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Accountable Care Organizations (ACOs)

Oncology Care Model failure calls for rethinking our approach to real, sustainable improvement in specialty care

This month, disappointing evaluation results call for re-thinking of our approach to improving specialty care.  Nancy Keating and 12 of her colleagues from multiple medical

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Dr. Ward November 10, 2021 No Comments
Accountable Care Organizations (ACOs)

What is missing from the CMS Innovation Center five year vision?

The Biden administration’s CMS Innovation Center 5-year vision conspicuously lacks mention of what I consider to be necessary course corrections to reverse a disappointing first decade.

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Dr. Ward August 18, 2021 1 Comment
Accountable Care Organizations (ACOs)

Berwick and Gilfillan offer six recommendations for reinventing CMMI. My response is yes, but they don’t address the #1 issue: failure to achieve critical mass.

In a recent health policy viewpoint article in JAMA, Drs. Don Berwick and Rick Gilfillan noted that, although the CMS Center for Medicare and Medicaid

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Dr. Ward April 7, 2021 3 Comments
ACO Reimbursement and Gain Sharing

Hospital Value-based Purchasing program 1% incentive is like homeopathic medicine — too diluted to actually work

In the June 15, 2017 issue of the New England Journal of Medicine, Andrew Ryan and colleagues from the University of Michigan published an evaluation

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Dr. Ward June 24, 2017 No Comments
Accountable Care Organizations (ACOs)

First take on new CMS Comprehensive Primary Care Plus model

This morning, I read about the recently announced next generation version of the CMS Comprehensive Primary Care model, which will require multi-payer participation and will

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Dr. Ward April 23, 2016 No Comments
ACO Reimbursement and Gain Sharing

New HIT ROI lit review is a methodologic tour de force, but misses the point

Recently, Jesdeep Bassi and Francis Lau of the University of Victoria (British Columbia) published in the Journal of the American Medical Informatics Association (JAMIA) another in

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Dr. Ward February 23, 2013 No Comments
ACO Reimbursement and Gain Sharing

Trinity Health and BCBSM sign contract to invest in infrastructure for clinical integration and population management

Trinity Health – Michigan and Blue Cross Blue Shield of Michigan (BCBSM) recently announced that they signed a three and a half year agreement under which

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Dr. Ward May 11, 2012 No Comments
ACO Reimbursement and Gain Sharing

Is current low trend in health care cost growth due only to recession? Ken Kaufman suggests that 5 other factors may be contributing.

In a very interesting recent post to the Health Affairs blog, Ken Kaufman challenges the widely repeated assertion that the current low level of health

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Dr. Ward April 16, 2012 No Comments
ACO Reimbursement and Gain Sharing

Of 27 new ACOs named by CMS: 93% avoid downside risk, 82% avoid CMS loans, 33% use payer-based infrastructure, and average beneficiaries per physician is 106

Yesterday, CMS announced the first batch of 27 “normal” ACOs under its Medicare Shared Savings Program (MSSP). I found five things interesting about the list:

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Dr. Ward April 11, 2012 2 Comments
ACO Reimbursement and Gain Sharing

CBO: Bundled payments for bypass surgery saved 10%, but pay-for-performance and gain-sharing was not effective in 3 Medicare demonstrations

Lyle Nelson from the Congressional Budget Office (CBO) has been busy. Two weeks ago, I commented on the results of Nelson’s review of 6 Medicare

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Dr. Ward February 12, 2012 No Comments
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