With hospitals moving toward a value-based payment system there is more demand now than ever for strategies that will help healthcare systems hone in on population health. The Triple Aim, an initiative set forth by the Institute for Healthcare Improvement, covers three main checkpoints for all hospitals as they make this transition.
Before we can even begin to talk about mitigating risk, we have to know the types of risk out there. Risk Management is an integral part of any healthcare system.
In the last few decades, increasing availability of technology in healthcare has lead to some amazing advances, both for physicians and patients. Documentation for physicians is well on its way to becoming more streamlined, thanks to the interconnectivity of electronic health records, and the potential for “One patient, one record” only becomes more of a reality with each new innovation.
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.
Hospital Acquired Infections (HAIs) occur when a patient is exposed to a bacterium, virus or fungi during their hospital stay that leads to an additional condition. These additional conditions can cost hospitals thousands of dollars in lost revenue.
Lean Thinking For Healthcare With the advent of the highly controversial and experimental Affordable Care Act physicians and healthcare organizations are looking for innovative ways
What makes up the federal deficit? What will the costs be by 2019? How are those costs paid? How do the exchange subsidies factor in? How about the Medicaid expansion? How about the individual and employer mandates or more appropriately the penalties for noncompliance?
How will Medicaid work with the new exchange? What changes have occurred as a result of the ACA?
From the Affordable Care Act (ACA) to state wide reform initiatives, the pressure is on for healthcare providers to offer maximum quality healthcare to increasing patient populations at a more affordable rate. Couple this with pressure to integrate healthcare, increase communication, ensure privacy, and reduce risk and you have a pressure cooker of factors that are driving Healthcare providers to find fast, sustainable solutions. One of those solutions is the application of predictive modeling.
What initiatives is the Center for Medicare and Medicaid Services (CMS) currently exploring in terms of Accountable Care Organizations (ACO)?
Copyright 2025 © All rights Reserved.
