Accountable Care Organizations as a Model of Integrated Care

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Publisher : Nova Science Publishers
ISBN 13 : 9781621001201
Total Pages : 0 pages
Book Rating : 4.0/5 (12 download)

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Book Synopsis Accountable Care Organizations as a Model of Integrated Care by : Daniel P. DelVecchio

Download or read book Accountable Care Organizations as a Model of Integrated Care written by Daniel P. DelVecchio and published by Nova Science Publishers. This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The provision of health care in the United States has been described as fragmented, with patients seeing multiple providers. Fragmented care has been found to be, among other things, both costly, since provider payments are not linked to performance or outcomes and services can be duplicative, and of lower quality, since providers lack financial incentives to coordinate care. This book examines ACOs as a model of integrated care with a focus on delivery systems such as the Mayo Clinic, Geisinger Health System, Kaiser Permanente and Intermountain Healthcare. While ACOs can be designed with varying features, most models put primary care physicians at the core, along with other providers, and emphasize simultaneously reducing costs and improving quality.

Accountable Care Organizations as a Model of Integrated Care

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Publisher :
ISBN 13 : 9781621002178
Total Pages : 105 pages
Book Rating : 4.0/5 (21 download)

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Book Synopsis Accountable Care Organizations as a Model of Integrated Care by : Daniel P. DelVecchio

Download or read book Accountable Care Organizations as a Model of Integrated Care written by Daniel P. DelVecchio and published by . This book was released on 2012 with total page 105 pages. Available in PDF, EPUB and Kindle. Book excerpt: The provision of health care in the United States has been described as fragmented, with patients seeing multiple providers. Fragmented care has been found to be, among other things, both costly, since provider payments are not linked to performance or outcomes and services can be duplicative, and of lower quality, since providers lack financial incentives to coordinate care. This book examines ACOs as a model of integrated care with a focus on delivery systems such as the Mayo Clinic, Geisinger Health System, Kaiser Permanente and Intermountain Healthcare. While ACOs can be designed with varying features, most models put primary care physicians at the core, along with other providers, and emphasize simultaneously reducing costs and improving quality--

Handbook Integrated Care

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Author :
Publisher : Springer
ISBN 13 : 3319561030
Total Pages : 578 pages
Book Rating : 4.3/5 (195 download)

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Book Synopsis Handbook Integrated Care by : Volker Amelung

Download or read book Handbook Integrated Care written by Volker Amelung and published by Springer. This book was released on 2017-06-30 with total page 578 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook gives profound insight into the main ideas and concepts of integrated care. It offers a managed care perspective with a focus on patient orientation, efficiency, and quality by applying widely recognized management approaches to the field of health care. The handbook also provides international best practices and shows how integrated care does work throughout various health systems. The delivery of health and social care is characterised by fragmentation and complexity in most health systems throughout the world. Therefore, much of the recent international discussion in the field of health policy and health management has focused on the topic of integrated care. “Integrated” acknowledges the complexity of patients ́ needs and aims to meet it by taking into account both health and social care aspects. Changing and improving processes in a coordinated way is at the heart of this approach.

Accountable Care Organizations and the Medicare Shared Savings Program

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Author :
Publisher : DIANE Publishing
ISBN 13 : 1437943470
Total Pages : 23 pages
Book Rating : 4.4/5 (379 download)

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Book Synopsis Accountable Care Organizations and the Medicare Shared Savings Program by : David Newman

Download or read book Accountable Care Organizations and the Medicare Shared Savings Program written by David Newman and published by DIANE Publishing. This book was released on 2010 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Accountable Care Organizations

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Author :
Publisher :
ISBN 13 :
Total Pages : 377 pages
Book Rating : 4.:/5 (115 download)

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Book Synopsis Accountable Care Organizations by : Robert Cimasi

Download or read book Accountable Care Organizations written by Robert Cimasi and published by . This book was released on 2016 with total page 377 pages. Available in PDF, EPUB and Kindle. Book excerpt: An accountable care organization (ACO) is a healthcare organization characterized by a payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for an assigned group of patients. Accountable Care Organizations: Value Metrics and Capital Formation explores the historical background and evolution of the ACO model as the basis for the development of the value metrics and capital formation analyses that are foundational to assessing the current efficacy and capacity for change. The book examines the four pillars of value in the healthcare industry: regulatory, reimbursement, competition, and technology in addressing the value metrics of ACOs, including requirements for capital formation, financial feasibility, and economic returns. It focuses the discussion of non-monetary value on a review of aspects of population health within the context of such objectives as improved quality outcomes and access to care. Explains why ACOs might be the cost-containment and quality improvement answer the industry has been looking for Describes the circumstances and capital structures where ACOs represent a sound investment Includes a foreword by Peter A. Pavarini, Esq. The book examines the positive externalities of the ACO model, including results for third parties outside the basic construct of the ACO contracts shared savings payments. It also discusses the potential role and opportunities for consultants in assisting their provider clients in the consideration, development, implementation, and operation of an ACO.

