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Private Sector Accountable Care Organization Development: A Qualitative Study

March 17, 2017  /  Emerging Healthcare Models

Private sector accountable care organization development has been motivated by perceived opportunities to improve quality, efficiency, and population health, and the belief that payment reform is inevitable.

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Oncology Medical Homes, Patient Navigators Improved Quality and Saved Costs at End of Life

March 17, 2017  /  Emerging Healthcare Models

Results of a recent study highlighted the medical home and patient navigator models as being associated with significantly lower costs and fewer hospitalizations at the end of life (EOL).

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65% of Organized Providers Paid Via Alternative Payment Models

March 3, 2017  /  Emerging Healthcare Models

A recent survey showed that only 35 percent of providers in an integrated employment model are not primarily reimbursed through an alternative payment model.

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Amgen strikes Enbrel ‘outcomes’ contract with Harvard Pilgrim

February 24, 2017  /  Emerging Healthcare Models

Evan as biosimilar competition for Amgen’s blockbuster rheumatoid arthritis drug Enbrel is lurking in the background, the biotech may have found a way to preserve market share with an outcomes-based contract for the popular med. 

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Harvard Pilgrim bets on value-based drug payments with new deals for Enbrel and Forteo

February 24, 2017  /  Emerging Healthcare Models

As high pharmaceutical prices strain budgets of payers and patients alike, Harvard Pilgrim is betting so-called pay-for-performance deals will help lower drug costs and improve patient outcomes. 

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HHS rule delay does not slow launch of bundled-payment models

February 16, 2017  /  Emerging Healthcare Models

The Trump administration’s move to delay the effective date for a rule that launched several new cardiac and orthopedic bundled-payment models under Medicare will not slow the launch of the initiatives, an HHS spokesman confirmed Thursday.

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Studies underscore importance of nuances, time in judging ACOs

February 16, 2017  /  Emerging Healthcare Models

In the ongoing debate over how accountable care organizations can lower costs and improve health, two new studies offer insights into the nuances of how ACOs affect spending, utilization and quality.

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Examining different accountable care organization payment models

February 16, 2017  /  Emerging Healthcare Models

Two new studies take a look at different accountable care organization (ACO) payment models.

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Aetna, UnitedHealth show increasing appetite for value-based care contracts

February 11, 2017  /  Emerging Healthcare Models

Aetna has long held a goal to reach 75 to 80 percent of its medical spend in value-based relationships by 2020.

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Provider Consolidation Not Directly Associated with Payment Reform

February 11, 2017  /  Emerging Healthcare Models

Although the prevailing wisdom is that payment reform will accelerate provider consolidation, new research published in Health Affairs finds minimal evidence that consolidation has been associated with accountable care organization (ACO) penetration.

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