Download or read book Blueprint for ACO Success written by Jeffrey R. Ruggiero and published by Healthcare Intelligence Net. This book was released on 2011-02 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Blueprint for ACO Success written by Jeffrey Ruggiero and published by Healthcare Intelligence Net. This book was released on 2011-02 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: This 40-page resource will prepare healthcare organizations considering an ACO for clinical and regulatory success. First, Mark Shields, MD, MBA, senior medical director for Advocate Physician Partners and vice president of medical management for Advocate Health Care, details Advocate Physician Partners' CI program, from the structure of the CI group to funding, incentives, mechanisms and technology that support CI, and why a successful CI program can provide the ACO foundation. Next, Jeffrey R. Ruggiero, Esq., a partner in Arnold & Porter LLP, the law firm advising the Queens County Medical Society on its ACO development approach, describes the operational and regulatory compliance requirements that must be met to ensure a highly cost-effective, high quality, safe and legally compliant ACO for patients and health plan members.

Download or read book Accountable Care Organizations written by Robert James Cimasi and published by CRC Press. This book was released on 2013-06-05 with total page 378 pages. Available in PDF, EPUB and Kindle. Book excerpt: An accountable care organization (ACO) is a healthcare organization characterized by a payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for an assigned group of patients. Accountable Care Organizations: Value Metrics and Capital Formation explores the historical ba

Download or read book Pathways to a Successful Accountable Care Organization written by Peter A. Gross and published by JHU Press. This book was released on 2020-08-18 with total page 343 pages. Available in PDF, EPUB and Kindle. Book excerpt: A valuable guide to starting and running a successful accountable care organization. Health care in America is undergoing great change. Soon, accountable care organizations—health care organizations that tie provider reimbursements to quality metrics and reductions in the cost of care—will be ubiquitous. But how do you set up an ACO? How does an ACO function? And what are the keys to creating a profitable ACO? Pathways to a Successful Accountable Care Organization will help guide you through the complicated process of establishing and running an ACO. Peter A. Gross, MD, who has firsthand experience as the chairman of a successful ACO, breaks down how he did it and describes the pitfalls he discovered along the way. In-depth essays by a group of expert authors touch on • the essential ingredients of a successful ACO • monitoring and submitting Group Practice Reporting Option quality measures • mastering your patients' responses to the Consumer Assessment of Health Plans Survey • how bundled payments and CPC+ can meld with your ACO • how MACRA and MIPS affect your ACO • the role of an ACO/CIN • the complexities of post-acute care • data analytics • engaging and integrating physician practices Dr. Gross and his colleagues are in a perfect position to guide other health care leaders through the ACO process while also providing excellent case studies for policy professionals who are interested in how their work influences health care delivery. Readers will come away with the necessary knowledge to thrive and be rewarded with cost savings. Contributors: Joshua Bennett, Allison Brennan, Glen Champlin, Kris Corwin, Guy D'Andrea, Joseph F. Damore, Mitchel Easton, Andy Edeburn, Seth Edwards, Jennifer Gasperini, Kris Gates, Shawn Griffin, Peter A. Gross, Brent Hardaway, Mark Hiller, Beth Ireton, Thomas Kloos, Jeremy Mathis, Miriam McKisic, Morey Menacker, Denise Patriaco, Elyse Pegler, John Pitsikoulis, Michael Schweitzer, Bryan F. Smith

Download or read book Accountable Care Organizations written by Marc Bard and published by ACHE Management. This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Is the ACO strategy right for your organization? Accountable Care Organizations will help you understand the ACO framework and assess your readiness to embark on an ACO strategy. This book provides the structural blueprints, management skills, and cultural tools necessary to implement a successful ACO. Practical advice is bolstered with real world examples of leading healthcare providers that are pioneers in the rapidly changing world of accountable care. This guidebook is designed to facilitate critical conversations and decisions at all stages of the ACO development journey. Explore processes and structures and learn how to implement pilots to shape your own ACO delivery model. Each chapter includes takeaway points and tailored action steps for: (1) organizations interested in exploring the ACO concept, (2) organizations taking the first steps towards an ACO model, and (3) organizations already moving full speed ahead. This book will help you answer these questions and more: What does it take to become an ACO? What steps and actions should your organization take to implement an ACO strategy? How can organizational culture support your move to accountable care? How can you build a business plan to support an ACO strategy? What information technology is needed to implement an ACO strategy? How can an merging ACO best negotiate with third-party payers?

