By 2018, half of Medicare spending outside of managed care will be tied to incentives to manage quality and costs, federal officials said Monday. That was greeted with enthusiasm but also with warnings that the effort will be wasted if the new models are too weak or built on flawed measures.
Insurer Universal American further scaled back its participation in the Medicare Shared Savings Program in the final months of last year, exiting another six accountable care organizations. The publicly traded health insurer remains the largest single participant in the program.
Stony Brook University Hospital and not-for-profit Southampton Hospital, both in New York state, are closer to a merger that has been three years in the making. The merger is a step toward creating an accountable care organization that includes both facilities, hospital officials said.
Accountable care organizations across the country are in sharply different stages of aggregating and using patient data to improve quality of care and reduce costs.
By now, the accountable care organizations in the CMS Innovation Center's Pioneer ACO model were supposed to have shifted half their total business into risk-based contracts by selling the structure they honed in the federal program to Medicaid and private plans.
A joint venture with the large, California-based independent practice association is aimed at advancing Trinity's efforts to coordinate care for specific groups of patients.
If I believed in reincarnation, I would think that American hospital CEOs must have done something wicked in an earlier life to be condemned to their current role in this life.
As more employers explore the advantages of self-insurance and administrative services only contracts, insurers have to find innovative ways to appeal to employers and help them reduce costs and improve care.
The CMS Innovation Center paid $2.6 billion through September to hospitals, doctors and others through nearly two dozen programs that tested new ways to deliver healthcare and pay for it.
National pharmacy chain Walgreen Co. has exited two Medicare accountable care organizations, the second publicly traded company this year to scale back its investment in the closely watched Obamacare initiative that seeks to curb U.S. healthcare spending.
Hospitals and health systems have been rapidly employing physicians to help meet the goals of healthcare reform, but the integration has been far from smooth, a new report notes.
The holiday season is a time when we count our blessings and shower gifts on those we love. It's also the time when we vow to do better in the coming year.