Accountable Care
Lancaster General Health Community Care Collaborative will be accessible by the payer's Medicare Advantage members in the Pennsylvania region.
New rules released Thursday include a third track for providers to take on higher risk and to share in increased savings.
Leaders like Banner Health, Montefiore explain what it took to succeed in the first ACO model, and look towards new programs that give them shared risk incentives for care quality.
The most difficult challenges to value-based reimbursement reside within the cultural and operational sides of the business, and not technology, experts say.
New Hampshire ACO's goal is to have capitation make up 70 percent of reimbursements, dropping fee-for-service from its current 50 percent to 30 percent.
Before committing to partnerships within a parochial healthcare network, all the players must know the stakes, the options available and most importantly, the methodology for proceeding with a business model that is foreign to most provider organizations.
Patient engagement can ensure the delivery of patient- and family-centered care while bolstering the ability of accountable care organizations to meet quality and savings goals.
Participants in the program are expected to scale their value-based payments to 30 percent by 2016 and 50 percent by 2018.
Walgreens said it is cutting ties with two accountable care organizations, though the nation's largest pharmacy chain has also launched a new partnership on the West Coast to help manage ACO patients.
When Healthcare Finance last year asked experts to name the top industry trends, they selected insurance exchanges, mergers and acquisitions, new payment models, and technology. Things don't look much different in 2015.