Posts Tagged ‘accountable care organizations’

Available Now: HCAF’s Summer Edition of The Florida Home Care Connection

June 20, 2013

Summer-2013-Florida-Home-Care-ConnectionThe Summer 2013 issue of The Florida Home Care Connection, HCAF’s official magazine, is now available online! This issue focuses on renewing yourself for the new age of home care, and features articles from leading industry professionals.

Check out what’s inside: (more…)

Florida Leads Nation in Number of ACOs Formed

June 17, 2013

By David Pittman, MedPage Today

WASHINGTON – More than 40% of accountable care organizations (ACOs) formed under Medicare exist in only five states, leaving many states with one or none, according to an analysis by industry experts.Medicare ACOs are concentrated in states like Florida (32), California (22), and Massachusetts (18) but rural states – like North Dakota, South Dakota, Utah, Wyoming, Oklahoma, and Kansas – are devoid of them, according to the analysis by consulting firm MedeAnalytics in Emeryville, Calif. Others like Montana, Idaho, Mississippi each only have one Medicare ACO. (more…)

New ACO Forms in Brevard County

June 12, 2013

Health Management Associates, Inc. and Florida Blue, Florida’s Blue Cross and Blue Shield company, announced recently the formation of an accountable care model to serve patients in Brevard County.

Health Management’s physicians, as well as its two hospitals in Brevard County (Wuesthoff Medical Center – Melbourne and Wuesthoff Medical Center – Rockledge) will be the provider cornerstones of this new partnership. (more…)

Half of U.S. Lives in ACO Area

February 28, 2013

According to The Remington Report, more than half of the U.S. population lives in areas served by accountable care organizations (ACOs). Currently, 52 percent of U.S. patients live in primary care service areas served by ACOs. In August 2012, just 45 percent of the population lived ACO areas.

Additionally, at least 28 percent of U.S. patients live in areas served by two or more ACOs, up from 17 percent in August. All together, ACOs now cover 37 million to 43 million Medicare and non-Medicare patients. The expansion of coverage comes after CMS’ announcement of 106 new participants in the Medicare Shared Savings Program. There are now 259 Medicare ACOs.

Commentary: Are ACOs Fundamentally Flawed?

February 22, 2013

Spurred by the Affordable Care Act, hundreds of pilot programs called Accountable Care Organizations have been launched over the past year, affecting tens of millions on Medicare and many who have commercial health insurance.

The ACOs are in effect latter-day health-maintenance organizations—doctors, hospitals and other health-care providers grouped together to provide coordinated care. The ACOs assume financial responsibility for the cost and quality of the care they deliver, making them accountable to patients. With President Obama’s re-election making it certain that the Affordable Care Act will begin taking full effect next year, the number of ACOs will continue to increase.

We believe that many of them will not succeed. The ACO concept is based on assumptions about personal and economic behavior—by doctors, patients and others—that aren’t realistic. Health-care providers are spending hundreds of millions of dollars to build the technology and infrastructure necessary to establish ACOs. But the country isn’t likely to get the improvements in cost, quality and access that it so desperately needs. (more…)

Number of ACOs Could Triple This Year

January 14, 2013

By , FierceHealthcare

Medicare accountable care organizations (ACO) could triple this year, according to Richard Weil, a healthcare consultant at Oliver Wyman, who found that one in 10 Americans is now treated by an ACO provider, WHYY’s NewsWorks reported.

Five hundred organizations already have applied to become the third Medicare cohort, and 106 became official Medicare ACOs last week, bringing the total to more than 250 since the Affordable Care Act passed. (more…)

16 New ACOs in Florida

January 11, 2013

By , Health News Florida

The U.S. Department of Health & Human Services approved 106 accountable care organizations, and 16 of the new ACOs will be in Florida, FierceHealthcare reports.

In an ACO, doctors and hospitals form networks that coordinate care for patients, according to Kaiser Health News, which has a fact sheet on the details of ACOs. Many new ACOs formed after the passage of the federal health law, according to FierceHealthcare.

Two ACOs will be formed by a group of Miami-Dade doctors and Walgreens, the Miami Herald reports.

Here are the new Florida ACOs: (more…)

MedPAC Offers Positive Comments for Future of Home Health

December 14, 2012

The Medicare Payment Advisory Commission (MedPAC) met in Washington, D.C. last week for its annual review of draft recommendations for legislative consideration related to Medicare providers. HCAF’s Bobby Lolley and Monica Smith were in attendance, at which the Commission reviewed Medicare home health services. (more…)

Arnie Cisneros Awarded CMS Grant for Bundled Payment Initiative

October 26, 2012

The Centers for Medicare & Medicaid Services (CMS) announced this week that Arnie Cisneros, PT, and Linda Alexander, RN, have been awarded for their Model 2 Retrospective Bundled Payment Initiative entitled “Retrospective Acute Care Hospital Stay Plus Post-Acute Care” in collaboration with Detroit Medical Center (DMC).

CMS received a very enthusiastic response from providers across the country interested in the Bundled Payment Initiative. Over the last two months, CMS reviewed the many proposals, which included thousands of episode definitions, identified points of commonality, and considered numerous key policy and operational issues inherent in designing the bundled payment model on a sizable scale. (more…)

Study: Healthcare Savings Slim With ACOs

October 17, 2012

An accountable care organization (ACO) that improved diabetes outcomes by as much as 10% achieved minimal or no cost savings, results of a published simulation showed.

The simulation found that a 10% clinical improvement would create just 1.22% in savings for Parts A and B – well below the level needed to trigger savings sharing, results published online in Health Affairs showed.

That’s bad news for those who were hoping to reap some revenue from ACOs. (more…)