Download or read book The Healthcare Executive s Guide to ACO Strategy written by and published by Healthleaders Media, a Division of Blr. This book was released on 2012-03-29 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Healthcare Executive's Guide to ACO Strategy The Healthcare Executive's Guide to ACO Strategy is the first comprehensive book dissecting the integral components of ACOs from physician, provider, and payer views, including analysis of the CMS final regulations. In the wake of healthcare reform, ACOs continue to emerge as the care delivery and reimbursement model of the future. Get the book that provides specifics on incorporating accountable care structure and strategy into your organization so you can enter the ACO era prepared and positioned to succeed. Get expert advice on ACOs and the elements for success, including how to: Participate in the CMS Shared Savings program Distinguish the various characteristics of an ACO and its operations Understand how ACO reimbursement structure will work Evaluate the process of forming an ACO-including the legal, financial, IT, and governance requirements Fulfill important quality measures for an ACO Reshape and refine hospital-physician alignment strategies Table of contents: Chapter 1: ACCOUNTABLE CARE ORGANIZATION OVERVIEW What Is an ACO? The Logic of ACOs Basic ACO Tenets Key Characteristics of Accountable Care Chapter 2: HOW WE GOT HERE A Look Back at the 1980s and '90s The Alternatives to HMOs Medicare Prospective Payment System Physician-hospital Organizations Chapter 3: WHAT WE ANTCIPATE ABOUT THE ACCOUNTABLE CARE CONCEPT Accountable Care Organizations Why ACOs? What Will an ACO Look Like? Structural Change Challenges of Collaboration Chapter 4: PHYSICIAN-HOSPITAL INTEGRATION ACOs as a Driver of Alignment Different Alignment Models Continuum of Care and Integration Chapter 5: COMPENSATION AND ANTICIPATED CHANGES Historical and Current Reimbursement Structures Proposed Reimbursement Structures Medical Home Payment Models Chapter 6: ARE YOU READY FOR AN ACO ENVIRONMENT? Organizational Assessment Financing: Startup and Ongoing Expenses Market Assessment Chapter 7: LEGAL CONSIDERATIONS Requirements Governance Antitrust Issues Stark Law and Anti-kickback Statute Chapter 8: THE CMS SHARED SAVINGS PROGRAM Program Overview Shared Savings Program Tracts Interim Payment Option Chapter 9: BENCHMARKS FOR SHARED SAVINGS PROGRAM Assignment of Beneficiaries Cost Benchmarks Review of the Norton Healthcare and Dartmouth-Hitchcock Health Care System ACOs Chapter 10: QUALITY MEASURES Benchmarks, Standardization, and Protocols Utilization of Evidence-based Medicine Measuring Outcomes Patient Compliance Chapter 11: THE ROLE OF INFORMATION TECHNOLOGY Technology Considerations Health IT Market as it Relates to ACOs Harmonizing the ACO through Connectivity Chapter 12: PATIENT-CENTERED MEDICAL HOMES How Consolidation Has Shaped the Future Positioning for an Evolving Healthcare System What is the Patient-Centered Medical Home? Comparing ACOs and Medical Homes Chapter 13: Where Do We Go From Here? Form Physicians-Hospital Alliances Partner in the Delivery of Quality and Cost-effective Medical Care Review Current Compensation and Reimbursement Models Recap of ACO Programs

Download or read book Handbook Integrated Care written by Volker Amelung and published by Springer. This book was released on 2017-06-30 with total page 578 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook gives profound insight into the main ideas and concepts of integrated care. It offers a managed care perspective with a focus on patient orientation, efficiency, and quality by applying widely recognized management approaches to the field of health care. The handbook also provides international best practices and shows how integrated care does work throughout various health systems. The delivery of health and social care is characterised by fragmentation and complexity in most health systems throughout the world. Therefore, much of the recent international discussion in the field of health policy and health management has focused on the topic of integrated care. “Integrated” acknowledges the complexity of patients ́ needs and aims to meet it by taking into account both health and social care aspects. Changing and improving processes in a coordinated way is at the heart of this approach.

Download or read book Nation s Blueprint to True Prosperity written by Jr. Legasto, Ph.D Augusto and published by Flipside Digital Content Company Inc.. This book was released on 2011-07-10 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: Like many developing nations, the Philippines has been relying on western standards as handed down by American colonialists and perpetuated by the Filipino elite. The heavy focus of this western approach on economic indicators of progress is suited to the elite's interests, since it controls commerce and industries. This book presents the "e;ANT3 Paradigm,"e; a new development paradigm that is more appropriate for developing nations because it is cognizant of the importance of the cultural and spiritual values of the people alongside their economic aspirations. "e;ANT3"e; stands for information technology Applications, social Networking, appropriate Technology, modern but affordable Telecommunications systems, and Training. This paradigm emphasizes community-building and a social organization in which every member has a distinct, vital role to play in the pursuit of the common good of the country.

Download or read book Inside Calculus written by George R. Exner and published by Springer Science & Business Media. This book was released on 2008-01-08 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: The approach here relies on two beliefs. The first is that almost nobody fully understands calculus the first time around. The second is that graphing calculators can be used to simplify the theory of limits for students. This book presents the theoretical pieces of introductory calculus, using appropriate technology, in a style suitable to accompany almost any first calculus text. It offers a large range of increasingly sophisticated examples and problems to build an understanding of the notion of limit and other theoretical concepts. Aimed at students who will study fields in which the understanding of calculus as a tool is not sufficient, the text uses the "spiral approach" of teaching, returning again and again to difficult topics, anticipating such returns across the calculus courses in preparation for the first analysis course. Suitable as the "content" text for a transition to upper level mathematics course.

