31.5% Would Estimate Accountable Care Organizations Currently Have a Material Impact in Their Marketplace

Size: px
Start display at page:

Download "31.5% Would Estimate Accountable Care Organizations Currently Have a Material Impact in Their Marketplace"

Transcription

1 31.5% Would Estimate Accountable Care Organizations Currently Have a Material Impact in Their Marketplace Stakeholder survey on progress of and insights into accountable care organizations MODESTO CA, January, MCOL and Accountable Care News jointly sponsored the fifth annual survey of healthcare professionals, during December, on their involvement with and their insights regarding accountable care organizations. An exclusive report on the survey findings follows. Participants were asked to respond to seven items: 1. Please indicate your perspective. Provider (Hospital, Physician, Pharmaceutical, Other) Purchaser (Health Plan, Employer, TPA, Agent, PBM) Vendor or Other 2. Is your organization involved with ACOsincluding development, operation, or contracting arrangements? 3. When would you estimate ACOs would have a material impact in your marketplace? 4. If ACO Medicare pilots are not ultimately successful, will that cause commercial and Medicaid ACO arrangements to generally fail as well? 5. How confident are you that ACOs will actually generate the necessary savings? 6. Will bundled payments prove to be a more effective delivery and payment reform model than ACOs? 7. If you could only pick one, what would be the most important part of the Medicare ACO rules to change? Executive Summary: For the fifth year in a row, the vast majority (83.3%) of respondents said their organizations are involved with ACOs, including development, operation, or contracting arrangements. Vendors (or others) were the most likely respondent category to say their organization was involved with ACOs at 88.2%, which was only slightly more than providers at 85.2% and purchasers at 66.7%. (see Chart 1) Chart No Blue = Provider Red = Purchaser Green = Vendor/Other Yes The amount of respondents who said that ACOs currently have a material impact in the marketplace has gradually increased, since this question was first asked in % of respondents in this year s survey thought ACOs currently have an impact. 3.7% of respondents believe ACOs will have never had an impact at all. MCOL Accountable Care epoll Dec

2 20.4% think that ACOs either currently do have, or will have, in 2015, an impact in the marketplace.13. of respondents think that ACOs will have a material impact in 2016 while 22.2% think they will sometime from 2017 to (see Chart 2) Chart Chart Blue = Provider Red = Purchaser Green = Vendor/Other No Unsure Yes Those in the purchaser category had the most optimistic outlook of ACO impact on the marketplace with 55.6% saying that ACOs either currently do have, or will have, in 2015, an impact. Vendor (or others) and providers were far behind, with (23.5% and 29.6%, respectively) of each group having the same optimism. No respondents in the provider category said ACOs will never have an impact on the marketplace while 11.1% of purchasers and 5.9% of vendor (or others) said they never would. A minority of respondents (27.8%) think that if ACO Medicare pilots are not ultimately successful, that will cause commercial and Medicaid ACO arrangements to generally fail as well. A plurality (50.) disagree with this statement. Less than a quarter of respondents (22.2%) were unsure whether or not this statement was true. Vendors (or others) were mostly in agreement (58.8%) that the successes of ACO Medicare pilots were not tied to the success of commercial and Medicaid ACO arrangements. Purchasers, providers, and vendor/others both had under 3 of respondents that Medicare s success was tied to Medicaid s and Commercial s. (see Chart 3) MCOL Accountable Care epoll Dec A portion of respondents (38.9%) are confident that ACOs will actually generate the necessary savings. 20.4% are neutral about it, 18.5% are doubtful about it, and 14.8% are very doubtful regarding this matter. Provider and Purchaser categories tied with 44.4% in regards to being confident that ACOs will actually generate the necessary savings. (see Chart 4) Chart The total numbers of respondents (46.3%) neutral on whether bundled payments prove to be a more effective delivery and payment reform model than ACOs. 24.1% disagreed with this, and 16.7% agreed. Only a small amount of respondents on both sides felt strongly about their position, with only 5.6% strongly disagreeing and 7.4% strongly agreeing.

3 MCOL Accountable Care epoll Dec

4 Providers (25.9%) leaned to disagree while purchasers (22.2%) leaned to agree. Purchasers and vendors/other were similar in neutrality at 55.6% and 52.9%, respectively. (see Chart 5) Chart Agree Disagree Neutral Strongly Agree Strongly Disagree 40.7% of respondents say that patient attribution would be the most important part of the Medicare ACO rules to change. Providers are split between metrics and data/risk vs. reward at 25.9%. Vendor (or other) are also split metrics and data/risk vs. reward at 29.4%. And the majority of purchasers would choose metrics and data to the most important part of the Medicare ACO rules to change (66.7%). (see Chart 6) Chart Metrics and Data Patient Attribution Risk vs. Reward Blue = Provider Red = Purchaser Green = Vendor/Other MCOL Accountable Care epoll Dec

