Emory Healthcare launches accountable care plan with Walmart

FierceHealthIT

A slightly different twist on the traditional ACO arrangements makes the Walmart-Emory Healthcare agreement one to watch, says Hunter Sinclair, vice president of value-based care consulting at The Advisory Board Company. As part of the deal, Emory is also included in Walmart's Centers of Excellence program, launched in 2013

Farzad Mostashari: CMS should look to Medicare Advantage to improve accountable care

FierceHealthIT

HHS Secretary Alex Azar has made it clear that the transition to value-based care is one of his priorities. To help meet that goal and support accountable care organizations, he should look to Medicare Advantage for inspiration, say Farzad Mostashari, M.D., and Travis Broome

Health Care for a Typical Working Family of Four in America Will Cost $28,166 in 2018

Health Populi

The $28,166 includes inpatient facility care (e.g., hospitalizations), outpatient facility care (e.g., Note in the second chart that inpatient care is the largest component of medical spending, closely followed by professional services which, together, equals 60% of spending.

Accountable care needs to help patients as well as cut costs

FierceHealthIT

Two JAMA articles regarding value-based care suggest that accountable care organizations must help patients as well as they cut costs and reduce unnecessary care. One article lays the framework for an alternative payment model, the other calls for more teamwork to advance value-based care

The confluence of value-based care and population health

Health Blawg

In the weeks leading up to the HIMSS 2018 conference in early March, I posted a question to the HIMSS community (45,000 strong in person at the conference and over 180,000 strong on the Linked In group), seeking to encourage conversation about the intersection of value-based care and population health. We are certainly hurtling along the value-based care trajectory, and may not have the opportunity to make more that just a few mid-course corrections. Health Care Law and Consulting.

Full-Year Results for Shared Savings Program

BHM Healthcare Solutions

Clinical Operations Improvement Health Insurance Accountable Care Organizations ACO Benefits of ACO PayersEditor’s Note: ACO success factors center on certain best practices including the development of internal best practices addressing efficiencies and increasing member value.

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Medicaid’s Telehealth Expansion Waiver Changes ACO Restrictions

TeleMental Health blog

Blog Accountable Care Organizations Behavioral Telehealth Centers for Medicare & Medicaid Services How to Stay Out of Hot Water: Telehealth Documentation! For years, the CMS and Medicare have been open to recognizing telehealth. Although telehealth is covered, there are restrictions. For instance, to date, Medicare has limited its coverage to serving only clients/patients in rural Health Professional Shortage Areas (HPSA). As … Read more.

Medicaid’s Telehealth Expansion Waiver Changes ACO Restrictions

TeleMental Health blog

Blog Reimbursement Strategies: Increasing Authorization & Payment TMHI Certification Program Accountable Care Organizations Centers for Medicare & Medicaid Services How to Stay Out of Hot Water: Telehealth Documentation! For years now, the CMS and Medicare have been open to recognizing telehealth. Although telehealth is covered, there are restrictions. For instance, Medicare limits its coverage to rural Health Professional Shortage Areas (HPSA).

Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

This selection focuses on interoperability, the patient matching technology that undergirds aspects of interoperability, and the benefits of these technologies in the development of tools to manage patient journeys in a manner that engages patients, caregivers and providers as partners in care, advancing the quadruple aim. As a result, healthcare providers are now more interested in workflow optimization, in care journey optimization. Health Care Law and Consulting.

Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation. to support ACO care coordination for a population of patients). Health Care Law and Consulting.

EHR 78

Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation. to support ACO care coordination for a population of patients).

EHR 78

Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation. to support ACO care coordination for a population of patients). Health Care Law and Consulting.

EHR 78

Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation. to support ACO care coordination for a population of patients).

EHR 78

Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation. to support ACO care coordination for a population of patients).

EHR 78

Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation. to support ACO care coordination for a population of patients). Health Care Law and Consulting.

EHR 78

Cindy Friend, Caradigm and Population Health – Harlow on Healthcare

Health Blawg

Caradigm is focusing on population health by stratifying patients with multiple chronic conditions, and supporting ACOs in managing their care. PHQ-9’s may be administered by primary care providers), so that the behavioral health data may be integrated into the analytics framework used to manage population health. Health Care Law and Consulting. David Harlow The Harlow Group LLC Health Care Law and Consulting.

Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We kicked off our conversation by looking at value-based care and what it will take to achieve its promise. John called value-based care a Gordian knot. The fee for service model predominates in healthcare, and it is recognized by just about everyone — economists, politicians, health care folks — as unsustainable. One key issue is provider readiness for change, since we have “a sick care system, not a health care system.”

Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

Maintaining patient identities across care settings improves the quality of the longitudinal record, with both clinical and payment data, and improving consent management, privacy protections and communications will improve patient buy-in. That generates a call from the care team to the ED.

Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

Maintaining patient identities across care settings improves the quality of the longitudinal record, with both clinical and payment data, and improving consent management, privacy protections and communications will improve patient buy-in. That generates a call from the care team to the ED.

Will Vertical Integration Kill the Primary Care Practice?

Health Blawg

The very idea of collapsing four of the five dominant national health care insurance companies into two was therefore a nonstarter. Health insurance, pharmacy and urgent care all under one roof. Meanwhile, many traditional primary care providers are running scared.

Will Vertical Integration Kill the Primary Care Practice?

Health Blawg

The very idea of collapsing four of the five dominant national health care insurance companies into two was therefore a nonstarter. Health insurance, pharmacy and urgent care all under one roof. Meanwhile, many traditional primary care providers are running scared.

CMS Pushes ACOs to Take on Risk with Overhaul of MSSP

BHM Healthcare Solutions

The proposal would hold ACOs in two-sided models accountable for losses even if they exit midway through a performance year. Clinical Operations Improvement Health Insurance Accountable Care Organizations ACO Benefits of ACO Payers

Population Health Management Update: Numerof Survey Report

BHM Healthcare Solutions

Editor’s Note: Population health management has become a national topic of conversation, but to date little effort has been devoted to tracking the actual progress that’s been made toward this new model of care.

The confluence of value-based care and population health

Health Blawg

In the weeks leading up to the HIMSS 2018 conference in early March, I posted a question to the HIMSS community (45,000 strong in person at the conference and over 180,000 strong on the Linked In group), seeking to encourage conversation about the intersection of value-based care and population health. We are certainly hurtling along the value-based care trajectory, and may not have the opportunity to make more that just a few mid-course corrections. Health Care Law and Consulting.

The confluence of value-based care and population health

Health Blawg

In the weeks leading up to the HIMSS 2018 conference in early March, I posted a question to the HIMSS community (45,000 strong in person at the conference and over 180,000 strong on the Linked In group), seeking to encourage conversation about the intersection of value-based care and population health. We are certainly hurtling along the value-based care trajectory, and may not have the opportunity to make more that just a few mid-course corrections. Health Care Law and Consulting.

The confluence of value-based care and population health

Health Blawg

In the weeks leading up to the HIMSS 2018 conference in early March, I posted a question to the HIMSS community (45,000 strong in person at the conference and over 180,000 strong on the Linked In group), seeking to encourage conversation about the intersection of value-based care and population health. We are certainly hurtling along the value-based care trajectory, and may not have the opportunity to make more that just a few mid-course corrections. Health Care Law and Consulting.

The confluence of value-based care and population health

Health Blawg

In the weeks leading up to the HIMSS 2018 conference in early March, I posted a question to the HIMSS community (45,000 strong in person at the conference and over 180,000 strong on the Linked In group), seeking to encourage conversation about the intersection of value-based care and population health. We are certainly hurtling along the value-based care trajectory, and may not have the opportunity to make more that just a few mid-course corrections. Health Care Law and Consulting.

Paving the way for “Fee For Value” with Health Catalyst’s CEO Dan Burton — Harlow on Healthcare

Health Blawg

I spoke with Dan Burton , CEO of Health Catalyst , about the range of his company’s work with health care systems when we met at HIMSS 2018. Dan noted that the transition to value-based payment for health care services is going more slowly that one might thing form reading the headlines. Health Care Law and Consulting. I spoke with Dan Burton, CEO of Health Catalyst, about the range of his company's work with health care systems when we met at HIMSS 2018.

