From ACO Business News - Even as aerospace giant Boeing Co. contracts directly with two provider organizations to offer its employees the choice of less-expensive accountable care arrangements (ABN 7/14, p. 1), many employers remain skeptical of ACOs and are focused more on price than on quality of care, top insurer executives say. Employer attitudes on value-based care will impact both providers and insurers who are struggling with health system transformation away from fee-for-service and toward a system that rewards results, not volume, the executives told attendees Nov. Read more
From Inside Health Insurance Exchanges - A Congress soon to be led by a party opposed to the Affordable Care Act (ACA) — combined with the Supreme Court’s recent decision to take on a controversial provision of the law — could give federally facilitated exchange (FFE) states a strong financial incentive to transition to a “supported state-based marketplace” model (HEX 9/4/14, p. 1). It also could lead to some political battles and bargaining with the White… Read more
From ACO Business News - Amid growing questions about the short- and long-term viability of the federal Medicare Pioneer initiative and Medicare Shared Savings Programs (MSSP) (ABN 10/14, p. 1), Sharp HealthCare stands out as a company that’s making accountable care work — but couldn’t make it work in the federal programs. Sharp’s results in Pioneer were good — excellent, in fact, says Alison Fleury, the provider’s vice president of business development. Read more
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