Provider participation in accountable care organizations (ACOs) is becoming the new normal. As of January 1, 2016, there are 434 ACOs
in the Medicare Shared Savings Program. More than 160,000 providers now participate in an MSSP ACO. These organizations now serve
7.7 million Medicare beneficiaries residing in 49 of the 50 states. Here’s the road to the MSSP destination of shared savings.
Healthcare Reform 2011: The Good, the bad and the uglyDavid Goldstein
Interpreting these new laws and regulations are complex but their affect on insurers, employers, medical professionals, and patients is even more confusing. Join HOW for a unique look at these changes and their influence on healthcare decisions for the coming years.
Significant cuts to reimbursement rates under Medicare and other payors continue to have a devastating impact on hospital-based clinical laboratories. Focused exclusively on laboratory improvement, Colaborate helps organizations realize concealed financial and operational opportunities.
Provider participation in accountable care organizations (ACOs) is becoming the new normal. As of January 1, 2016, there are 434 ACOs
in the Medicare Shared Savings Program. More than 160,000 providers now participate in an MSSP ACO. These organizations now serve
7.7 million Medicare beneficiaries residing in 49 of the 50 states. Here’s the road to the MSSP destination of shared savings.
Healthcare Reform 2011: The Good, the bad and the uglyDavid Goldstein
Interpreting these new laws and regulations are complex but their affect on insurers, employers, medical professionals, and patients is even more confusing. Join HOW for a unique look at these changes and their influence on healthcare decisions for the coming years.
Significant cuts to reimbursement rates under Medicare and other payors continue to have a devastating impact on hospital-based clinical laboratories. Focused exclusively on laboratory improvement, Colaborate helps organizations realize concealed financial and operational opportunities.
Case Study: Re-Engineering the Operational Foundation to Fund the Future of Q...Mischa Dick
Success Snapshot:
* $21M cash gains achieved within the first year of engagement.
* 200+ employee CBO redesign for scalable growth
* Employee engagement scores at record high levels
Lori Peterson, CEO & Founder of Collaborative Consulting, presented about the nature of disruption and the rise in non-traditional competition for community-based organizations (CBOs).
Healthcare Reform 2011: The Good, the bad and the ugly (Part 2)David Goldstein
Interpreting these new laws and regulations are complex but their affect on insurers, employers, medical professionals, and patients is even more confusing. Join HOW for a unique look at these changes and their influence on healthcare decisions for the coming years.
Accountable Care Organizations and The Medicare Shared Savings ProgramPhytel
Population Health Management, Enabled by Information Technology, Will Be Critical To Success. In 2012, the Centers for Medicare and Medicaid Services (CMS) will launch a shared-savings program with accountable care organizations (ACOs). ACOs that meet specified quality goals will be able to split with CMS any savings that surpass a minimum level. The challenge facing ACOs is choosing the right information technologies so they can track the health status of and the care provided to every one of their patients to produce significant savings or meet the quality benchmarks of CMS
The public health insurance exchanges have been in operation for nearly three years now and may be opening the door for a new generation of engaged health care consumers. Deloitte’s 2016 Survey of US Health Care Consumers sought to understand their satisfaction with coverage, confidence in handling future health care costs, use of online services, knowledge of costs, and how they shop for coverage. http://www2.deloitte.com/us/en/pages/life-sciences-and-health-care/articles/health-care-consumers-health-insurance-exchanges.html
Findings reveal:
o Exchange consumers say they are satisfied with their coverage at the same rate as people with employer coverage
o More exchange consumers feel prepared to handle future costs and able to access affordable care than last year
o More than twice as many exchange consumers report using online information sources to shop for a policy than the average consumer, including those with employer coverage
o More exchange consumers say they understand their costs than consumers with employer coverage, and when they used their coverage, few had surprise out-of-pocket costs
o Exchange consumers shop around for coverage and evaluate the total costs before making decisions, and they continue to be willing to accept network tradeoffs for lower payments
Choosing Initial and Expansion States for Your Telehealth Practice – Essentia...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Bradley S. Davidsen - Telehealth Essentials for Start-Ups Crash Course Webinar Series - July 17, 2018.
Discussion Points:
* Which model makes the most sense for my telehealth start-up to begin offering telehealth services: a one-state, surrounding states/regional, select states, or national model?
* If I want to expand slowly/regionally, what factors should I consider in determining which states should be part of my initial expansion?
* If I want to expand into a national model, what factors are important in choosing the first state(s) in which to practice? Which states should I expand into next? Why not start in all 50 states?
