critical conversations and decisions at all stages of the ACO development journey. Explore processes and structures and learn how to implement pilots to shape your own ACO delivery model. Each chapter includes takeaway points and tailored action steps for: (1) organizations interested in exploring the ACO concept, (2) organizations taking the first steps towards an ACO model, and (3) organizations already moving full speed ahead. This book will help you answer these questions and more: What does it take to become an ACO? What steps and actions should your organization take to implement an ACO strategy? How can organizational culture support your move to accountable care? How can you build a business plan to support an ACO strategy? What information technology is needed to implement an ACO strategy? How can an merging ACO best negotiate with third-party payers?

High Performance Accountable Care

High Performance Accountable Care PDF

Author:

Publisher:

Published: 2011

Total Pages: 40

ISBN-13:

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A key provision of the Affordable Care Act is the establishment of the Medicare Shared Savings Program, which provides incentives for improved quality and efficiency to a new category of provider - the accountable care organization (ACO). The program, slated to begin in January 2012, rewards groups of providers who agree to collaborate to offer more accountable, effective, and efficient care with a share of the savings they achieve. While the prospect of participating in this initiative has generated a groundswell of interest and activity among providers, many issues need to be addressed about the methods that will be used to determine how that accountability is to be achieved, assessed, and rewarded. This report provides recommendations for ensuring the successful implementation and spread of ACOs to achieve the goals of a high performance health system.

Telemedicine

Telemedicine PDF

Author: Dee W. Ford

Publisher: Springer Nature

Published: 2021-03-03

Total Pages: 200

ISBN-13: 3030640507

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This book provides an overview of key issues with regards to implementing telemedicine services as well as an in depth overview of telemedicine in pulmonary, critical care, and sleep medicine. Topics range from specific practices to program development. Telemedicine has experienced explosive growth in recent years and yet, implementing telemedicine solutions is complex with substantial regulatory, legal, financial, logistical, and intra-organization/intra-personal barriers that must be overcome. This book provides the necessary information and guidance to address those complex issues. This book is broadly divided into two parts 1) a primer on requisite steps before embarking on telemedicine service development and 2) specific applications and examples where telemedicine is successfully utilized to improve quality of care in pulmonary, critical care, and sleep medicine. The first part includes coverage of telemedicine and finance, regulatory and legal issues, and program development. The second part delves into specifics with information on ambulatory telemedicine programs, inpatient consultations, and tele-ICU programs. All chapters are written by interprofessional authors that are leaders in the field of telemedicine with extensive knowledge of diverse telemedicine programs and robust real-world experience on the topic. This is an ideal guide for telehealth program managers, and pulmonary, critical care, and sleep medicine professionals interested in improving their telehealth practice.

Accountable Care Organization 33 Success Secrets - 33 Most Asked Questions on Accountable Care Organization - What You Need to Know

Accountable Care Organization 33 Success Secrets - 33 Most Asked Questions on Accountable Care Organization - What You Need to Know PDF

Author: Stephen Acevedo

Publisher: Emereo Publishing

Published: 2014-10-30

Total Pages: 42

ISBN-13: 9781488865244

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An excellent Guide of Accountable Care Organization. There has never been a Accountable Care Organization Guide like this. It contains 33 answers, much more than you can imagine; comprehensive answers and extensive details and references, with insights that have never before been offered in print. Get the information you need--fast! This all-embracing guide offers a thorough view of key knowledge and detailed insight. This Guide introduces what you want to know about Accountable Care Organization. A quick look inside of some of the subjects covered: Accountable care organization - ACO Pilots and Learning Networks, Telepsychiatry - Routine Telepsychiatry, Catholic Healthcare West - History, Aco - Organizations, Fee-for-service - Health care, Accountable care organization - History, Health care reform in the United States - Patient Protection and Affordable Care Act, Chronic disease - Chronic diseases and US Health Care Reform, Accountable care organization - Patients, Affordable Care Act - Healthcare cost inflation, Health care reforms proposed during the Obama administration - Pilot programs, Accountable care organization - In the Affordable Care Act, Accountable care organization - Providers, Hennepin County Medical Center - History, Health information exchange - Established HIE communities, Independent Payment Advisory Board - Predicted outcomes, Medicaid expansion - Healthcare cost inflation, Accountable care organization - Challenges, Emergency Department - Non-emergency use, Blue Shield of California - History, Health care reforms proposed during the Obama administration - Overview, Health care reform debate in the United States - Proposed strategies for reform, CalPERS - Health benefits, Accountable care organization - ACO Quality Measures, Accountable care organization - Cost savings, Aco - Other uses, Emergency room - Non-emergency use, and much more...

