Accountable Care Organization Archive

The New Healthcare Requires Collaboration

Highly specialized medicine and increasing patient mobility have brought about an unprecedented interdependence in healthcare. Today’s patients are cared for by multiple specialists and any one doctor’s treatment will most certainly affect another’s domain.  For the very sake of patient safety, doctors across specialties are now expected, if not required, to share information about their

Accountable Care Organizations (ACO) – What You Need to Know About Setting Up an MSSP ACO

Accounting Care Organizations are required to submit the names of ACO participants. Examples of such participants include a group and solo practice, a pharmacy, an acute care hospital, a Critical Access hospital, a federally qualified health and a rural health center, and other such entities that are enrolled with Medicare and bill Medicare for services.

ACO’s, The Real Deal or Passing Fad?

We have all seen it over the years as the health care sector responds to the latest government initiative.  I wonder as the sector moves toward the ACO model, will it be with us long term?  When you look at what is happening with acquisitions of physician practices it does make me also wonder if

ACO + Healthcare IT EHRs = Increase in Software Innovation

ACOs lower the cost of healthcare by merging healthcare services and streamlining the process for patients to receive medical attention. Many ACOs use Healthcare IT EHRs to improve on this process by providing automated systems that can maintain the work load of a typical provider and allow different providers easier access to a patient’s medical

Setting Up an ACO: Who to Hire and Why

Setting up an Accountable Care Organization (ACO) can be a daunting task, to say the least. In addition to making sure that an ACO has complied with CMS guidelines/rules, a crucial component to getting started is hiring the best physicians. A recent article published by the American Medical Association highlighted the importance of hiring physicians

Money Up front: ACOs and The Advance Payment Model

Anticipating relatively high start-up costs, the Innovation Center of CMS developed the Advance Payment Model (APM) to complement the Shared Savings Program.  The APM is a limited model available to smaller ACOs that generally serve rural-based areas; however, the ACO may participate in either Shared Savings Program track. In order to qualify as an APM

Technology is Key to Achieving ACO Success

A study by America’s Health Insurance Plans (AHIP) found, “Technical assistance to providers has been identified as one of the key requirements to their success in accountable care arrangements.” See AHIP. MTBC’s suite of services is an ideal solution for providers interested in joining forces to create an Accountable Care Organization.  MTBC offers end-to-end revenue

Hospital Mergers & Acquisitions: Are ACOs a Cause or an Effect?

Over the last several years, the pace of mergers and acquisitions involving either hospitals purchasing physician practices or hospitals purchasing other hospitals has quickened exponentially. Some factors driving the consolidation in the healthcare industry are increasing overhead costs, decreasing reimbursement rates and hospitals’ reaction to the Patient Protection and Affordable Care Act (PPACA). What PPACA

ACO: Creating a Strong Foundation with a EHR

Accountable Care Organizations (ACOs) are meant to be a flexible payment and care delivery model that lowers total cost of care for patients using a group of coordinated health care providers. Hay Greens, a healthcare policy practice, recently released an article that outlined five preparatory actions to create a stable ACO. This article informs providers

JAMA Study Concludes that ACOs are Poised to Improve Care and May Lower Costs

A study just published in the Journal of the American Medical Association (JAMA) suggests that the accountable care organization (ACO) model shows promise at improving quality of care and may provide some reduction in the rate of cost growth. On September 12, 2012, JAMA published the results of a study that examined the performance of