Value-Based Care

At the ACO & Emerging Healthcare Delivery Coalition®, people from around the country who are successfully creating new ways to deliver value-based care come together to share learnings and best practices for attendees to take back to the office on Monday, explained Clifford Goodman, PhD, moderator at the ACO Coalition spring live meeting in Scottsdale, Arizona, and senior vice president and director at the Center for Comparative Effectiveness Research at the Lewin Group.

Panelists on day 1 of the ACO & Emerging Healthcare Delivery Coalition® discussed the challenging work of creating public-private partnerships, and how these initiatives can address issues to improve the health of a population.

When the ACO & Emerging Healthcare Delivery Coalition® meets May 4-5 in Scottsdale, Arizona, attendees will learn the latest on healthcare reform, best practices for cybersecurity, population health strategies, and more.

Will bundled payments be implemented quickly or slowly? Will they be voluntary or mandatory? There's disagreement about what the ongoing movement toward accountable care should look like.

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.

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.

A provision in President Donald Trump’s budget proposal would incorporate the Agency for Healthcare Research and Quality (AHRQ) within the National Institutes of Health (NIH), which could represent a threat or an opportunity.

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.

Healthcare consulting is a growing industry touching each of the stakeholders involved in healthcare, and these consultants are playing an increasingly significant role in the United States healthcare system.

Partnering with local nonprofits with expertise in various areas, such as food support, vocational services, and mental health case management, Hennepin Health has been able to successful manage the health of a complex population, explained Ross Owen, health strategy director of Hennepin County.

Private sector accountable care organization development has been motivated by perceived opportunities to improve quality, efficiency, and population health, and the belief that payment reform is inevitable.

The increased emphasis that the Affordable Care Act and Medicare accountable care organizations (ACOs) placed on prevention is important in reducing the high cost of older patients, especially as the baby boomer generation reached retirement age, 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.

On May 4-5, 2017, The American Journal of Managed Care's ACO & Emerging Healthcare Delivery Coalition will head back to Scottsdale, Arizona, to bring together stakeholders from across the industry.

Given that accountable care organizations (ACOs) will be rated on patient experience and wait times for specialist consults are associated with patient satisfaction, ACOs should monitor this process.

Given the current focus on efforts to contain costs, improve the delivery of care, and meet consumer demand, telemedicine is an attractive tool to use for success in these areas.

As healthcare increasingly rewards quality and value in care delivery, Aetna hopes that 75% of its payments will be value-based by 2020, according to Harold L. Paz, MD, MS, executive vice president and chief medical officer at Aetna.

A recent paper in JAMA Internal Medicine examined the accountable care organization programs in Colorado and Oregon to determine their impacts on spending, access, and utilization.

At the 5th annual Patient-Centered Oncology Care® meeting, stakeholders shared their views on how bundled payments, clinical pathways, and other value-based approaches can be implemented in cancer care while ensuring adequate care quality.

As payment models shift to emphasize patient experience and quality of care, a panel discussion at the 5th annual Patient-Centered Oncology Care® meeting debated whether these efforts had meaningfully improved outcomes for patients.

This article compares how parents of children seeking specialty care perceive National Committee for Quality Assurance—based patient-centered medical home elements in the primary and specialty care settings.

Patients with rare diseases often turn to the Internet for information on their illness, but an analysis of some of these websites found that their content often failed to meet important quality criteria and neglected key information categories.

Researchers have found that accountable care organizations with a higher proportion of minority patients tend to score worse on Medicare’s quality performance measures.

More hospitals are switching to employment-based affiliations with physicians, but a recent analysis found no association between conversion to an employment model and changes in mortality, readmissions, length of stay, or patient satisfaction rates.

At the fall live meeting of The American Journal of Managed Care®'s ACO & Emerging Healthcare Delivery CoalitionTM, speakers discussed how to care for complex patients, and the latest in reimbursement.

A glimpse at the top 5 articles from The American Journal of Managed Care's® conference coverage that caught reader attention in 2016.