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Accountable Care Organizations (ACO)

When doctors, hospitals, and other providers come together to form an Accountable Care Organization, high quality, affordably managed care for Medicare patients is the intended outcome. Can the best intentions yield the best outcomes?

Shachar01_pullquote value-based care fee-for-service fraud and abuse laws

New Marketplace

Are Fraud and Abuse Laws Stifling Value-Based Care?

To realize the true potential of value-based care, we must update the underlying assumptions in our fraud and abuse regulatory system.

Hospital-based ACOs Key Capabilities Are Different Based on Level of Risk

New Marketplace

Hospital-based ACOs Face Challenges in Tracking Performance Indicators

A focus on bundled payments for specific episodes of care — versus the broad changes required in an ACO model — may be a more effective method for ACO participants to develop capabilities required to measure utilization, cost, and revenue metrics.

Griffin Myers Head Shot Oak Street Health

Care Redesign

Rebuilding Health Care as It Should Be: Personal, Equitable, and Accountable

How Oak Street Health, a full-risk, value-based primary care model and social determinants practice, embeds itself in the community to keep its elderly population, “happy, healthy, and out of the hospital.”

Growth in alternative payment models shared savings shared risk bundled payments population-based payments

New Marketplace

The State of the Evidence on Payment Reform

Despite some successes among the many efforts to execute value-oriented payment models, the lack of rigorous independent research studies impedes robust progress.

Donald Berwick Melinda Buntin Patrick Conway Raymond Vara Edward Prewitt head shots IHI forum panel on health care policy

New Marketplace

Signal or Noise? Navigating Health Care Policy — Part 2

A discussion from the Institute for Healthcare Improvement National Forum. Part 2 of a two-part series.

Donald Berwick Melinda Buntin Patrick Conway Raymond Vara Edward Prewitt head shots IHI forum panel on health care policy

New Marketplace

Signal or Noise? Navigating Health Care Policy — Part 1

A discussion from the Institute for Healthcare Improvement National Forum. Part 1 of a two-part series.

Primary Care ACO Models - Way of the Future? Panel Clip Still

New Marketplace

Primary Care ACO Models: Way of the Future?

Evidence shows that primary care–led, risk-bearing, ACO-like practices and independent physician group models generate more savings.

Nash01_pullquote - A Requiem for Value-Based Care Population Health.

Patient Engagement

A Requiem for Population Health?

Despite some fits and starts for value-based care, there is abundant evidence that the concept will continue to survive and thrive.

Mostashari01_pullquote - Medicare Advantage Holds the Key to Reforming the ACO Program

New Marketplace

Medicare Advantage Holds the Key to Reforming the ACO Program

Value-based care continues to be the emphasis of federal policymakers, as well as many providers. Aligning Medicare Advantage with ACOs would boost both programs.

Janice Nevin - Christiana Care Health System

Leadership

The Responsibility of a Big Provider in a Small State

How Christiana Care’s initiatives impact not only those they serve directly, but also the larger community.

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