Accountable Care


An analysis of Medicare accountable care organizations (ACOs) revealed that those with more primary care physicians performed better on preventive care quality measures and infrastructure and financing were also predictive of better performance, explained Mariétou Ouayogodé, PhD, post-doctoral fellow at The Dartmouth Institute for Health Policy and Clinical Practice at the Geisel School of Medicine at Dartmouth.
CMS has announced which community organizations will participate in the Accountable Health Communities model established by the Center for Medicare and Medicaid Innovation. The model aims to address the complex social needs impacting beneficiaries’ health by strengthening a support network of clinical and community services.
The report finds that being part of an ACO allows clinicians to be rated as a group for a key measure to determine Medicare reimbursement.
The move away from fee-for-service has driven some health plans to embrace value-based care contracts and accountable care organizations. During a session at the Academy of Managed Care Pharmacy Annual Meeting, held March 27-30, 2017, in Denver, Colorado, panelists outlined how the marketplace has evolved.


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