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SigmaWay Blog tries to aggregate original and third party content for the site users. It caters to articles on Process Improvement, Lean Six Sigma, Analytics, Market Intelligence, Training ,IT Services and industries which SigmaWay caters to

Accountable Care Organizations now serve up to 17% of Americans

A recent study suggests that more than two-third of US population is being served by the ACOs. According to Department of Health and Human Services' the latest approval of ACOs in January brings the total number of Medicare ACOs to 368, up from 259 last year. Currently there are total 522 ACOs serving both Medicare and non-Medicare patients. According to CMS, 10% of Medicare beneficiaries will receive their healthcare from ACOs. The research also found that Medicare ACOs are serving near about 33 million non-Medicare patients. Though there is a significant growth in ACO participation, Mr. Niyum Gandhi, a partner in Oliver Wyman's Health & Life Sciences practice and one of the firm's experts on ACOs, criticized the fact by saying "The process of shifting American healthcare to a new, sustainable model is nowhere near the finish line. On the other hand, these numbers mean we have a critical mass lined up at the starting gate." To know more, follow the article written by Oliver Wyman (leader in management consulting) at: http://www.marketwatch.com/story/accountable-care-organizations-now-serve-up-to-17-of-americans-2014-04-23?reflink=MW_news_stmp

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Accountable care success requires strong health IT

Till date ACO model has produced mixed results. Players in this industry are currently investing heavily in technologies that analyze, save and streamline to help generate the model's promised benefits. According to Laura Beerman (healthcare network manager at Decision Resources Group), it is important to use technology wisely. After the release of first year result of Pioneer ACOs, industry expert scrutinized the result and found that use of technology can lead to success of ACO model. For more details please visit: http://www.informationweek.com/healthcare/analytics/accountable-care-success-requires-strong-health-it/d/d-id/1204454

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Healthcare experiences encouraging ACO results

Advocate Healthcare had signed Medicare's first Shared Savings Program contract in 2012. The purpose of the contract was to test the ACO model, which offers financial incentives to hospitals and doctors for meeting cost and quality targets. Based on its initial success, Advocate is preparing to expand its ACO and officials believe it is worth of new investments. However, the success achieved through operating Medicare ACO model was not a cakewalk, but rather the success is achieved through failure, experimentation, and adaptation. Read more at: http://www.healthitoutcomes.com/doc/health-care-system-experiences-encouraging-aco-results-0001

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Five key decisions for ACOs (Accountable Care Organization) looking to participate in the 2015 MSSP (Medicare Shared Savings Program)

The Centers for Medicare & Medicaid Services (CMS) has announced the last date for the third round of new applications for 2015 Medicare Shared Savings Program (MSSP). The following five key decisions will help organizations before joining the MSSP program. They are:

        Estimate the number of Medicare beneficiaries for whom the prospective ACO(Accountable Care Organizations) wants to be accountable.

        Determine an appropriate contracting vehicle through which to operate the ACO.

        Consider the types of health care professionals and facilities the prospective ACO should target as participants.   

         Set expectations for prospective ACO participants in advance.

        Gather the appropriate staff to address particular aspects of the MSSP Application early and set milestones in advance of submission deadlines where possible.

 

To read more about this aspect, please visit Stephanie D. Willis’s (Associate of Mintz Levin) article link as given below: http://www.natlawreview.com/article/five-key-decisions-acos-accountable-care-organization-looking-to-participate-2015-ms 

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