Clinical Integration

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Publisher :
ISBN 13 : 9780983482444
Total Pages : 384 pages
Book Rating : 4.4/5 (824 download)

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Book Synopsis Clinical Integration by : Bruce Flareau

Download or read book Clinical Integration written by Bruce Flareau and published by . This book was released on 2011-11 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Integration: A Roadmap to Accountable Care, presents novel ideas to advance healthcare leaders' initiatives in the development of new clinically integrated networks and accountable care organizations. Expanded from its original edition, it integrates points from private sector payer perspectives on the industry shift and new chapters on operations of a network and comparative effectiveness research. Many issues are discussed, including the complexities of quality measurement across the industry, the importance of physician and collaborative leadership, and the continued adoption of new health information technologies. Acceleration in the advancement of quality, with greater attention to patient-centered care are essential elements in the reform of the U.S. health system and the growth of these new models of care delivery.

Integrating Social Care into the Delivery of Health Care

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Publisher : National Academies Press
ISBN 13 : 0309493439
Total Pages : 195 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Integrating Social Care into the Delivery of Health Care by : National Academies of Sciences, Engineering, and Medicine

Download or read book Integrating Social Care into the Delivery of Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-30 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.

Clinical Integration. Population Health and Accountable Care, Third Edition

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Author :
Publisher : Convurgent Publishing LLC
ISBN 13 : 9780991234547
Total Pages : 610 pages
Book Rating : 4.2/5 (345 download)

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Book Synopsis Clinical Integration. Population Health and Accountable Care, Third Edition by : Ken Yale

Download or read book Clinical Integration. Population Health and Accountable Care, Third Edition written by Ken Yale and published by Convurgent Publishing LLC. This book was released on 2015-02-24 with total page 610 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Integration. Population Health and Accountable Care, Third Edition provides a fresh set of insights and new information on the evolution of Clinically Integrated Networks (CINs), Accountable Care Organizations (ACOs), Patient-Centered Medical Homes (PCMHs) and other new models of provider collaboration across the United States (U.S.) healthcare system. The third edition transitions from the second edition collaborative work of its four original authors to a 14-chapter anthology, each chapter authored by industry experts and edited by the second edition authors. This new edition provides a refresh on the issues covered in the second edition, along with introducing a number of new topics. Patient engagement, care coordination, behavioral health, and industry standards are new areas of importance for provider-sponsored organizations that are discussed for the first time in this edition. The audience for this collaborative anthology is multi-faceted. The content covered is expanded to meet the needs of several industry stakeholders including: Physician Leaders and Practitioners Payers Healthcare Policy Makers Healthcare Law Academic and Research Consumers This latest edition is a significant addition to the print and digital reference collection of healthcare leaders. We believe this book will provide a roadmap through the many complex issues that must be considered in the rapidly changing healthcare environment.

The ACO Handbook

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Author :
Publisher :
ISBN 13 : 9781632820686
Total Pages : 565 pages
Book Rating : 4.8/5 (26 download)

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Book Synopsis The ACO Handbook by : Peter A. Pavarini

Download or read book The ACO Handbook written by Peter A. Pavarini and published by . This book was released on 2015 with total page 565 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Blueprint for ACO Success

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Author :
Publisher : Healthcare Intelligence Net
ISBN 13 : 1936186683
Total Pages : 47 pages
Book Rating : 4.9/5 (361 download)

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Book Synopsis Blueprint for ACO Success by : Jeffrey R. Ruggiero

Download or read book Blueprint for ACO Success written by Jeffrey R. Ruggiero and published by Healthcare Intelligence Net. This book was released on 2011-02 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Accountable Care Organizations

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Author :
Publisher : CRC Press
ISBN 13 : 1466581832
Total Pages : 381 pages
Book Rating : 4.4/5 (665 download)

