Weekly
April 27, 2018
Welcome to this week's issue of ACO Newsstand, brought to you by ACOExhibitHall.com.
 
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Health Affairs | April 25, 2018     
 
In health care, all bundled payment models shift financial and clinical accountability to a single provider-led entity that then is responsible for a budget and the quality of care delivered for any given episode. The entity receiving the bundled payment earns a higher margin if a patient has fewer expenditures but also bears the financial risk of (re)admissions and complications... READ MORE
 


HealthPayer Intelligence |  April 17, 2018   

Payers striving to compete in the Medicare Advantage (MA) market can add more value to their health plans by taking advantage of regulatory changes established under a new final rule. Starting in plan year 2019, payers can offer a greater variety of Medicare Advantage plans with more variation of health benefits, specialized cost-sharing designs, and additional opportunities for member engagement.. . READ MORE   
 
 


Modern Healthcare | April 21, 2018 
 
Five years ago, the term accountable care organization became a trending buzzword. However, as we quickly learned, if you've seen one ACO, you've seen just that ... one ACO.
That's because virtually all ACOs have a unique governing structure and provider participants-from physician-only, to physicians and hospital partners, or hospital and skilled-nursing facilities, just to name a few... READ MORE   
   
 


Fierce Healthcare | April 26, 2018   
 
Physicians are still getting a lot of their pay from personal productivity despite broader attempts to shift to value-based payment models. An analysis (PDF) from the American Medical Association found that 31.8% of the average physician's compensation came from personal productivity in 2016 ...READ MORE
 


Ven dor Spotlight  
     

 
Most Medicare Shared Savings Program ACOs are unaware that CMS expects them to be generating at least 60% of their revenue through commercial contracts by year five of the organization's existence. Moreover, many Advanced Payment ACOs will find themselves in a tight spot once CMS seed money runs out unless commercial contracts are in place. Reliance Consulting Group works with ACOs all around the nation to establish lucrative contracts and value based care initiatives with major payers.  
     
   
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