Read e-book online Accountable Care Organizations: Value Metrics and Capital PDF

Health Care Delivery

By Robert James Cimasi

ISBN-10: 1466581832

ISBN-13: 9781466581838

ISBN-10: 1466581840

ISBN-13: 9781466581845

An dependable care association (ACO) is a healthcare association characterised via a cost and care supply version that seeks to tie supplier reimbursements to caliber metrics and discounts within the overall fee of deal with an assigned crew of sufferers. Accountable Care enterprises: price Metrics and Capital Formation explores the historic heritage and evolution of the ACO version because the foundation for the advance of the worth metrics and capital formation analyses which are foundational to assessing the present efficacy and capability for change.

The publication examines the 4 pillars of price within the healthcare undefined: regulatory, compensation, festival, and know-how in addressing the price metrics of ACOs, together with specifications for capital formation, monetary feasibility, and monetary returns. It focuses the dialogue of non-monetary price on a evaluation of facets of inhabitants wellbeing and fitness in the context of such pursuits as more desirable caliber results and entry to care.

  • Explains why ACOs can be the cost-containment and caliber development resolution the has been taking a look for
  • Describes the situations and capital buildings the place ACOs symbolize a valid investment
  • Includes a foreword via Peter A. Pavarini, Esq.

The booklet examines the confident externalities of the ACO version, together with effects for 3rd events outdoors the elemental build of the ACO contracts shared rate reductions funds. It additionally discusses the capability function and possibilities for experts in aiding their supplier consumers within the attention, improvement, implementation, and operation of an ACO.

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Extra resources for Accountable Care Organizations: Value Metrics and Capital Formation

Sample text

Com/­news/­­medicare-­­physician-­­group-­­practice-­­demonstration-­­project-­racks-387-­ million-­savings (Accessed 4/4/2012). 15 Background and the Path to ACOs As previously discussed, ACOs did not originate with the Patient Protection and Affordable Care Act (ACA). Rather, various factors, such as increased emphasis on quality and efficiency of the provision of healthcare services, shifts in the healthcare environment, and the responses to these factors, have contributed to the development of ACOs.

Designed to assess if care management initiatives would improve quality in order to ultimately lower cost for providers. Report to Congress: Physician Group Practice Demonstration First Evaluation Report, By Michael O. Leavitt, (2006) p. 1, 11. S. Department of Health and Human Services responsible for the administration of Medicare, Medicaid, and other programs. S. Department of Health and Human Services, 2011, http://www. htm (Accessed on 5/25/2012). 51 The PGP demonstration’s stated goals included: 1.

Enthoven, Health Affairs, Vol. 12, No. Supp. 1, 1993, p. 24. , to contain healthcare costs and integrate health systems), they are more akin to the theory of managed competition. 2. 2 The four phases of managed competition. 8 Accountable Care Organizations: Value Metrics and Capital Formation The Path to Accountable Care Organizations The current federal ACO model is based on the perceived success of a demonstration project comprised of 10 large physician group practices that utilized financial incentives to lower costs and improve quality of care.

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Accountable Care Organizations: Value Metrics and Capital Formation by Robert James Cimasi

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