Washington, DC (PRWEB) March 05, 2014
Accountable care organizations participating in the Medicare Shared Savings Program (MSSP) made a multitude of investments into their networks, health information technology and care management systems. But what really worked, and what didn’t? Now that CMS has released results from the first operating period, four ACOs previously profiled by Atlantic Information Services, Inc.’s (AIS) ACO Business News (ABN) — one of which will receive shared savings from CMS — offered their thoughts on what works and what doesn’t in the MSSP program in ABN’s March issue.
Houston-based Memorial Hermann ACO started with its physicians, says Chris Lloyd, CEO of MHMD and Memorial Hermann ACO. The organization chose its initial group of doctors carefully, with a 15-item checklist that required they already have an electronic medical record, accept some risk and have efforts underway to implement other aspects of the ACO triple aim, Lloyd told ABN. The approach worked: Memorial Hermann saved Medicare about $33 million and will receive shared savings of about $16 million. The key to the organization’s success, Lloyd says, was choosing a subset of physicians who already were invested in population health management, instead of enlisting its entire network and then trying to get buy-in.
At Catholic Health System, a Buffalo, N.Y.-based non-profit provider that includes four different hospital locations and an affiliated 900-physician independent practice association, Michael Edbauer, D.O., chief medical officer, says he sees two tactics as integral to the ACO’s progress so far: extensive use of electronic health record (EHR)-based registries and data, plus care management “across the continuum” with a focus on emergency room and inpatient opportunities. “Being able to pull clinical data from the practice EHRs and combining with claims data allows us to get a fairly accurate picture of care being provided as well as opportunities for improvement,” Edbauer told ABN. “We have then taken this information and provided timely and actionable reports back to practices.”
Visit http://aishealth.com/archive/nabn0314-07 to read the article in its entirety, which also includes thoughts from executives at Summit Health Solutions and Jordan Hospital.
About ACO Business News
ACO Business News delivers timely news and business strategies on accountable care organizations for physicians and provider groups, hospitals, health plans and their advisers. The monthly newsletter covers the latest industry actions to design and create ACOs, results that are already being achieved by ACO-like entities, and HHS regulations and guidance on this provocative new trend in health care. Featuring the pros and cons of various strategies for different types of organizations, ACO Business News is designed to help readers avoid the pitfalls ahead and transform exciting ACO opportunities into winning business strategies. Visit http://aishealth.com/marketplace/aco-business-news for more information.
About Atlantic Information Services
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 25 years. It develops highly targeted news, data and strategic information for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, websites, looseleafs, books, strategic reports, databases, webinars and conferences. Learn more at http://AISHealth.com.
Jill Brown, Executive Editor
Atlantic Information Services, Inc.
(202) 775-9008, ext. 3058