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Publication Details
- Publication Date: 2011
- Pub Code: BCSPS-11WEB
- Pages: 41
- PDF version: 474 KB
- ISBN: 978-1-936230-20-4
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Case Studies From Private-Sector ACOs: What Works and Why?
Insights from state Medicaid programs, payers, providers, consultants and other stakeholders who are navigating the many business decisions that must be made in setting up accountable care organizations. The report identifies key lessons learned in building models that will achieve the “triple aim” of better care for individuals, better health for populations and lower costs — including details on how the most successful private-sector ACO initiatives were formed, how they achieved results and how they surmounted the hurdles that hamper delivery system reforms.
From the editors of ACO Business News
Case Studies From Private-Sector ACOs: What Works and Why? provides details — from those already navigating the many business decisions that must be made in setting up accountable care organizations — on how the most successful private-sector ACO initiatives were formed, how they achieved results, and how they surmounted the hurdles that hamper delivery system reforms. You’ll get insights from industry consultants and other key industry observers on such topics as:
- Which organization typically takes the lead in ACO formation — hospitals, physicians or health plans?
- Which pilots achieved promising first-year results — and how did they do it?
- What skills did stakeholders have to develop internally, which did they “borrow” from partners, and which were purchased from vendors?
- What measures did stakeholders agree to use?
- How did private-sector ACOs handle IT challenges?
- How are patient-centered medical homes informing ACO development?
With Case Studies From Private-Sector ACOs: What Works and Why? you’ll learn the key lessons in building models that achieve better care for individuals, better health for populations and lower costs. Order today!
Table of Contents
- University Medical Center ACO Eyes Private Plans for the Future
- Cigna-MCNT ACO Arrangement Posts Big Quality, Financial Gains
- Co-sponsored PPO-Based Plans Are Next for Aetna-Carilion ACO
- Norton Focuses on Changes Needed Anyway in ACO Efforts
- Texas ACO That Has Improved Mortality Rates on MA Patients Will Keep Its Model
- Anthem Launches Two ACO Pilots, May Create up to 12 in California
- CIGNA Will Expand to 30 ACOs By End of 2011, Begin ‘Downside’
- Geisinger’s Multi-ACO Efforts May Not Be Easily Replicated
- Va. Health System Works on ACO, But Concedes Gaps in Its Expertise
- Calif. Blue Shield’s ‘Three-Way’ Risk Model Plans No Premium Hikes, More Expansions
- Sacramento Pilot Used ‘Basic Improvements’ to Achieve Savings
- Mass. Blues Unveils Favorable Findings On ACO-Type Model
- Henry Ford System Drives Ahead Toward Development of An ACO
- New Jersey Physician-Driven Model Seeks Whole-Person Patient Care
- N.J. Coalitions Work Toward Medicaid ACOs in Bid to Fix Fragmented Delivery of Care
- Insurer Sees Medicaid ACOs as Partner, not Threat
- Oncologists Drive Toward Single-Specialty ACOs, but Other Specialists Hit the Brakes
- Texas Retirees Get New Options for Health Care, Including ACOs
- US Oncology May Go National With Private-Sector ACO
- Colo. Puts 60,000 Patients Into Regional Medicaid ACO Plans
- PHO Prepares Detroit System for ACO Certification
- Mass. Plan, Health System Begin Medicaid-Focused ACO
- Advocate Makes Moves Toward ACOs
Written By
This book was written by the editorial staff of AIS.
Written For
- Health Plans
- Hospitals and Health Systems
- Physician Groups
- Pharmaceutical Companies
- State Health Policy Leaders
- Attorneys, Consultants and Financial Analysts
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Case Studies From Private-Sector ACOs: What Works and Why?
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