North Carolina hospitals and doctors say the state's push to institute Medicaid managed care will reduce services for the poor and shortchange providers despite the legislation giving them the opportunity to bid on the contracts.
Universal American has agreed to sell its underperforming traditional insurance businesses at a steep loss, and will invest more in its core Medicare plans and accountable care models.
The CMS announced on Wednesday the first suite of accountable care organization models specifically geared toward treatment of end-stage renal disease.
Patient needs, demographics and market forces make it clear we must end our dysfunctional relationship with fee-for-service and embrace risk-based coordinated care, writes the head of CAPG, which represents physician organizations practicing capitated, coordinated care.
Modern Healthcare recently hosted a webinar that featured a leadership panel willing to share their views on the importance of health IT systems, the challenges associated with implementation and their advice for other accountable care organizations. Here is an edited transcript of that discussion.
Joe Mullany, CEO of the Detroit Medical Center, discusses how his system's Medicare Pioneer ACO has achieved successful results and the challenges and rewards of operating in economically troubled Detroit.
The CMS' Pioneer accountable care organizations are reducing the number of services they provide to patients that have minimal clinical benefit, a study in JAMA Internal Medicine found. The results suggest that the ACO program is having its intended effect.
While value-based payment and delivery innovations by Medicare and commercial insurers have gotten more media attention, some experts say Medicaid has proven more fertile ground for innovation.
When patients have to go to the hospital, they're likely to choose a facility that employs their doctor, a new study suggests. The study, which finds that patients of independent doctors often choose low-cost and high-quality hospitals, hints that not all organizations are successfully integrating...
Accountable care organizations in Medicare's Shared Savings Program get to decide for themselves how to distribute bonuses, and primary-care doctors appear to be benefiting the most, according to a review of disclosures by the participants.
Three out of four Medicare accountable care organizations did not slow health spending enough to earn bonuses last year, a continuation of mixed results for an initiative that federal officials have targeted for rapid expansion.
Dave Blom, CEO of Columbus-based OhioHealth, talks about the impact of Medicaid expansion, Ohio Gov. John Kasich's role in implementing that expansion, electronic health-record interoperability, and his approach to motivating employees.