By Rachel Regan and John Toussaint, MD, as posted at Pharmacy Times Accountable care organizations (ACOs) are groups of doctors, hospitals, and other health care providers, such as pharmacists, who come together voluntarily to give coordinated high-quality care to their Medicare patients. The goal of coordinated care is to ensure that patients, especially the chronically […]
Category Archives: Payment Reform
Four years of nation-wide testing by The Centers for Medicare and Medicaid Services (CMS) has now proven that the current shared savings payment models do not work effectively for low-cost Accountable Care Organizations (ACOs). High-cost ACOs have more room to improve and therefore more opportunity for savings. In this Health Affairs blog, David Krueger, M.D., […]
This article by John Toussaint, David Krueger, Stephen M. Shortell, Arnold Milstein, and David M. Cutler, is available at http://authors.elsevier.com/a/1RhPA7tCW1aw~q Abstract The independent Office of the Actuary for CMS certified that the Pioneer ACO model has met the stringent criteria for expansion to a larger population. Significant savings have accrued and quality targets have been met, so the […]
A Selected Case Study in Healthcare Innovation and Transformation Looking Beyond Fee for Service by Rachel Regan Program Description: Until now, experiments using alternative payment methods to meet similar objectives have shown mixed results. Wisconsin’s Statewide Value Committee (SVC), a multi-stakeholder group working to accelerate the improvement of the healthcare system, began new discussions to […]
GREEN BAY – As a cost-conscious consumer, you wouldn’t pay $3 a gallon for gas if across town you could buy it for $2.50. But whether you realize it or not that’s what you’re doing with health care. FOX11 Investigates found hospitalization cost figures, provided by Green Bay’s four hospitals, show a wide range of […]
HHS has set a goal of tying 30 percent of traditional, or fee-for-service, Medicare payments to quality or value through alternative payment models, such as Accountable Care Organizations (ACOs) or bundled payment arrangements by the end of 2016, and tying 50 percent of payments to these models by the end of 2018. HHS also set […]
We are looking for Wisconsin healthcare leaders to participate in an innovative project to develop and submit a State Health System Innovation Plan. Click image to read about this important project!
While reporting on the rollout of the Affordable Care Act, journalist Steven Brill was diagnosed with a life-threatening condition that required heart surgery. “There I was: a reporter who had made hospital presidents and hospital executives and health care executives and insurance executives sweat because I asked them all kinds of questions about their salaries […]
Doing the right thing for the health of a population – in this case improving the health of children with asthma – illustrates exactly why our healthcare system must change. David Bailey, a doctor and CEO of Healthcare Value Network member Nemours, shares his experience with an experiment that brought together a community and improved […]
Looking for a simple, visual way to better understand U.S. health care costs, and what efforts are underway to manage them? Take a look at the Commonwealth Fund’s illustrative presentation for an easy to comprehend explanation. Read about it here!