The Healthcare Executive's Guide to ACO Strategy

The Healthcare Executive's Guide to ACO Strategy PDF

Author:

Publisher: Healthleaders Media, a Division of Blr

Published: 2012-03-29

Total Pages: 0

ISBN-13: 9781601468369

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The Healthcare Executive's Guide to ACO Strategy The Healthcare Executive's Guide to ACO Strategy is the first comprehensive book dissecting the integral components of ACOs from physician, provider, and payer views, including analysis of the CMS final regulations. In the wake of healthcare reform, ACOs continue to emerge as the care delivery and reimbursement model of the future. Get the book that provides specifics on incorporating accountable care structure and strategy into your organization so you can enter the ACO era prepared and positioned to succeed. Get expert advice on ACOs and the elements for success, including how to: Participate in the CMS Shared Savings program Distinguish the various characteristics of an ACO and its operations Understand how ACO reimbursement structure will work Evaluate the process of forming an ACO-including the legal, financial, IT, and governance requirements Fulfill important quality measures for an ACO Reshape and refine hospital-physician alignment strategies Table of contents: Chapter 1: ACCOUNTABLE CARE ORGANIZATION OVERVIEW What Is an ACO? The Logic of ACOs Basic ACO Tenets Key Characteristics of Accountable Care Chapter 2: HOW WE GOT HERE A Look Back at the 1980s and '90s The Alternatives to HMOs Medicare Prospective Payment System Physician-hospital Organizations Chapter 3: WHAT WE ANTCIPATE ABOUT THE ACCOUNTABLE CARE CONCEPT Accountable Care Organizations Why ACOs? What Will an ACO Look Like? Structural Change Challenges of Collaboration Chapter 4: PHYSICIAN-HOSPITAL INTEGRATION ACOs as a Driver of Alignment Different Alignment Models Continuum of Care and Integration Chapter 5: COMPENSATION AND ANTICIPATED CHANGES Historical and Current Reimbursement Structures Proposed Reimbursement Structures Medical Home Payment Models Chapter 6: ARE YOU READY FOR AN ACO ENVIRONMENT? Organizational Assessment Financing: Startup and Ongoing Expenses Market Assessment Chapter 7: LEGAL CONSIDERATIONS Requirements Governance Antitrust Issues Stark Law and Anti-kickback Statute Chapter 8: THE CMS SHARED SAVINGS PROGRAM Program Overview Shared Savings Program Tracts Interim Payment Option Chapter 9: BENCHMARKS FOR SHARED SAVINGS PROGRAM Assignment of Beneficiaries Cost Benchmarks Review of the Norton Healthcare and Dartmouth-Hitchcock Health Care System ACOs Chapter 10: QUALITY MEASURES Benchmarks, Standardization, and Protocols Utilization of Evidence-based Medicine Measuring Outcomes Patient Compliance Chapter 11: THE ROLE OF INFORMATION TECHNOLOGY Technology Considerations Health IT Market as it Relates to ACOs Harmonizing the ACO through Connectivity Chapter 12: PATIENT-CENTERED MEDICAL HOMES How Consolidation Has Shaped the Future Positioning for an Evolving Healthcare System What is the Patient-Centered Medical Home? Comparing ACOs and Medical Homes Chapter 13: Where Do We Go From Here? Form Physicians-Hospital Alliances Partner in the Delivery of Quality and Cost-effective Medical Care Review Current Compensation and Reimbursement Models Recap of ACO Programs

