decisionhealth Newsletters, Part B News - 2015 Issue 9 (September)
Expanding outreach drives ACO outcomes, financial success; money helps too
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Article Overview
This article covers accountable care organization performance in CMS reporting, with a focus on one organization’s experience building a broad provider network and supporting partners with technology and administrative tools. It explains why these investments can matter for quality and financial performance, and it also outlines broader strategic options for organizations considering participation in value-based care models. The piece is relevant to ACO leaders, physicians, care management teams, health system executives, and readers tracking Medicare Shared Savings and Pioneer ACO developments.
Why This Topic Matters
It highlights practical organizational and operational factors that can influence ACO performance, especially for groups weighing whether they have the resources to support a large-scale value-based care strategy.
Article Sections
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ACO performance in CMS reporting
Summarizes recent CMS reporting on ACO quality improvement and shared savings performance. Provides the broader context for the organization profile that follows.
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Banner Health Network’s approach
Describes how the organization built its network and aligned participating providers. Covers governance, collaboration, and support for independent physicians.
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Technology and care coordination support
Explains the kinds of operational and technology support used to strengthen provider participation and patient communication. Also addresses tools aimed at coordinating care across the network.
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Investment and alternative strategies
Discusses the cost of sustaining these initiatives and the importance of long-term investment. Also mentions lower-cost approaches and collaboration options for organizations with limited budgets.
What You Will Learn
- How CMS described recent ACO performance trends
- What organizational features supported one ACO’s success
- How network support and care coordination tools fit into ACO strategy
- What alternatives may be considered by organizations with limited resources
Who Should Read This
- ACO leadership
- Health system executives
- Physicians and medical group managers
- Care management professionals
- Healthcare innovation and strategy teams
- Readers following Medicare value-based care programs
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