Summary: Accountable Care Organizations (ACOs) are gaining in popularity as a result of the Affordable Care Act. Have you considered the benefits of ACOs from both the patient and provider perspectives? One of the goals of the Affordable Care Act (ACA) is to provide coordinated care which, in turn, increases quality and efficiency within the healthcare field, and reduces costs. ACOs – What is an ACO? ACOs are groups of providers which form an organization based upon the Medical Home (or PCMH) concept. The Medical Home places responsibility for the coordination of care with the primary physician. The primary care physician coordinates with other physicians and providers such as specialty physicians, laboratories and diagnostic imaging, providing a central point for the patient’s medical information.
Summary: The healthcare industry is transforming from fee-for-service to value-based payment systems. One of the fairly new forms of reimbursement to hit the streets is bundled payments. Overview of Bundled Payments The Medicare reimbursement system is in the process of transforming healthcare as we know it from a traditional fee-for-service model to a system that rewards based on quality, care coordination, accountability, and healthcare cost savings.
A patient-centered focus will provide optimal care for the patient which will in turn drive revenue. Do you remember the movie “Field of Dreams”? The basic premise was if you build a stadium they will come. We can adapt this adage to healthcare as well. So many organizations become so focused on the bottom line and don’t realize that if patients aren’t satisfied, they will not return to your facility, they will relay their bad experience to all of their friends, and you will lose revenue.
Are Urgent Care Healthcare Providers the Solution to an Overtaxed Healthcare System?
According to recent reports, pressures put on […]
Obamacare may impact healthcare quality improvement initiatives
Can quality be legislated? Perhaps so. The Heritage […]
Case management is one of the most recent URAC accreditation programs. Case management is being piloted in several organizations as a means of reducing hospital readmissions.
Summary: Keeping with the theme of the season, we thought it only fitting to create an article on the 12 days off Obamacare. The Affordable Care Act a.k.a Obamacare was enacted in 2010 with provisions becoming effective through 2015 and beyond. The goals of this legislation are to provide care which is affordable, accessible, accountable, coordinated, and of high quality while reducing healthcare spending. Following are the 12 days of Obamacare:
The transitioning from volume to value and from quality to quality is at the moment a bit of a juggling act. Medicare continues to reimburse based on a fee-for-service basis which rewards based upon volume and quantity while simultaneously moving toward a payment system based upon value and quality. Two completely opposite ends of the spectrum trying to exist concurrently. Two different philosophies and mindsets with different goals are colliding