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Even modest meds adherence can be financially transformative for health systems

Healthcare It News

As healthcare continues to advance with accountable care organizations and value-based care models, the industry is starting to see some real traction after a decade of groundwork in the form of CMS claims for the Medicare Shared Savings Program. There are some critical elements driving success here.

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Medicare saves record $2.1 billion from largest accountable care program

Health Care Dive

Citrus ACO in Central West Florida had the highest savings rate, while Health Connect Partners — an ACO operated by hospital giant Providence — had the highest total savings in the Medicare Shared Savings Program last year.

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Care coordination: What's needed to succeed with accountable care and home health?

Healthcare It News

As these models become more prevalent, it's in the providers' best interest to ensure a successful patient transition and recovery, which is where care coordination comes in. Patients are increasingly opting to recover in the home instead of a hospital or rehab facility, which requires care coordination.

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ACOs led by independent physicians save Medicare ‘substantially’ more money, CBO says

Health Care Dive

Independent practices have clearer financial incentives to lower medical spending than hospitals participating in accountable care organizations, according to the Congressional Budget Office.

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Accountable Care Organizations Are Diving Head First Into Home-Based Care

Home Health Care

Accountable care organizations (ACOs) have considerably increased their home-based care arsenals over recent years. They’ve also diversified the types of home-based care they offer, and are finally finding ways for it to make economic sense in capitated models. Source: Institute for Accountable Care.

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IT execs talk priorities and predictions for 2022

Healthcare It News

Progress toward accountable care is halting. Hospitals and health systems are grappling with "ongoing labor shortages, increased workplace violence and many other burdens impacting the safety and wellbeing of pandemic-weary healthcare workers," said Collins. Financial and revenue cycle disruptions are significant.

Hospitals 362
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How AI and machine learning can help predict SDOH needs

Healthcare It News

In short, new organization- and provider-level emphasis on including SDOH along with traditional clinical diagnosis and utilization data is helping to "round out" the picture of patient populations targeted for care management interventions.