FEATURED ARTICLES: ACO
The Care Continuum Wars
Lines are beginning to blur between health insurers and hospital systems, as both parties battle it out to control their own autonomous patient care networks. By Ken Congdon, editor in chief, Healthcare Technology Online
MU Incentive Program Called ‘Experiment’ By Experts
Government expert calls HIT initiatives ‘experiment’ as provider expert coincidently observes ‘we can’t afford to experiment’ By Greg Bengel, contributing writer
EHRs And Communication Result In Better Patient Outcomes
Two studies confirm using an EHR system and increased provider communication lead to better patient outcomes, specifically for those suffering from hypertension and diabetes By Katie Wike, contributing writer
EHRs More Accepted, But Not Yet Seamless
With electronic health records soon to be federally mandated, healthcare professionals need to take care in choosing the one that suits them best By: Shannon Dauphin Lee
CASE STUDIES & WHITE PAPERS
ACO Efficiently Manages Population Health With The Help Of Gateway EDI
With a local network currently uniting more than 150 providers and 250,000 patients, United Medical is well on its way to changing the health care landscape in Delaware.
Novant Health Reduces Transcription TAT From Days To Hours, Doubles MT Productivity
Novant Health’s 1,117 physicians, 13 hospitals, and 360 clinic locations serve more than 3.5 million patients from Northern Virginia to Georgia. Efficient, accurate capture and transfer of information from more than 1,500 dictating clinicians enables award-winning levels of quality and care.
Brigham And Women’s Hospital Saves Over $9M, Improves MT Productivity 123%A 730-bed nonprofit teaching affiliate of Harvard Medical School and a founding member of Partners Healthcare System, Brigham and Women’s Hospital is a world leader in patient care and research. The organization wanted to upgrade its existing transcription process to eliminate multiple medical transcription serviceorganizations (MTSOs) contracts and to address increasingly complex technical and billing infrastructures. The expensive, slow system hampered clinicians’ ability to maximize use of transcribed reports to diagnose and plan patient care.
The Direct Evolution: Why It Will Change How You Communicate
What is Direct? Does it replace a HIE? Is it redundant with HL7 or XDS functionality? If I use email rather than Direct am I out of compliance with HIPAA?
FROM THE EDITOR'S DESK
Goodbye Healthcare Technology Online, Hello Health IT Outcomes
In January 2014, we’re changing our name and brand to Health IT Outcomes. Here’s the story behind the name change and what you can expect from us going forward.
ACO MAGAZINE ARTICLES
Electronic Medical Billing Essential For Reform
Implementation of electronic billing in revenue cycle management is aiding providers such as Baystate Medical Center in their efforts to meet new healthcare reform laws and keep up with ICD-10.
BI/Analytics Drives MU Performance, Cost Savings
For small hospitals such as Hopkins County Memorial, switching to a customizable BI program can save money, end outsourcing, and aid in Meaningful Use (MU) preparation.
Secure Texting Streamlines Clinical Communication
A Canadian hospital installs a secure texting solution to facilitate physician paging and to provide more details about consulting cases.
Not surprisingly, our survey indicates that financial and resource challenges limit the IT investments community hospitals can make. Are these facilities making shortsighted technology decisions as a result?
Uncertainty regarding the long-term viability of ACOs has many healthcare providers taking a “wait-and-see” approach. Dr. Marlon Priest, CMO of Bon Secours Health System, explains why this is a big mistake.
EHR adoption is on the rise, but interoperability remains a key roadblock. What needs to happen to facilitate an environment of open-data exchange?
Are ACOs the answer? Five Medicare Shared Savings Program ACOs share their perspectives on the positives, negatives, progress, and long-term sustainability of the program.
ABOUT ACCOUNTABLE CARE ORGANIZATIONS (ACO)
An Accountable Care Organization (ACO) utilizes a payment and care delivery system that bases payments to providers on quality metrics and seeks to reduce the total cost of care for a certain population of patients. ACOs use a range of payment models and consist of groups of coordinated healthcare providers that provide care to groups of patients. ACOs are accountable to a third-party payer and the group of patients for the appropriateness, quality, and efficiency of the health services they provide.
In 2011, the Department of Health and Human Services (DHHS) set forth initial guidelines for ACOs to be created under the Medicare Shared Savings Program. These guidelines contained all necessary steps required for a physician, health care provider, or hospital to voluntarily participate in ACOs.
The quality measures used to evaluate an ACO's performance as defined by the Center for Medicare and Medicaid Services (CMS) fall into five domains. These domains are patient/caregiver experience, care coordination, patient safety, preventative health, and at-risk population/frail elderly health.
The three stakeholders in an ACO are the providers, payers, and patients. Providers are a network of hospitals, physicians, and other healthcare professionals. The primary payer is the federal government, Medicare, but also includes other payers such as private insurances or employee-purchased insurance. The patient population of an ACO will primarily consist of Medicare beneficiaries, but in larger ACOs can also include those who are homeless and uninsured.
EHRs Affecting Physician Professional Satisfaction
The benefits EHRs are clear, but physicians say they are hampering quality personal care and leaving providers dissatisfied By Katie Wike, contributing writer
ACO NEWS ARTICLES
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