Take a coffee break every Tuesday in July at 2 p.m. ET to join us for a 15-minute webinar covering telehealth and telemedicine issues! https://www.ebglaw.com/crashjuly
https://www.ebglaw.com/events/five-factors-to-consider-when-choosing-initial-and-expansion-states-for-your-telehealth-practice-telehealth-essentials-for-start-ups-crash-course-webinar-series/
#telehealth #telemedicine #startups #healthcare #healthIT #physicians #hospitals #pharma #prescribing #healthtech #healthlaw
Healthcare Valuations in an Era of Reform and UncertaintyPYA, P.C.
PYA Principal Jim Lloyd's AICPA Health Care Industry Conference presentation explored reform and current environment highlights, healthcare transactions and affiliations, valuation considerations, and regulatory issues.
Many healthcare organizations seem to have been in perpetual pilot stage while experimenting with value-based payment models. Healthcare organizations are focusing their efforts in two primary areas: developing the skills to successfully manage at-risk contracts and, preparing for the considerable business and care delivery transformation necessary for true population health management. But what are the foundational competencies needed to take on risk? Healthcare organizations should consider the following 5 key areas: 1) at-risk contract management, 2) network management, 3) care management, 4) performance monitoring, and 5) improvement prioritization. The value of analytics in each of these competency areas is to prioritize limited resources on the highest impact area.
Dr. David Muhlestein and Mathew Petersen, both of whom participate with Leavitt Partners' research on Accountable Care Organizations, co-authored the article ACO Results: What We Know So Far in Health Affairs Blog column on May 30th, 2014.
Case Study: Re-Engineering the Operational Foundation to Fund the Future of Q...Mischa Dick
Success Snapshot:
* $21M cash gains achieved within the first year of engagement.
* 200+ employee CBO redesign for scalable growth
* Employee engagement scores at record high levels
Lori Peterson, CEO & Founder of Collaborative Consulting, presented about the nature of disruption and the rise in non-traditional competition for community-based organizations (CBOs).
Healthcare Reform 2011: The Good, the bad and the ugly (Part 2)David Goldstein
Interpreting these new laws and regulations are complex but their affect on insurers, employers, medical professionals, and patients is even more confusing. Join HOW for a unique look at these changes and their influence on healthcare decisions for the coming years.
Accountable Care Organizations and The Medicare Shared Savings ProgramPhytel
Population Health Management, Enabled by Information Technology, Will Be Critical To Success. In 2012, the Centers for Medicare and Medicaid Services (CMS) will launch a shared-savings program with accountable care organizations (ACOs). ACOs that meet specified quality goals will be able to split with CMS any savings that surpass a minimum level. The challenge facing ACOs is choosing the right information technologies so they can track the health status of and the care provided to every one of their patients to produce significant savings or meet the quality benchmarks of CMS
The public health insurance exchanges have been in operation for nearly three years now and may be opening the door for a new generation of engaged health care consumers. Deloitte’s 2016 Survey of US Health Care Consumers sought to understand their satisfaction with coverage, confidence in handling future health care costs, use of online services, knowledge of costs, and how they shop for coverage. http://www2.deloitte.com/us/en/pages/life-sciences-and-health-care/articles/health-care-consumers-health-insurance-exchanges.html
Findings reveal:
o Exchange consumers say they are satisfied with their coverage at the same rate as people with employer coverage
o More exchange consumers feel prepared to handle future costs and able to access affordable care than last year
o More than twice as many exchange consumers report using online information sources to shop for a policy than the average consumer, including those with employer coverage
o More exchange consumers say they understand their costs than consumers with employer coverage, and when they used their coverage, few had surprise out-of-pocket costs
o Exchange consumers shop around for coverage and evaluate the total costs before making decisions, and they continue to be willing to accept network tradeoffs for lower payments
Choosing Initial and Expansion States for Your Telehealth Practice – Essentia...Epstein Becker Green
Epstein Becker Green Webinar with Attorney Bradley S. Davidsen - Telehealth Essentials for Start-Ups Crash Course Webinar Series - July 17, 2018.
Discussion Points:
* Which model makes the most sense for my telehealth start-up to begin offering telehealth services: a one-state, surrounding states/regional, select states, or national model?
* If I want to expand slowly/regionally, what factors should I consider in determining which states should be part of my initial expansion?
* If I want to expand into a national model, what factors are important in choosing the first state(s) in which to practice? Which states should I expand into next? Why not start in all 50 states?
