Having employers and accountable care organizations agree on expectations is necessary for better alignment of care offered, explained Brian Marcotte, president and CEO of the National Business Group on Health.
Having employers and accountable care organizations agreeing on expectations is necessary for better alignment of care offered, explained Brian Marcotte, president and CEO of the National Business Group on Health.
Transcripts (slightly modified)
Does there need to be better alignment between what employers are looking for from an accountable care organization (ACO) and what ACOs are offering?
I think it’s really more about agreeing on what expectations are and making sure expectations are aligned. So, an early-stage ACO is going to focus primarily on the 5% of the population that drives 50% of the cost—the better care coordination, better management within the provider community, and the specialty community. What does that mean for the rest of the population? It doesn’t mean much.
So, from an employer perspective, I just want to know where this ACO is from a developmental standpoint, so I know what to communicate to my members. If it’s an early-stage ACO, an employer who has chronic conditions and an employee who is fairly healthy, is not going to seem much different. A later-stage ACO, who’s doing more outreach to chronic patients and moderate-risk patients—well there is something different there. So, it’s really aligning expectations.
There’s nothing wrong with an early-stage ACO, it’s just understanding that it’s early stage, and you will see things different from that then you will from an ACO that’s more mature.
In this interview with The American Journal of Managed Care®, Katie Queen, MD, addresses the complexity of obesity as a medical condition, pivoting to virtual care while ensuring that patients who lived in a rural location continued to receive adequate care, and the importance of integrating awareness of obesity and chronic disease prevention into local food culture.
Read More
Oncology Onward: A Conversation With Thyme Care CEO and Cofounder Robin Shah
October 2nd 2023Robin Shah, CEO of Thyme Care, which he founded in 2020 with Bobby Green, MD, president and chief medical officer, joins hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, to discuss his evolution as an entrepreneur in oncology care innovation and his goal of positively changing how patients experience the cancer system.
Listen
Nathan Walcker Discusses Value-Based Oncology Care Initiatives at FCS
September 8th 2023Nathan Walcker, CEO at Florida Cancer Specialists & Research Institute (FCS), highlights some of the recent partnerships and initiatives at FCS to improve community-based oncology care from a value-based perspective.
Listen
Overcoming Challenges to Value-Based Care Implementation: Grant Andres
November 10th 2023In an interview with The American Journal of Managed Care®, Grant Andres, BSc, DC, BSN, MSN-RN, senior director of clinical operations at Arizona Oncology, discussed the nuances of successfully implementing value-based care initiatives across a large organization.
Read More
Innovation in Value-Based Care Requires More Data, Patient-Centered Thinking
November 9th 2023In a panel discussion at the 2023 Patient-Centered Oncology Care® meeting held in Nashville, Tennessee, experts discussed the Enhancing Oncology Model and themes in the movement toward value-based care in oncology.
Read More