Category: ACO

When Mercy Health first partnered with Explorys for its cloud-based platform, the idea was to manage populations, engage patients, and meet PCMH and ACO goals. To date, the results have been impressive, and now the relationship is expanding. When the Cincinnati-based Mercy Health—the largest health system in Ohio and one of the largest in the…

Each year more than 12 million Americans visit their doctors complaining of headaches, which result in lost productivity and costs of upward of $31 billion annually. A new study by researchers from Beth Israel Deaconess Medical Center suggests some of that cost could be offset by physicians ordering fewer tests and an increased focus on…

The Patient Protection and Affordable Care Act, signed into law by US President Barack Obama in 2010, can advance public health in the USA by supporting increased emphasis on prevention, and reversing the historic division between public health and private health care services, according to the authors of new research published in The Lancet as…

In ruling 5 to 4 that “closely held” companies can refuse on religious grounds to include contraceptives in their employees’ health plans, the Supreme Court has needlessly interfered with an important provision of the Affordable Care Act. And it has done more than that (7/1). …read more    

Gov. Chris Christie said he would propose an overhaul to the state’s pension and health benefits system later this summer, revisiting an issue that burnished his national political image in 2011 but challenged him this spring when he scaled back promised funding. As the governor signed a $32.5 billion budget on Monday, he vetoed tax…

Things have been moving forward very rapidly these days, as Aetna pursues an accelerating number of private ACOs with provider organizations nationwide Things have been moving forward very rapidly at the Hartford-based Aetna these days. The giant U.S. health insurer has made a firm commitment to developing accountable care relationships all across the country. At…

The Department of Health and Human Services released a report Friday declaring that 76 million Americans with private insurance became eligible for more preventive services with no out-of-pocket fees as a result of the 2010 healthcare law, the Patient Protection and Affordable Care Act (a.k.a. Obamacare). Because Democrats are counting on female voters to help…

More than 40 percent of medical practice executives responding to the Medical Group Management Association (MGMA) research indicate that they have or are planning to informally integrate their practice with other healthcare organizations. This includes clinical integration with a hospital or health system, as well as forming or joining an accountable care organization (ACO), physician/hospital…

The Affordable Care Act has been the catalyst for dramatic change in US healthcare. The power structures that influence this $2.8 trillion economic sector are shifting, but one thing is crystal clear: A large percentage of the pharmaceutical sector’s top-line revenues flow from payers. …read more    

Analysis of patient records using state-of-the-art data analytics can predict future risk of metabolic syndrome, according to research. Analysis of patient records using state-of-the-art data analytics can predict future risk of metabolic syndrome, according to research published in The American Journal of Managed Care. read more …read more