Download e-book for iPad: Accountable Care Organizations: Value Metrics and Capital by Robert James Cimasi

By Robert James Cimasi

ISBN-10: 1466581832

ISBN-13: 9781466581838

ISBN-10: 1466581840

ISBN-13: 9781466581845

An liable care association (ACO) is a healthcare association characterised by way of a fee and care supply version that seeks to tie supplier reimbursements to caliber metrics and mark downs within the overall price of deal with an assigned workforce of sufferers. Accountable Care corporations: worth Metrics and Capital Formation explores the old heritage and evolution of the ACO version because the foundation for the advance of the worth metrics and capital formation analyses which are foundational to assessing the present efficacy and potential for change.

The e-book examines the 4 pillars of worth within the healthcare undefined: regulatory, repayment, pageant, and expertise in addressing the worth metrics of ACOs, together with specifications for capital formation, monetary feasibility, and financial returns. It focuses the dialogue of non-monetary worth on a assessment of features of inhabitants health and wellbeing in the context of such goals as more advantageous caliber results and entry to care.

  • Explains why ACOs will be the cost-containment and caliber development solution the has been taking a look for
  • Describes the conditions and capital constructions the place ACOs signify a legitimate investment
  • Includes a foreword by means of Peter A. Pavarini, Esq.

The booklet examines the confident externalities of the ACO version, together with effects for 3rd events outdoor the fundamental build of the ACO contracts shared discount rates funds. It additionally discusses the capability position and possibilities for specialists in helping their supplier consumers within the attention, improvement, implementation, and operation of an ACO.

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Extra resources for Accountable Care Organizations: Value Metrics and Capital Formation

Example text

6 Over the course of four years, on average, the PGP participants improved their quality scores 10 percentage points for the diabetes measures, 13 percentage points for the heart failure measures, 6 percentage points for coronary artery disease measures, 9 percentage points for cancer screening measures, and 3 percentage points for the hypertension measures. 7 Million in Savings. Chris Anderson, Healthcare Finance News, December 13, 2010. com/­news/­­medicare-­­physician-­­group-­­practice-­­demonstration-­­project-­racks-387-­ million-­savings (Accessed 4/4/2012).

51 The PGP demonstration’s stated goals included: 1. Encouraging coordination of healthcare furnished under Medicare Parts A and B 3. 53 Although participants were primarily reimbursed through the standard Medicare FFS model, the demonstration also used financial incentives, provided by CMS, to physician groups who could successfully improve patient outcomes and decrease overall medical costs through the coordination of care and implementation of new care management strategies into daily operations.

A comparison of the potential value of ACOs to their necessary capital requirements and financial feasibility is requisite to understanding the likelihood of success for this emerging model. It is not the intent of this book to declare whether the ACO model will ultimately prevail. Rather, in Chapter 1 through Chapter 5, we seek to lay out the historical background and evolution of the ACO model as the basis for the development of the value metrics and capital formation analyses that are foundational to accessing the current efficacy and capacity for change, which may result from pursuing the development of an ACO, both to their potential for nonmonetary as well as monetary value.

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Accountable Care Organizations: Value Metrics and Capital Formation by Robert James Cimasi

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