Accountable Care
Administrator Seema Verma says it's time for ACOs to take on downside risk, in a proposal that would save Medicare $2.2 billion over 10 years.
Unlike a traditional ACO, providers can earn rewards for value-based performance but are not charged membership or service fees.
"The future of accountable care depends on scale," says Lynn Barr, CEO of Caravan Health.
Physician organizations come together to help medical groups better manage the messy transition to new payment models.
While the MSSP overall was a net cost to CMS in 2016, there is evidence that individual ACO performance may improve with experience.
ACOs have left because of a surprise risk adjustment that pushed some from receiving bonus payments to paying penalties, expert says.
The at-risk model has grown, but for some accountable care organizations obtaining financial benchmarks remains elusive. ACOs that have exited the program in the past said metrics are too high.
Health IT data from its Epic medical records system and risk scores from Optum went into the enterprise data warehouse.
RadNet and vRad have deployed natural language processing tools to help them tackle over-utilization and help perform tasks that are challenging for humans.
University of Chicago Medicine Chief Experience and Innovation Officer dives into her role and how it can be used to improve patient experiences, engage employees and fuel patient engagement.