Accountable Care Organization A Complete Guide - 2020 Edition

Accountable Care Organization A Complete Guide - 2020 Edition PDF

Author: Gerardus Blokdyk

Publisher: 5starcooks

Published: 2019-09-23

Total Pages: 314

ISBN-13: 9780655927471

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Why is this Good for Providers? What would accountable care organizations be accountable for, and what would they do differently? How does the payment model work? What are the ACO models? What are the most effective strategies for improving quality and safety of healthcare? This breakthrough Accountable Care Organization self-assessment will make you the entrusted Accountable Care Organization domain standout by revealing just what you need to know to be fluent and ready for any Accountable Care Organization challenge. How do I reduce the effort in the Accountable Care Organization work to be done to get problems solved? How can I ensure that plans of action include every Accountable Care Organization task and that every Accountable Care Organization outcome is in place? How will I save time investigating strategic and tactical options and ensuring Accountable Care Organization costs are low? How can I deliver tailored Accountable Care Organization advice instantly with structured going-forward plans? There's no better guide through these mind-expanding questions than acclaimed best-selling author Gerard Blokdyk. Blokdyk ensures all Accountable Care Organization essentials are covered, from every angle: the Accountable Care Organization self-assessment shows succinctly and clearly that what needs to be clarified to organize the required activities and processes so that Accountable Care Organization outcomes are achieved. Contains extensive criteria grounded in past and current successful projects and activities by experienced Accountable Care Organization practitioners. Their mastery, combined with the easy elegance of the self-assessment, provides its superior value to you in knowing how to ensure the outcome of any efforts in Accountable Care Organization are maximized with professional results. Your purchase includes access details to the Accountable Care Organization self-assessment dashboard download which gives you your dynamically prioritized projects-ready tool and shows you exactly what to do next. Your exclusive instant access details can be found in your book. You will receive the following contents with New and Updated specific criteria: - The latest quick edition of the book in PDF - The latest complete edition of the book in PDF, which criteria correspond to the criteria in... - The Self-Assessment Excel Dashboard - Example pre-filled Self-Assessment Excel Dashboard to get familiar with results generation - In-depth and specific Accountable Care Organization Checklists - Project management checklists and templates to assist with implementation INCLUDES LIFETIME SELF ASSESSMENT UPDATES Every self assessment comes with Lifetime Updates and Lifetime Free Updated Books. Lifetime Updates is an industry-first feature which allows you to receive verified self assessment updates, ensuring you always have the most accurate information at your fingertips.

Accountable Care Organizations

Accountable Care Organizations PDF

Author: Robert Cimasi

Publisher:

Published: 2016

Total Pages: 377

ISBN-13:

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An accountable care organization (ACO) is a healthcare organization characterized by a payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for an assigned group of patients. Accountable Care Organizations: Value Metrics and Capital Formation explores the historical background and evolution of the ACO model as the basis for the development of the value metrics and capital formation analyses that are foundational to assessing the current efficacy and capacity for change. The book examines the four pillars of value in the healthcare industry: regulatory, reimbursement, competition, and technology in addressing the value metrics of ACOs, including requirements for capital formation, financial feasibility, and economic returns. It focuses the discussion of non-monetary value on a review of aspects of population health within the context of such objectives as improved quality outcomes and access to care. Explains why ACOs might be the cost-containment and quality improvement answer the industry has been looking for Describes the circumstances and capital structures where ACOs represent a sound investment Includes a foreword by Peter A. Pavarini, Esq. The book examines the positive externalities of the ACO model, including results for third parties outside the basic construct of the ACO contracts shared savings payments. It also discusses the potential role and opportunities for consultants in assisting their provider clients in the consideration, development, implementation, and operation of an ACO.