Your SlideShare is downloading. ×
0
 
Contact:	
  	
  
David	
  Parpart,	
  D.C.	
  ,	
  CEO	
  	
  
Socially	
  Relevant	
  Inc	
  
408-­‐421-­‐9508	
  	
  
...
 Accountable	
  Healthcare	
  Pla9orm	
  for	
  Pa<ent	
  Engagement	
  Solu<ons	
  
Pharmacist	
  Counseling	
  |	
  Mobi...
Healthcare Reform Puts
6% of Hospital Revenue at Risk
2%	
  annual	
  payment	
  
update	
  at	
  risk	
  by	
  FY2017	
  ...
ConfidenBal-­‐	
  Socially	
  Relevant	
  Inc.	
  
What’s an ACO?
ConfidenBal-­‐	
  Socially	
  Relevant	
  Technology	
  
ConfidenBal-­‐	
  Socially	
  Relevant	
  Inc.	
  
ConfidenBal-­‐	
  Socially	
  Relevant	
  Technology	
  
Al a Carte All I...
 
	
  
	
  
	
  
	
  
IMAGE	
  SOURCE:	
  NEHI	
  Roadmap	
  to	
  Improving	
  MedicaBon	
  Adherence,	
  2012	
  
SOURCE...
Accountable Care Organization
(ACO) Risk and Reward
Every Hospital has risk of loss/penalties
  2/3 penalized in Oct 2012...
ACO – Healthcare’s New Business Model
Value Based Purchasing and Shared Savings
Better Care
Experience
Lower Costs
Better
...
ACO – Healthcare’s New Business Model
Example: Nephrology
Better Care
Experience
Lower Costs
Better
Population
Health
Doct...
What is the Lowest Hanging Fruit
for ACO Profitability?
$700Bn
$290Bn
$30Bn
•  Duplication of
Services
•  Fraud
•  Poor Me...
What's an ACO?
What's an ACO?
Upcoming SlideShare
Loading in...5
×

What's an ACO?

159

Published on

Presented by David Parpart to Wellmark's Prebacked Ignition Startups 6/27/2013.

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
159
On Slideshare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
2
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Transcript of "What's an ACO? "

  1. 1.   Contact:     David  Parpart,  D.C.  ,  CEO     Socially  Relevant  Inc   408-­‐421-­‐9508     drparpart@impactmeds.com     What’s an ACO?
  2. 2.  Accountable  Healthcare  Pla9orm  for  Pa<ent  Engagement  Solu<ons   Pharmacist  Counseling  |  Mobile  Applica<ons  |  Remote  Monitoring     Drivers of Healthcare Reform Economics
  3. 3. Healthcare Reform Puts 6% of Hospital Revenue at Risk 2%  annual  payment   update  at  risk  by  FY2017   1%  DRG  payment   penalty  FY2013,  rising   to  3%  by  FY2015 1%  DRG  payment   penalty  for  hospitals  in   worst  quartile   beginning  FY2015 • Value-­‐based  Purchasing • Process  of  care • Patient  experience  Begins   FY2013 • 30-­‐Day  Readmissions • Up  to  8  conditions   targeted  including  AMI,  HF,   PNA   • Hospital-­‐Acquired   Conditions • Up  to  8  conditions   targeted  
  4. 4. ConfidenBal-­‐  Socially  Relevant  Inc.   What’s an ACO? ConfidenBal-­‐  Socially  Relevant  Technology  
  5. 5. ConfidenBal-­‐  Socially  Relevant  Inc.   ConfidenBal-­‐  Socially  Relevant  Technology   Al a Carte All Inclusive A Business Model Volume vs. Capitation
  6. 6.           IMAGE  SOURCE:  NEHI  Roadmap  to  Improving  MedicaBon  Adherence,  2012   SOURCE:  New  England  Health  InsBtute,  2012     Accountable  Care  OrganizaBon  (ACO)  
  7. 7. Accountable Care Organization (ACO) Risk and Reward Every Hospital has risk of loss/penalties   2/3 penalized in Oct 2012 Health Organizations APPLY to form an ACO   Assume risk   Gain NEW REVENUE OPPORTUNITY through Medicare Shared Saving Program ACO’s Need New Patient Engagement Strategies   Section H of the MSSP Application
  8. 8. ACO – Healthcare’s New Business Model Value Based Purchasing and Shared Savings Better Care Experience Lower Costs Better Population Health Metrics: Patient Experience Patient Activation Measures Metrics: Readmission Rate Total PMPM & Trend Metrics: HEDIS Cost Savings  New Revenues Capitated Payment
  9. 9. ACO – Healthcare’s New Business Model Example: Nephrology Better Care Experience Lower Costs Better Population Health Doctor/Pharmacist/Patient Collaboration $178M Reduction in Part A $ 23M Increase in Part D $155M net savings Cost Savings  New Revenues Capitated Payment $155M net savings X 60% = $90M
  10. 10. What is the Lowest Hanging Fruit for ACO Profitability? $700Bn $290Bn $30Bn •  Duplication of Services •  Fraud •  Poor Med Adherence •  Avoidable Hospitalizations ConfidenBal  Do  Not  Distribute  
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×