Paving the way for “Fee For Value” with Health Catalyst’s CEO Dan Burton — Harlow on Healthcare

Health Blawg

I spoke with Dan Burton , CEO of Health Catalyst , about the range of his company’s work with health care systems when we met at HIMSS 2018. Dan noted that the transition to value-based payment for health care services is going more slowly that one might thing form reading the headlines. Health Care Law and Consulting. I spoke with Dan Burton, CEO of Health Catalyst, about the range of his company's work with health care systems when we met at HIMSS 2018.

Paving the way for “Fee For Value” with Health Catalyst’s CEO Dan Burton — Harlow on Healthcare

Health Blawg

I spoke with Dan Burton , CEO of Health Catalyst , about the range of his company’s work with health care systems when we met at HIMSS 2018. Dan noted that the transition to value-based payment for health care services is going more slowly that one might thing form reading the headlines. Health Care Law and Consulting. I spoke with Dan Burton, CEO of Health Catalyst, about the range of his company's work with health care systems when we met at HIMSS 2018.

Paving the way for “Fee For Value” with Health Catalyst’s CEO Dan Burton — Harlow on Healthcare

Health Blawg

I spoke with Dan Burton , CEO of Health Catalyst , about the range of his company’s work with health care systems when we met at HIMSS 2018. Dan noted that the transition to value-based payment for health care services is going more slowly that one might thing form reading the headlines. Health Care Law and Consulting. I spoke with Dan Burton, CEO of Health Catalyst, about the range of his company's work with health care systems when we met at HIMSS 2018.

Paving the way for “Fee For Value” with Health Catalyst’s CEO Dan Burton — Harlow on Healthcare

Health Blawg

I spoke with Dan Burton , CEO of Health Catalyst , about the range of his company’s work with health care systems when we met at HIMSS 2018. Dan noted that the transition to value-based payment for health care services is going more slowly that one might thing form reading the headlines. Health Care Law and Consulting. I spoke with Dan Burton, CEO of Health Catalyst, about the range of his company's work with health care systems when we met at HIMSS 2018.

ACO Lessons Learned: Revisiting the Timing of Downside Risk

E-CareManagement Blog

The editor and publisher of Accountable Care News have been generous in allowing me to republish my article from the November 2014 issue. Care Providers & Care Coordination Health Policy/Reform accountable care ACO capitation Medicare Shared Savings Program

BCBSIL Refuses to Negotiate Jointly With “Affiliated” Providers. Now What?

E-CareManagement Blog

Tensions between health plans and care providers have taken an fascinating turn in Chicago. Blue Cross Blue Shield of Illinois (BCBSIL) is refusing to allow care providers “affiliated” through a clinical integration agreement to negotiate contracts jointly.

Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

This selection focuses on interoperability, the patient matching technology that undergirds aspects of interoperability, and the benefits of these technologies in the development of tools to manage patient journeys in a manner that engages patients, caregivers and providers as partners in care, advancing the quadruple aim. As a result, healthcare providers are now more interested in workflow optimization, in care journey optimization. Health Care Law and Consulting.

Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

This selection focuses on interoperability, the patient matching technology that undergirds aspects of interoperability, and the benefits of these technologies in the development of tools to manage patient journeys in a manner that engages patients, caregivers and providers as partners in care, advancing the quadruple aim. As a result, healthcare providers are now more interested in workflow optimization, in care journey optimization. Health Care Law and Consulting.

Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

This selection focuses on interoperability, the patient matching technology that undergirds aspects of interoperability, and the benefits of these technologies in the development of tools to manage patient journeys in a manner that engages patients, caregivers and providers as partners in care, advancing the quadruple aim. As a result, healthcare providers are now more interested in workflow optimization, in care journey optimization. Health Care Law and Consulting.

Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

This selection focuses on interoperability, the patient matching technology that undergirds aspects of interoperability, and the benefits of these technologies in the development of tools to manage patient journeys in a manner that engages patients, caregivers and providers as partners in care, advancing the quadruple aim. As a result, healthcare providers are now more interested in workflow optimization, in care journey optimization. Health Care Law and Consulting.