Take a coffee break every Tuesday in July at 2 p.m. ET to join us for a 15-minute webinar covering telehealth and telemedicine issues! https://www.ebglaw.com/crashjuly
https://www.ebglaw.com/events/five-factors-to-consider-when-choosing-initial-and-expansion-states-for-your-telehealth-practice-telehealth-essentials-for-start-ups-crash-course-webinar-series/
#telehealth #telemedicine #startups #healthcare #healthIT #physicians #hospitals #pharma #prescribing #healthtech #healthlaw
Healthcare Valuations in an Era of Reform and UncertaintyPYA, P.C.
PYA Principal Jim Lloyd's AICPA Health Care Industry Conference presentation explored reform and current environment highlights, healthcare transactions and affiliations, valuation considerations, and regulatory issues.
Many healthcare organizations seem to have been in perpetual pilot stage while experimenting with value-based payment models. Healthcare organizations are focusing their efforts in two primary areas: developing the skills to successfully manage at-risk contracts and, preparing for the considerable business and care delivery transformation necessary for true population health management. But what are the foundational competencies needed to take on risk? Healthcare organizations should consider the following 5 key areas: 1) at-risk contract management, 2) network management, 3) care management, 4) performance monitoring, and 5) improvement prioritization. The value of analytics in each of these competency areas is to prioritize limited resources on the highest impact area.
Dr. David Muhlestein and Mathew Petersen, both of whom participate with Leavitt Partners' research on Accountable Care Organizations, co-authored the article ACO Results: What We Know So Far in Health Affairs Blog column on May 30th, 2014.
ACOs: Four Ways Technology Contributes to SuccessHealth Catalyst
With an increasing emphasis on value-based care, Accountable Care Organizations (ACOs) are here to stay. In an ACO, healthcare providers and hospitals come together with the shared goals of reducing costs and increasing patient satisfaction by providing high-quality coordinated healthcare to Medicare patients. However, many ACOs lack direction and experience difficulty understanding how to use data to improve care. Implementing a robust data analytics system to automate the process of data gathering and analysis as well as aligning data with ACO quality reporting measures. The article walks through four keys to effectively implementing technology for ACO success:
Build a data repository with an analytics platform.
Bring data to the point of care.
Analyze claims data, identify outliers, including successes and failures.
Combine clinical claims, and quality data to identify opportunities for improvement.
Accountable Care Organizations (ACOs) are organizations of health care providers who provide care to a group of patients. Created in an attempt to decrease the cost of service delivery and increase efficiency, value and profit, these organizations are new territory for the CPA professional. This presentation was given to the Michigan Association of Certified Public Accountants at their Healthcare Conference on April 23, 2013.
Four Strategies Drive High-Value Healthcare Analytics for COVID-19 RecoveryHealth Catalyst
COVID-19 response and recovery is pushing healthcare to operate at an unprecedented level. To meet these demands and continue to improve outcomes and lower costs, healthcare analytics must perform more actionably and with broader organizational impact than ever. Health systems can follow four strategies to produce high-value analytics to withstand the pandemic and make healthcare better in the long term:
Minimize benchmarking.
Outsource regulatory reporting.
Grow risk-based stratification capabilities.
Run activity-based costing plus at-risk contracting.
What are the main advantages of using HR recruiter services.pdfHumanResourceDimensi1
HR recruiter services offer top talents to companies according to their specific needs. They handle all recruitment tasks from job posting to onboarding and help companies concentrate on their business growth. With their expertise and years of experience, they streamline the hiring process and save time and resources for the company.
India Orthopedic Devices Market: Unlocking Growth Secrets, Trends and Develop...Kumar Satyam
According to TechSci Research report, “India Orthopedic Devices Market -Industry Size, Share, Trends, Competition Forecast & Opportunities, 2030”, the India Orthopedic Devices Market stood at USD 1,280.54 Million in 2024 and is anticipated to grow with a CAGR of 7.84% in the forecast period, 2026-2030F. The India Orthopedic Devices Market is being driven by several factors. The most prominent ones include an increase in the elderly population, who are more prone to orthopedic conditions such as osteoporosis and arthritis. Moreover, the rise in sports injuries and road accidents are also contributing to the demand for orthopedic devices. Advances in technology and the introduction of innovative implants and prosthetics have further propelled the market growth. Additionally, government initiatives aimed at improving healthcare infrastructure and the increasing prevalence of lifestyle diseases have led to an upward trend in orthopedic surgeries, thereby fueling the market demand for these devices.