Download or read book Handbook of Home Health Care Administration written by Harris and published by Jones & Bartlett Publishers. This book was released on 2015-10 with total page 919 pages. Available in PDF, EPUB and Kindle. Book excerpt: Professional reference for Nurses on Home Health Care

Download or read book Population Health Management in Health Care Organizations written by Timothy R. Huerta and published by Emerald Group Publishing. This book was released on 2014-10-17 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Volume 16 of AHCM presents papers that explore population health management and organizational change across various levels of the healthcare system. Aspects of health care organizations discussed in the volume include the PCMH, ACOs, integration with the public health and mental health systems, hospital-physician alignment, and resource planning.

Download or read book Practice Management Successfully Guiding Your Group into the Future An Issue of Anesthesiology Clinics E Book written by Amr Abouleish and published by Elsevier Health Sciences. This book was released on 2018-05-23 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Anesthesiology Clinics focuses on Practice Management, with topics including: Measuring Clinical Productivity; OR Throughput and Efficiency; Measuring Quality of Individual Anesthesia Clinicians; Challenges in outcome reporting; Reporting Quality; Quality and The Health System; Value Proposition and Anesthesiology; Bundled Payments and the Hidden Costs; Pre-Anesthesia Assessment and Pre-Facilitation Process; Perioperative Surgical Home and the Role of Pain Medicine; Anesthesiology’s future with Population Health; Successful Negotiations; and Challenges of merging academic and private-practice cultures.

Download or read book INSPIREd Healthcare written by Billie Lynn Allard and published by Sigma Theta Tau. This book was released on 2020-02-25 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: In today’s environment where healthcare costs are outpacing the economy, healthcare systems are shifting from fee-for-service to value-based payment to deliver high-quality care while reducing costs. This shift presents nurses with the opportunity to take the lead in transforming care delivery and achieve the Triple Aim goals: improving patient experience of care, improving health of populations, and reducing per capita healthcare costs. INSPIREd Healthcare follows author Billie Lynn Allard and her team of nurses as they successfully implement an accountable community of health in pursuit of the Triple Aim. The INSPIRE Model they follow provides an evidence-based blueprint for other healthcare systems hoping to solve the complicated problems surrounding care transitions and health promotion

Download or read book Integrating Social Care into the Delivery of Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-12-30 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.

Download or read book Handbook of Home Health Care Administration written by Marilyn D. Harris and published by Jones & Bartlett Learning. This book was released on 2015-10-01 with total page 1000 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Home Health Care Administration, Sixth Edition is a comprehensive text that reflects the current state of home health care administration. With contributions from leading experts in the field, it addresses key aspects of home health care, including finance, human resource development, legal and ethical issues, management information systems, marketing, quality management, research, and current technology for patient care.

Download or read book The Future of Nursing 2020 2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

Download or read book Comprehensive Financial Planning Strategies for Doctors and Advisors written by David Edward Marcinko and published by CRC Press. This book was released on 2014-12-09 with total page 748 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing on the expertise of multi-degreed doctors, and multi-certified financial advisors, Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical PlannersTM will shape the industry landscape for the next generation as the current ecosystem strives to keep pace. Traditional generic products and sales-driven advice will yield to a new breed of deeply informed financial advisor or Certified Medical PlannerTM. The profession is set to be transformed by "cognitive-disruptors" that will significantly impact the $2.8 trillion healthcare marketplace for those financial consultants serving this challenging sector. There will be winners and losers. The text, which contains 24 chapters and champions healthcare providers while informing financial advisors, is divided into four sections compete with glossary of terms, CMPTM curriculum content, and related information sources. For ALL medical providers and financial industry practitioners For NEW medical providers and financial industry practitioners For MID-CAREER medical providers and financial industry practitioners For MATURE medical providers and financial industry practitioners Using an engaging style, the book is filled with authoritative guidance and healthcare-centered discussions, providing the tools and techniques to create a personalized financial plan using professional advice. Comprehensive coverage includes topics likes behavioral finance, modern portfolio theory, the capital asset pricing model, and arbitrage pricing theory; as well as insider insights on commercial real estate; high frequency trading platforms and robo-advisors; the Patriot and Sarbanes–Oxley Acts; hospital endowment fund management, ethical wills, giving, and legacy planning; and divorce and other special situations. The result is a codified "must-have" book, for all health industry participants, and those seeking advice from the growing cadre of financial consultants and Certified Medical PlannersTM who seek to "do well by doing good," dispensing granular physician-centric financial advice: Omnia pro medicus-clientis. RAISING THE BAR The informed voice of a new generation of fiduciary advisors for healthcare