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Guest commentary: A prescription for what's ailing ACOs

Guest commentary: A prescription for what's ailing ACOs

By Dr. Elliott Fisher, Judd Gregg and Dr. James Weinstein  |  February 27, 2015

New payment models adopted by Medicare and many health plans have clearly led to better care for patients. They also might be helping to slow the overall growth of healthcare spending. Whether these gains can be sustained, however, is far from certain. And because many providers are still sitting...

If fee-for-service is a problem, what's the solution?

By Paul Demko  |  February 25, 2015

The fee-for-service payment model for healthcare treatment may be withering, but there's little hard evidence that alternative payment models such as accountable care organizations will provide better care at a cheaper cost, experts agreed in a forum convened by the Federal Trade Commission.

Universal American reports smaller annual losses for 2014

By Melanie Evans  |  February 18, 2015

Universal American, a Medicare managed-care and accountable care operator, ended last year with smaller losses on its overall business and its accountable care organizations than those of the prior year.

Eased ACO rules aren't enough to lure more takers, healthcare groups say

By Melanie Evans  |  February 08, 2015

Some of the nation's most prominent healthcare groups are telling the Obama administration that its proposals to soften the financial risk involved in Medicare accountable care contracts won't be enough to make sure U.S. hospitals and doctors keep signing up.

Beware vaporware on value-based care

Beware vaporware on value-based care

By Merrill Goozner  |  January 31, 2015

The dictionary defines vaporware as a product that has been widely advertised but has not and may never become available. Last week's twin announcements on the imminent move to widespread value-based reimbursement in healthcare bring the concept to mind.

Where healthcare is now on march to value-based pay

Where healthcare is now on march to value-based pay

By Melanie Evans and Bob Herman  |  January 28, 2015

U.S. healthcare providers and insurers start from widely divergent places as some of the largest move to put most of their business into payment models that reward lower cost and higher quality care.

Medicare's payment reform push draws praise and fears

Medicare's payment reform push draws praise and fears

By Melanie Evans and Paul Demko  |  January 26, 2015

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.

Universal American still bullish on ACOs, as it exits more

By Melanie Evans  |  January 23, 2015

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.

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