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Book Synopsis Accountable Care Organizations by : Robert James Cimasi

Download or read book Accountable Care Organizations written by Robert James Cimasi and published by CRC Press. This book was released on 2013-06-05 with total page 381 pages. Available in PDF, EPUB and Kindle. Book excerpt: An accountable care organization (ACO) is a healthcare organization characterized by a payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for an assigned group of patients. Accountable Care Organizations: Value Metrics and Capital Formation explores the historical background and evolution of the ACO model as the basis for the development of the value metrics and capital formation analyses that are foundational to assessing the current efficacy and capacity for change. The book examines the four pillars of value in the healthcare industry: regulatory, reimbursement, competition, and technology in addressing the value metrics of ACOs, including requirements for capital formation, financial feasibility, and economic returns. It focuses the discussion of non-monetary value on a review of aspects of population health within the context of such objectives as improved quality outcomes and access to care. Explains why ACOs might be the cost-containment and quality improvement answer the industry has been looking for Describes the circumstances and capital structures where ACOs represent a sound investment Includes a foreword by Peter A. Pavarini, Esq. The book examines the positive externalities of the ACO model, including results for third parties outside the basic construct of the ACO contracts shared savings payments. It also discusses the potential role and opportunities for consultants in assisting their provider clients in the consideration, development, implementation, and operation of an ACO.

Tackling Chronic Disease in Europe

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Publisher : WHO Regional Office Europe
ISBN 13 : 9289041927
Total Pages : 127 pages
Book Rating : 4.2/5 (89 download)

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Book Synopsis Tackling Chronic Disease in Europe by : Reinhard Busse

Download or read book Tackling Chronic Disease in Europe written by Reinhard Busse and published by WHO Regional Office Europe. This book was released on 2010 with total page 127 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic conditions and diseases are the leading cause of mortality and morbidity in Europe, accounting for 86% of total premature deaths, and research suggests that complex conditions such as diabetes and depression will impose an even greater health burden in the future - and not only for the rich and elderly in high-income countries, but increasingly for the poor as well as low- and middle-income countries. The epidemiologic and economic analyses in the first part of the book suggest that policy-makers should make chronic disease a priority. This book highlights the issues and focuses on the strategies and interventions that policy-makers have at their disposal to tackle this increasing challenge. Strategic discussed in the second part of this volume include (1) prevention and early detection, (2) new provider qualifications (e.g. nurse practitioners) and settings, (3) disease management programmes and (4) integrated care models. But choosing the right strategies will be difficult, particularly given the limited evidence on effectiveness and cost-effectiveness. In the third part, the book therefore outlines and discusses institutional and organizational challenges for policy-makers and managers: (1) stimulating the development of new effective pharmaceuticals and medical devices, (2) designing appropriate financial incentives, (3) improving coordination, (4) using information and communication technology, and (5) ensuring evaluation. To tackle these challenges successfully, key policy recommendations are made.

The Impact of Accountable Care Organizations

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Publisher :
ISBN 13 :
Total Pages : 120 pages
Book Rating : 4.:/5 (957 download)

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Book Synopsis The Impact of Accountable Care Organizations by : Michael Joseph McDonough

Download or read book The Impact of Accountable Care Organizations written by Michael Joseph McDonough and published by . This book was released on 2016 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation examines how Accountable Care Organizations [ACOs] are integrating with other types of providers such as social services, behavioral health and long term care organizations to address a full range of patient needs in order to achieve an improvement in the health outcomes of a population of patients. It is a study to determine how ACOs integrate with other providers and what the results are for patients. The Patient Protection and Affordable Care Act [PPACA] created a new model of health care delivery called the Accountable Care Organization. The ACO is designed to give doctors and hospitals incentives to become accountable for a population of patients and to re-design processes that provide for coordinated care, high quality and efficient service delivery. Personal behavior and social and environmental factors have great impact on overall health. ACOs which are made up of doctor and hospital organizations must look to coordinate and integrate with other types of providers in order to impact overall population health. This is difficult for a number of reasons including sharing financial incentives, communicating and sharing patient health information and overcoming the cultural managerial aspects of different organizations. ACO leaders describe how they have integrated with other providers and whether the results show an improvement for a population of patients served by their organization. This research includes a review of the literature concerning how ACOs are achieving integration with other providers and the results of the integration. The result is recommendations on the best practices for achieving provider integration based on evidence of improved patient health.

