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Accountable care eases Medicaid pain in Rhode Island

By Virgil Dickson  |  April 22, 2017

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.

Inspecting the role of the physician in ACOs

Inspecting the role of the physician in ACOs

By Elizabeth Whitman  |  April 04, 2017

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.

CMS seeks to attract more patients, docs to ACOs

CMS seeks to attract more patients, docs to ACOs

By Virgil Dickson  |  March 23, 2017

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.

Studies underscore importance of nuances, time in judging ACOs

By Elizabeth Whitman  |  February 13, 2017

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.

A tale of two accountable care organizations

A tale of two accountable care organizations

By Elizabeth Whitman  |  February 04, 2017

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.

CMS survey of patients under MIPS not likely to shed light

By Virgil Dickson  |  November 18, 2016

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.

ACA faces challenges in moving healthcare from volume to value

ACA faces challenges in moving healthcare from volume to value

By Shelby Livingston  |  November 01, 2016

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.

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