One large health system in North Carolina is ready to launch a Medicare Advantage plan, and two others are mulling the pros and cons of entering the insurance business.
One large health system in North Carolina is ready to launch a Medicare Advantage plan, while two others are mulling the pros and cons of becoming a payer. The state is a microcosm of health system discussions across the nation.
Most industry leaders believe that, in the near future, fee-for-service payment will be replaced by “population-based payment.” However laudable the goal, the expected shift to population-based payment is unlikely to materialize.
Hundreds of private-sector ACOs are taking shape across the country. For some, these deals will prepare providers and payers for fully capitated arrangements in which providers are paid a global fee per member for managing an enrolled population's healthcare.
The estimated number of Americans covered by accountable care organizations shot up 30.7% between 2014 and 2015, while the total number of ACOs ticked up only slightly from 726 to 738, according to Modern Healthcare's annual list of ACOs by state.
The Occupational Safety and Health Administration has announced that it will crack down on hospitals and nursing homes for workplace hazards that aren't covered by formal rules.
The CMS is making it easier for rural healthcare providers and small physician groups to participate in Medicare accountable care organizations.
Arcadia Healthcare Solutions, a provider of software that analyzes and aggregates electronic health-record data, has acquired Sage Technologies, which makes management and analytics software for managed-care businesses and accountable care organizations.
New Medicare rules could decrease incentives for hospital overuse and curb visits to low-quality nursing homes. The same rules, however, could boost incentives for misuse of costly skilled-nursing care.
Dr. Matthew Wayne has been named CMO of Akron, Ohio-based Summa Health's physician group and NewHealth Collaborative, the system's accountable care organization.
The CMS is offering more flexibility to Medicare accountable care organizations under a new final rule. The revisions are intended to maintain the program's rigor while retaining providers.
Despite the Obama administration's efforts to retain and attract participation in the Medicare Shared Savings Program for accountable care organizations, some may walk away because the agency failed to budge on some of their concerns.