The number of ACOs taking on risk for cost increases grew from 93 ACOs at the start of 2019 to 192 at the start of 2020.
Market readiness is the theme for this year’s outlook. The talk of transformation has traction. Too many disruptors are in the healthcare market pushing out traditional models of care. Until you see the information gathered in one document, it may seem transformation is still a while away. Our study of trends and market signals indicate otherwise.
Medicare improperly paid acute-care hospitals $54.4 million for 18,647 claims subject to the Post-Acute Care Transfer (PACT) policy.
New Discharge Planning Conditions of Participation require hospitals to assist patients, their families/caregivers in selecting a post-acute care provider.
A study in the Annals of Emergency Medicine, looked at why heart failure patients go to the Emergency Room.
Including unpaid caregivers into discharge planning for the elderly patient population reduces readmissions.
Located in the Bronx and Hudson Valley, New York, Montefiore Health System (MHS) serves one of the poorest and most disproportionately disease-burdened counties in the nation with nearly 80% of the payer mix from Medicare and Medicaid.
Multidisciplinary teams across the care continuum work each day to determine the best ways to identify the highest risk patients.
Novant participated in a VHA research project that significantly reduced overall readmissions and those related to adverse drug events.
From July to December 2014, VNA Healthtrends, a leading home health provider, enrolled 51 patients in their Hospital to Home Program.
The ACO Investment Model encourages new ACOs to form in rural areas and Medicare Shared Savings Program ACOs to take greater financial risk.
17 states are implementing accountable care strategies in Medicaid or state employee health programs and patterns have begun to emerge.
The ACO model has the right incentives to reduce variation, spur innovation, and improve quality in end-of-life (EOL) care
A home-based palliative care program tested within an ACO showed cost savings and reduced hospital admissions for patients near the end of life.
The ACO Medicare-Medicaid Model is focused on improving quality of care, improved care coordination, and reducing costs for Medicare-Medicaid enrollees.
A study by Dartmouth Institute For Policy and Clinical Practice finds coordinated care for patients with complex needs a big winner for ACOs.
A study in The American Journal of Accountable Care provides a window into how ACOs manage high-risk, moderate-risk and low-risk patients.
MedPAC has had recent discussions on current discharge planning procedures, resulting in possible changes in the ways patients are discharged.
The OIG posted Advisory Opinion No. 10-03 on March 6, 2019, which permits hospitals to provide free, in-home follow up care to discharged patients.