How ACOs Can Harness AI’s Transformative Potential
Strategies for building the datasets needed for ACOs to take advantage of artificial intelligence, manage costs and improve outcomes for all
The Importance of Continuous Iteration in Health Equity Plans for REACH ACOs
Next year REACH ACOs will have to show success in developing and maintaining comprehensive health equity plans, and by kicking the can down the road they risk not knowing enough about their patient population in terms of what works better and what doesn't. ACOs can pay in the effort of continuous iteration now or they can pay in poor health outcomes for their patients and the resulting increased costs. The choice is theirs, but one they each have to make.
At ViVE 2024, Panelists Share Prior Authorization Progress and Frustration in Payer Insights Program
At the Payer Insights sessions on Day 1 of ViVE 2024, a panel on prior authorization offered compelling insights from speakers who shared the positive developments in this area after years of mounting frustration. Speakers also shared challenges as they work with providers to figure out how policy developments and technology will work in practice.
Health Equity and the Push to Value-Based Care
To effectively reduce disparities and improve the quality and coordination of care, government, providers, and healthcare organizations are beginning to collaborate on how to best address the factors driving gaps between populations.
Examining the value-based care approach: How improved data models and analysis can remedy inequities
By building greater understanding of context and flexibility into alternative payment models and enabling providers to make data-driven choices, we can begin to address inequities burdening VBC and help ensure APMs remain viable and enticing for healthcare providers.
UnityPoint Health, b.well Connected Health partner to implement digital-first consumer strategy
The Iowa-based health system will leverage b.well Connected Health's platform and services to enable patients to view and share their health data. The platform will also allow patients to access all of UnityPoint's digital tools in one location.
Akron Children’s, CareSource to launch ACO
Dubbed the Akron Children's Health Collaborative, the pediatric ACO will focus on improving care for the approximately 100,000 children in Ohio covered by Medicaid whose benefits are managed by CareSource.
Using Informed Awareness to Transform Care Coordination and Improve the Clinical and Patient Experience
This eBook, in collaboration with Care Logistics, details how hospitals and health systems can facilitate more effective decision-making by operationalizing elevated awareness.
CMS’ Next Generation ACO Model to end this year
In a move that ACOs found "disappointing," CMS has declined to extend the Next Generation ACO Model beyond 2021. Though evaluations have found that the model did not generate net savings for Medicare, proponents argue that the program was successful.
Intermountain, UnitedHealthcare create ACO for Medicare Advantage members
The health system and payer will coordinate care for eligible Medicare Advantage patients through the ACO, with the aim of improving health outcomes and reducing costs. The ACO expands a long-standing relationship between the two entities.
Covid-19 shows primary care’s value to diverse communities and how to pay for it
While sticking with fee-for-service is doubling-down on a losing bet, primary care capitation is a far more rational payment model that can help bring equity to healthcare.
Cleveland Clinic teams up with Aetna to launch insurance plan
The Cleveland Clinic struck a partnership with CVS Health subsidiary Aetna to form a new accountable care organization (ACO). The two companies plan to launch a co-branded insurance plan this fall.
Unlocking Transparency in PBM Pricing
The TSX Venture Exchange has a strong history of helping early-stage health and life sciences companies raise patient capital for research and development.
ACO-builder Aledade raises $64M
Aledade, a health IT company founded by former national health IT coordinator Dr. Farzad Mostashari, raised $64 million in funding. Aledade operates ACOs with more than 550 independent physician practices.
The Impact of ED Optimization on ACOs
The key to improvement lies in ED optimization
Cigna Ventures leads $29.5M investment in healthcare analytics company
Massachusetts-based Arcadia raised growth capital from Cigna Ventures and existing investors. The company aggregates data from health record systems and uses it to drive improvements in performance.
Risky Business: ACO checklist for 2020 includes embracing new payment models and physician re-engagement
The key for ACO success this new year and in the coming years, based on the experience of high-performing organizations, is to focus on the basics of patient and physician engagement.
Advocating for evolution, not disruption, in healthcare
Healthcare doesn’t shatter and reanimate as the terms "disruption" and "disruptive innovation" suggest. It evolves. Even groundbreaking technologies in history show the transformation happening over time and with continuous building upon prior advances.