Accountable Care Organizations

• What predictive analytics can tell us about key drivers of MSSP results

  By Jill S. Herbold, Anders Larson, Cory Gusland | 28 September 2017

  This article provides insight into the 2015 gross savings/(losses) achieved by accountable care organizations in their third performance year of the Medicare Shared Savings Program.

• Telehealth under alternative payment models

  By Susan Philip | 13 September 2017

  Telehealth has the potential to boost the impact of population health management initiatives while improving access and convenience of healthcare delivery.

• Regulatory capital strategies in an evolving health insurance landscape

  By David M. Liner | 30 August 2017

  As the relationship between health plans and healthcare providers continues to evolve, this landscape creates new financial opportunities for health plans managing regulatory capital.

• Performance of skilled nursing facilities for the Medicare population

  By Anders Larson, Jill S. Herbold | 09 December 2016

  This report discusses a framework and metrics for measuring skilled nursing facility (SNF) performance, explores SNF performance levels across the United States, and provides a quantitative assessment of the opportunity to reduce spending for SNF services through steerage of patients to more cost-efficient SNFs.

• Five common pitfalls in commercial ACO shared risk arrangements

  By Adam Laurin, Cory Gusland | 31 August 2016

  For shared risk agreements to be transformational, providers and payers must work together to construct agreements that adequately reward providers, are economically viable over a multiyear period, and strive to transfer care management risk.

• Next Generation ACO Model: Should we take the plunge?

  By Charlie Mills, Cory Gusland, Noah Champagne | 31 March 2016

  This article identifies five key considerations that all accountable care organizations (ACOs) should closely review before deciding whether or not to use the Next Generation ACO Model.

• The essential eight: Keys to successful ACO contracting

  By Kimberley K. Hiemenz | 15 October 2015

  This article discusses common elements critical to analyzing and understanding shared risk and population-based arrangements.

• Benefits Perspectives: Introduction to shared savings arrangements and ACOs

  By Anders Larson, Paul R. Houchens | 03 September 2015

  This Benefits Perspective provides an introduction to accountable care organizations and shared savings arrangements for employers that sponsor self-funded group health plans.

• Healthcare, provider reimbursement, and the changing financial terrain

  By Catherine M. Murphy-Barron, Rebecca L. Johnson | 19 March 2015

  Healthcare providers should start thinking about strategies for defending and gaining market share sooner rather than later.

• Challenges with measuring savings in shared savings arrangements

  By Anders Larson, Jill S. Herbold | 11 March 2015

  Shared savings arrangements have become a more popular way to incentivize providers to improve the efficiency and quality of healthcare.

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