Rhode Island's Medicaid managed-care program improved after the state launched Medicaid accountable-care organizations. Medicaid plans oversee groups of providers that are responsible for performing well on quality, outcomes and cost.
Under the Accountable Health Communities model, organizations will test ways to improve collaboration between healthcare providers and the local community and better address the social determinants of health.
As healthcare reformers search for the key to a successful accountable care organization, they should look very carefully at one important but overlooked factor that could significantly affect the model's effectiveness in lowering costs and improving quality, a new study suggests.
The CMS is trying to boost patient and provider participation in accountable care organizations by automating the process to pair patients with doctors enrolled in the care models.
Post-acute care is fertile ground for ACOs to reduce spending, one study discovered. Meanwhile, when states use contrasting approaches for Medicaid ACOs, there won't necessarily be a clear winner, found another.
The accountable care organization is loosely defined as a collection of doctors, hospitals and other providers who agree to take financial responsibility for the quality of care. Proponents argue they have great potential to improve healthcare value.
The agency said Wednesday that 359,000 clinicians would participate in four alternative payment models, including accountable care organizations, in 2017.
The CMS next year will ask Medicare beneficiaries how their providers are doing under new payment models aimed at improving the quality of care while lowering cost. But critics say it's not likely to help consumers.
The CMS has approved a waiver that will allow Massachusetts to overhaul its Medicaid program by putting its beneficiaries into accountable care organizations.
What groups are responsible for tackling social determinants of health, how their efforts should be funded, and what models actually work are a few of the challenges in efforts to improve population health.
How healthcare organizations are creating fully connected point of care ecosystems to help ensure a seamless patient experience.
Experts speaking this week at a University of Chicago symposium on the Affordable Care Act agree the healthcare law is a step toward fixing a broken system by incentivizing physicians to produce better outcomes, but on the road to paying for value instead of volume, the industry has miles to go.