- Center on Health Equity and Access
- Clinical
- Health Care Cost
- Health Care Delivery
- Insurance
- Policy
- Technology
- Value-Based Care
How Will ACOs Share Liability Risk?
Like their predecessors in health care's parade of acronyms -- HMOs and MCOs -- ACOs will need to balance quality patient care with saving money. When that balance is questioned by consumers and inevitably by the courts, how, exactly, will the risk be shared?
One of the key concepts in the formation of -- and probably the success of -- accountable care organizations is shared risk. A pivotal part of the Affordable Care Act's plan to reform an expensive health care system, ACOs are networks of doctors, hospitals and other providers that coordinate care and share responsibility and financial risk.
Like their predecessors in health care's parade of acronyms -- HMOs and MCOs -- ACOs will need to balance quality patient care with saving money. When that balance is questioned by consumers and inevitably by the courts, how, exactly, will the risk be shared?
The question is posed in a July 10 Viewpoint article in the Journal of the American Medical Association by H. Benjamin Harvey, a physician and attorney at Massachusetts General Hospital, and Glenn Cohen, an attorney at Harvard Law School. The authors point out that managed care organizations have some liability protection from the Employee Retirement Income Security Act, but ACOs will not have the same level of protection.
Read the full story here: http://bit.ly/16G46ix
Source: California Health Line
Standard Criteria for Loss of Ambulation Needed in DMD
April 19th 2024A recent study suggests the differences between ambulation definitions for patients with Duchenne muscular dystrophy (DMD) can impact the identification of ambulant vs nonambulant individuals, and standard criteria across settings are needed.
Read More
Navigating Health Literacy, Social Determinants, and Discrimination in National Health Plans
February 13th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the February 2024 issue of The American Journal of Managed Care® about their findings on how health plans can screen for health literacy, social determinants of health, and perceived health care discrimination.
Listen
An Overview of Health Care and Pharmaceutical Trends, 2023-2024
April 19th 2024Douglas M. Long, BA, MBA, was featured as the keynote speaker on the closing day of The Academy of Managed Care Pharmacy 2024 annual meeting, with a session dedicated to surveying the health care and pharmaceutical trends of the last year.
Read More
Drs Raymond Thertulien, Joseph Mikhael on Racial Disparities in Multiple Myeloma Care Access
December 28th 2023In the wake of the 2023 American Society of Hematology Annual Meeting and Exposition, Raymond Thertulien, MD, PhD, of Novant Health, and Joseph Mikhael, MD, MEd, FRCPC, FACP, chief medical officer of the International Myeloma Foundation, discussed health equity research highlights from the meeting and drivers of racial disparities in multiple myeloma outcomes.
Listen
Real-World Study Reveals Key Insights Into DLBCL Treatment Patterns, Outcomes
April 18th 2024A recent study offers valuable insights into the characteristics, treatment patterns, and outcomes of diffuse large B-cell lymphoma (DLBCL) in patients across different lines of therapy, providing a look into the landscape of DLBCL management.
Read More