The world of search engine optimization (SEO) is buzzing with discussions after Google confirmed that around 2,500 leaked internal documents related to its Search feature are indeed authentic. The revelation has sparked significant concerns within the SEO community. The leaked documents were initially reported by SEO experts Rand Fishkin and Mike King, igniting widespread analysis and discourse. For More Info:- https://news.arihantwebtech.com/search-disrupted-googles-leaked-documents-rock-the-seo-world/
Remote sensing and monitoring are changing the mining industry for the better. These are providing innovative solutions to long-standing challenges. Those related to exploration, extraction, and overall environmental management by mining technology companies Odisha. These technologies make use of satellite imaging, aerial photography and sensors to collect data that might be inaccessible or from hazardous locations. With the use of this technology, mining operations are becoming increasingly efficient. Let us gain more insight into the key aspects associated with remote sensing and monitoring when it comes to mining.
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As an Army veteran dedicated to lifelong learning, I bring a disciplined, strategic mindset to my pursuits. I am constantly expanding my knowledge to innovate and lead effectively. My journey is driven by a commitment to excellence, and to make a meaningful impact in the world.
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As a business owner in Delaware, staying on top of your tax obligations is paramount, especially with the annual deadline for Delaware Franchise Tax looming on March 1. One such obligation is the annual Delaware Franchise Tax, which serves as a crucial requirement for maintaining your company’s legal standing within the state. While the prospect of handling tax matters may seem daunting, rest assured that the process can be straightforward with the right guidance. In this comprehensive guide, we’ll walk you through the steps of filing your Delaware Franchise Tax and provide insights to help you navigate the process effectively.
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Discover the innovative and creative projects that highlight my journey through Full Sail University. Below, you’ll find a collection of my work showcasing my skills and expertise in digital marketing, event planning, and media production.
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2. Why ACOs are the Major Health Care Consulting/Sales
Opportunity of the Decade
Health Care (and its one-sixth of the U.S. GDP) are undergoing the biggest shift in half a century.
Accountable Care Organizations (“ACO”), the Federally-incented restructure for comprehensive
clinical provider groups, will be the leading edge of these changes:
• Efficiency and CQI-style quality improvement will be critical for clinical health care businesses
to survive the ongoing changes triggered by the Affordable Care Act.
• The ACO program is an important tool for early adopters drive their efforts, and gives ACO
sponsors access to Federal preferences.
• Provider compensation is moving rapidly toward capitation and case rates, which require
smarter, more comprehensive clinical organizations (like ACOs) to meet spread of risk
pressures.
• The Federal government is pressing for evidence-based medicine, which will require ACO-
style horizontal integration and consolidation of practice. Evidence-based medicine will
drive efficiency efforts throughout the industry.
PVM Partners LLC 2
3. How Do CFOs Get Performance from ACOs?
ACOs have to deliver performance as businesses. This means they have to manage several
critical issues:
RETURN ON CAPITAL
• Maximize business throughput
• Drive the Winning Profit Centers
• Drive Yield on Funds/Return on Capital
RISK LIMITS
• Minimize Volatility
• Cull Losing Operations
• Hedge Your Bets
PVM Partners LLC 3
4. How Aon and PVM Can Help Your ACO
Operating a new class of business such as an ACO requires special knowledge and skills. Two
firms offer solid resources in driving performance for your ACO:
Aon plc is the leading global provider of risk management, insurance and reinsurance brokerage,
and human resources solutions and outsourcing services. Our key advantage is our broad view
of two of the most important issues in our economy today: risk and people. With an employee
base of 65,000 people working in more than 120 countries, we can anticipate how changes in one
sector impact another.
PVM Partners LLC (“PVM”) is a Los Angeles-based firm creating improved financial and operating
performance for businesses and organizations who want strong, measureable results quickly.
PVM experts have improved performance for managed care plans, PBMs, IPAs, clinic chains and
hospitals. Our principals serve as subject matter experts for the Institute of Industrial Engineers
and the California Society of CPAs, and received a Letter of Commendation from the Clinton
White House for their analytic work on health care issues.
PVM
Partners llc
PVM Partners LLC 4
5. Specific Targets
. Stop Loss coverage . Activity-based costing/
return on capital improvement
. Benefits Captives/Stop Loss . Scenarios/modeling/”Big Data”
. General business risk coverage . Lean/Agile/CQI (operations)
. Construction risk for clinical facilities . Marketing/contracting
efficiencies
PVM Partners LLC 5