Accountable Care. Bridging the Health Information Technology Divide. 1st Edition

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Author :
Publisher :
ISBN 13 : 9780983482475
Total Pages : 506 pages
Book Rating : 4.4/5 (824 download)

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Book Synopsis Accountable Care. Bridging the Health Information Technology Divide. 1st Edition by : J. M. Bohn

Download or read book Accountable Care. Bridging the Health Information Technology Divide. 1st Edition written by J. M. Bohn and published by . This book was released on 2012 with total page 506 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Accountable Care: Bridging the Health Information Technology Divide, First Edition (Bridging the Divide), touches on many elements of the healthcare industry's technology journey toward more accountable and clinically integrated models of care delivery. The aging US and global population, complexity of the delivery systems, the continuous need for new innovation, and a greater emphasis on improving population health are key factors addressed throughout the text" --Back cover.

Pathways to a Successful Accountable Care Organization

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Publisher : JHU Press
ISBN 13 : 1421438267
Total Pages : 343 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis Pathways to a Successful Accountable Care Organization by : Peter A. Gross

Download or read book Pathways to a Successful Accountable Care Organization written by Peter A. Gross and published by JHU Press. This book was released on 2020-08-18 with total page 343 pages. Available in PDF, EPUB and Kindle. Book excerpt: A valuable guide to starting and running a successful accountable care organization. Health care in America is undergoing great change. Soon, accountable care organizations—health care organizations that tie provider reimbursements to quality metrics and reductions in the cost of care—will be ubiquitous. But how do you set up an ACO? How does an ACO function? And what are the keys to creating a profitable ACO? Pathways to a Successful Accountable Care Organization will help guide you through the complicated process of establishing and running an ACO. Peter A. Gross, MD, who has firsthand experience as the chairman of a successful ACO, breaks down how he did it and describes the pitfalls he discovered along the way. In-depth essays by a group of expert authors touch on • the essential ingredients of a successful ACO • monitoring and submitting Group Practice Reporting Option quality measures • mastering your patients' responses to the Consumer Assessment of Health Plans Survey • how bundled payments and CPC+ can meld with your ACO • how MACRA and MIPS affect your ACO • the role of an ACO/CIN • the complexities of post-acute care • data analytics • engaging and integrating physician practices Dr. Gross and his colleagues are in a perfect position to guide other health care leaders through the ACO process while also providing excellent case studies for policy professionals who are interested in how their work influences health care delivery. Readers will come away with the necessary knowledge to thrive and be rewarded with cost savings. Contributors: Joshua Bennett, Allison Brennan, Glen Champlin, Kris Corwin, Guy D'Andrea, Joseph F. Damore, Mitchel Easton, Andy Edeburn, Seth Edwards, Jennifer Gasperini, Kris Gates, Shawn Griffin, Peter A. Gross, Brent Hardaway, Mark Hiller, Beth Ireton, Thomas Kloos, Jeremy Mathis, Miriam McKisic, Morey Menacker, Denise Patriaco, Elyse Pegler, John Pitsikoulis, Michael Schweitzer, Bryan F. Smith

Integrating Behavioral Health and Primary Care

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Author :
Publisher : Oxford University Press
ISBN 13 : 0190276207
Total Pages : 593 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Integrating Behavioral Health and Primary Care by : Robert E. Feinstein

Download or read book Integrating Behavioral Health and Primary Care written by Robert E. Feinstein and published by Oxford University Press. This book was released on 2017 with total page 593 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrated care incorporates behavioral and physical health services into primary care and specialty medical environments. These models of care are patient-centered. population focused, and delivered by a multidisciplinary team of medical professionals. This book is practical, office-based, comfortably accessible, and intended for mental health professionals, primary care and medical specialists, and professional health students, residents, and other professionals working in integrated care environments.

Accountable Care Organizations

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Author :
Publisher : CRC Press
ISBN 13 : 1482219093
Total Pages : 381 pages
Book Rating : 4.4/5 (822 download)

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Book Synopsis Accountable Care Organizations by : Robert James Cimasi

Download or read book Accountable Care Organizations written by Robert James Cimasi and published by CRC Press. This book was released on 2013-06-05 with total page 381 pages. Available in PDF, EPUB and Kindle. Book excerpt: An accountable care organization (ACO) is a healthcare organization characterized by a payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for an assigned group of patients. Accountable Care Organizations: Value Metrics and Capital Formation explores the historical ba