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Accountable Care Organizations (ACOs)

Physician-led ACOs now outnumber Hospital-based ACOs: Why this makes sense, and where our terminology breaks down.

At a recent meeting of the American College of Physicians covered in MedPage Today, Neil Kirschner, PhD reported on the growth of ACOs. Dr. Kirschner is

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Dr. Ward April 25, 2013 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 Culture

What can we learn from the managed care backlash of the 1990s? Can we avoid an ACO backlash?

Advocates of “accountable care organizations” (ACOs) are careful to avoid the terminology of “managed care,” which is widely viewed as a failed model from the

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Dr. Ward September 10, 2011 No Comments
ACO Structure & Governance

Mayo and Cleveland Clinic are becoming franchisers. Maybe they should focus on primary care.

As described in a recent article in American Medical News, the Mayo Clinic and the Cleveland Clinic are both independently offering medium to large groups

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Dr. Ward September 3, 2011 1 Comment
ACO Structure & Governance

Health Care Heroes: Wilmer Rutt, MD – Adapting the R&D Concept to Health Care Provider Organizations

This morning, I read the results from a clinical trial of ovarian cancer screening in JAMA.  The trial showed that ovarian cancer screening was not

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Dr. Ward August 6, 2011 1 Comment

Dr. Ward’s Slides from AMGA ACO Learning Collaborative, Chicago, July 14, 2011

Presentation entitled “Developing the Economic Model for Success” from day 2 of the American Medical Group Association’s Accountable Care Organization Learning Collaborative, at the Swissotel

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Dr. Ward July 14, 2011 No Comments
ACO Strategy

Explaining alternative types of ACO structures: How do Co-Management arrangements and Hospitalists fit in?

All across the country, physicians and hospitals are talking to each other about creating new organizational structures to enable them to work together more effectively.

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Dr. Ward April 29, 2011 No Comments
ACO Structure & Governance

ACOs must steer clear of anti-trust issues

What’s the problem? Accountable Care Organizations (ACOs) involve the creation of new entities that are intended to improve quality and efficiency of care.  But, experts

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Dr. Ward March 15, 2011 1 Comment
ACO Structure & Governance

Why many clinical leaders prefer Registries to EHRs: Actively Structured Information

I went to the huge HIMSS’11 convention in Las Vegas a few weeks ago.  When visiting the bewildering number of vendor booths, I focused on

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Dr. Ward March 8, 2011 1 Comment
Accountable Care Organizations (ACOs)

Harold Miller’s Paper: How to Create Accountable Care Organizations

This is probably the single most useful reference regarding Accountable Care Organizations, outlining alternative ways of conceptualizing them and giving a balanced explanation of the

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Dr. Ward January 28, 2011 2 Comments
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