decisionhealth Newsletters, Part B News - 2014 Issue 9 (September)
4 ways to get in on those great new ACO savings — even without joining one
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Article Overview
This article discusses accountable care organizations (ACOs), CMS shared-savings results, and operational factors associated with lower care costs and stronger performance. It is aimed at physicians, practice leaders, care-management staff, and healthcare administrators who want to understand the broad strategies, technology capabilities, patient-experience measures, leadership factors, and CMS benchmarking issues that influence ACO-style savings. The piece also touches on quality reporting and Medicare program considerations that affect how performance is assessed.
Why This Topic Matters
Understanding the ACO model and the CMS performance environment can help practices assess cost-of-care initiatives, quality improvement efforts, and infrastructure investments. The article is relevant for organizations comparing their own operations with ACO-style approaches and evaluating how benchmarking can affect financial outcomes.
Article Sections
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Accountable care organizations
Introduces the ACO context and summarizes recent CMS performance results related to shared savings. It also provides background on why some organizations have been successful in this environment.
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4 ways to save like an ACO
Outlines several broad operational themes that practices can examine when trying to improve care costs and performance. The section covers patient focus, health IT, leadership, and patient experience.
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Evaluate benchmarks CMS will use
Discusses how CMS benchmarking affects ACO financial performance and why regional conditions can influence results. It also mentions uncertainty around future benchmark methodology and possible policy changes.
What You Will Learn
- How ACO performance is discussed in relation to CMS shared-savings programs
- Which general practice-management factors are associated with lower care costs
- How health IT and patient experience can support performance improvement efforts
- Why benchmarking methodology matters for ACO financial results
- How regional cost patterns can influence program outcomes
Who Should Read This
- Physicians
- Practice administrators
- Healthcare executives
- Care management teams
- Health IT leaders
- Medical coders and compliance professionals
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