e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

ACOs: We’re NOT There Yet

by Brian Klepper On The Health Care Blog, veteran analyst Vince Kuraitis reviews a report from the consulting firm Oliver Wyman (OW), arguing that the trend toward reconfiguring health systems to deliver more accountable care is more widespread than any of us suspect. “The healthcare world has only gotten serious about accountable care organizations in [...]

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Are Hospital Business Models on a Burning Platform? Not Yet, But It’s Inevitable.

From reading recent headlines, one might easily get the impression that hospitals are resistant — or at least ambivalent — in their pursuit and adoption of accountable care initiatives. Are Hospitals Dragging their Feet on Accountable Care? Commonwealth Fund: “only 13 percent of hospital respondents reported participating in an ACO or planning to participate within [...]

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Hospitals…Thinking About Getting Into Health Insurance? 6 Reasons To Lie Down Until the Urge Goes Away.

Greg Masters reports on a recent Kaiser Health News article: Hospitals Look to Become Insurers, As Well as Providers of Care”. This is the dumbest idea I’ve heard since “I’m going to invest all my money in Facebook’s IPO and get rich!” Here are six reasons why: Tags: accountable care, health plaln, hospital

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Medicare Announces 27 ACOs. A New Species?

I’m surprised and intrigued by Medicare’s announcement of 27 new Shared Savings model ACOs. Surprised I had been anticipating this announcement as a defining moment for Medicare’s thrust into accountable care. My expectations had been that we would see either: Boom — a big splash of new Medicare shared savings ACOs announced, including big name [...]

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Will Health Plans Want to Contract with ACOs? Maybe, Maybe Not.

On the Perficient Health IT blog, Christel Kellogg writes: I am hearing that carriers are staying away from ACOs and are not planning on partnering.  What have you heard? This is one of those blip-on-the-radar-screen comments that jarred my attention — and it raises very important questions about industry dynamics. First, let me expand on the issue.  [...]

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Leavitt ACO Report: Overstating or Understating Accountable Care Activity?

Accountable Care Organizations (ACOs) have been likened to a unicorn — a fantastic creature that is vested with mythical powers. But no one has actually seen one. a camel — a horse designed by a committee, one that already has its nose in the tent With this background, you can begin to appreciate the difficulty of [...]

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Employers Perceive that Health Plans Add Value to ACOs

A just released study from Aon Hewitt and Polakoff Boland — 2011 Employer Driven Accountable Care Organizations Survey Report — examines employer attitudes toward ACOs.  The report provides useful insights into an area that hasn’t yet received much attention. A couple tables in particular caught my attention. (click on the graphic to view a larger version) Key findings in [...]

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Physician-Hospital Relationships: The Hospital Morphs from Revenue Center to Cost Center

by Vince Kuraitis JD, MBA and Jaan Sidorov MD, MHSA, FACP In our introductory posting of this series, we noted that economic incentives previously aligning doctor-hospital interests were changing. This creates the potential for The 100 Year Shift – physicians awakening to possibilities for stronger partnerships with payers than with hospitals. In this post, we [...]

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Payment Transformation: From Volume to Value

by Jaan Sidorov MD, MHSA, FACP and Vince Kuraitis JD, MBA In our introductory posting, we suggested that a huge shift is underway in the health care industry.  Decades of hospital-physician cooperation are not only eroding, we suggest this trend could accelerate.  Instead of a natural clinical and economic affinity with hospitals, we foresee the [...]

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