5 Tables Is your organization involved with ACOs- including development, operation, or contracting arrangements? No 14.8% 33.3% 11.8% 16.7% Yes 85.2% 66.7% 88.2% 83.3% Total When would you estimate ACOs would have a material impact in your marketplace: % 11.1% 23.5% 20.4% % 11.1% 17.6% % 11.1% 17.6% 22.2% Currently Do 29.6% 55.6% 23.5% 31.5% Never % 5.9% 3.7% Unsure 7.4% % 9.3% Total If ACO Medicare pilots are not ultimately successful, will that cause commercial and Medicaid ACO arrangements to generally fail as well? No 48.1% 44.4% 58.8% 50. Unsure 25.9% 33.3% 11.8% 22.2% Yes 25.9% 22.2% 29.4% 27.8% Total How confident are you that ACOs will actually generate the necessary savings? Confident 44.4% 44.4% 29.4% 38.9% Doubtful 11.1% 33.3% 23.5% 18.5% Neutral 14.8% 11.1% 35.3% 20.4% Very Confident 11.1% 11.1% % Very Doubtful 18.5% % 14.8% Total Will bundled payments prove to be a more effective delivery and payment reform model than ACOs? Agree 14.8% 22.2% 17.6% 16.7% Disagree 25.9% 11.1% 23.5% 24.1% Neutral 40.7% 55.6% 52.9% 46.3% Strongly Agree 7.4% 11.1% 5.9% 7.4% Strongly Disagree 11.1% % Total MCOL Accountable Care epoll Dec

6 If you could only pick one, what would be the most important part of the Medicare ACO rules to change? Metrics and Data 25.9% 66.7% 29.4% 35.2% Patient Attribution 48.1% 22.2% 41.2% 40.7% Risk vs. Reward 25.9% 11.1% 29.4% 24.1% Total Historical Comparison to Previous epolls If ACO Medicare pilots are not ultimately successful, will that cause commercial and Medicaid ACO arrangements to generally fail as well? Yes % No 22.2% 48.5% Unsure 27.8% 26.3% Total How confident are you that ACOs will actually generate the necessary savings? Confident 38.9% 10.1% 10.9 Doubtful 18.5% 25.3% 20.9 Neutral 20.4% 32.3% 28.2 Very Confident 7.4% 29.3% 35.5 Very Doubtful 14.8% Total Will bundled payments prove to be a more effective delivery and payment reform model than ACOs? Agree 16.7% 6.1% 11.8 Disagree 24.1% 23.5% 23.6 Neutral 46.3% 37.8% 33.6 Strongly Agree 7.4% 30.6% 25.5 Strongly Disagree 5.6% Total MCOL Accountable Care epoll Dec

Accountable Care Platform

Accountable Care Platform The shift toward increased collaboration, outcome-based payment and new benefit design is transforming how we pay for health care and how health care is delivered. UnitedHealthcare is taking an industry

More information

PROVIDER ATTITUDES TOWARD VALUE-BASED PAYMENT MODELS

PROVIDER ATTITUDES TOWARD VALUE-BASED PAYMENT MODELS PROVIDER ATTITUDES TOWARD VALUE-BASED PAYMENT MODELS An Availity Research Study April, 2014 TABLE OF CONTENTS 1 Introduction 2 Definitions 3 Key Findings 5 Survey Results 6 Revenue sources and experience

More information

2012 annual index Sponsored by Deloitte and the Manufacturing Institute. Leadership wanted U.S. public opinions on manufacturing

2012 annual index Sponsored by Deloitte and the Manufacturing Institute. Leadership wanted U.S. public opinions on manufacturing 2012 annual index Sponsored by Deloitte and the Manufacturing Institute Leadership wanted U.S. public opinions on manufacturing Contents Executive summary 3 Current environment 7 The importance and image

More information

7th Annual Ambulatory PM & EHR Study. HIMSS Analytics

7th Annual Ambulatory PM & EHR Study. HIMSS Analytics 7th Annual Ambulatory PM & EHR Study HIMSS Analytics October 2015 1 Contents Executive Summary 3 Methodology 4 Findings EHR/EMR 5 Definition 5 Market Penetration/Growth 5 Timeframe of Purchase 8 Vendor

More information

What is an Accountable Care Organization. Amit Rastogi, MD President/CEO PriMed

What is an Accountable Care Organization. Amit Rastogi, MD President/CEO PriMed What is an Accountable Care Organization Amit Rastogi, MD President/CEO PriMed Goals Why is U.S. healthcare undergoing dramatic change How reimbursement structures are likely to change What is the timeline

More information

HEALTHCARE REFORM OCTOBER 2012

HEALTHCARE REFORM OCTOBER 2012 HEALTHCARE REFORM Tracking ACO Growth Nationally OCTOBER 2012 The enclosed slides are intended to provide you with a snapshot of how private sector accountable care organizations (ACOs) have formed since

More information

2010 Physician Sentiment Index Taking the Pulse of the Physician Community. athenahealth & Sermo February 2010

2010 Physician Sentiment Index Taking the Pulse of the Physician Community. athenahealth & Sermo February 2010 2010 Physician Sentiment Index Taking the Pulse of the Physician Community athenahealth & Sermo February 2010 Contents Introduction Methodology Key Insights Results Appendix 2 Introduction As the country

More information

2013-2014 ACO Learning Network

2013-2014 ACO Learning Network 2013-2014 ACO Learning Network October 2, 2013 Mark McClellan, MD, PhD Director, Initiative on Innovation and Value in Health Care, Senior Fellow, Economic Studies, Leonard D. Schaeffer Chair in Health

More information

Value-based care is about delivering the best outcomes at the lowest cost

Value-based care is about delivering the best outcomes at the lowest cost Hospital Solutions White Paper Series In cooperation with: October 2015 Hospital 100 Leadership & Strategy Conference October 19 to 21 Ritz-Carlton Key Biscayne, FL CLICK HERE TO LEARN MORE or visit the

More information

Evaluating CPSI s Accounts Receivable Management Services In Community Hospitals:

Evaluating CPSI s Accounts Receivable Management Services In Community Hospitals: Evaluating CPSI s Accounts Receivable Management Services In Community Hospitals: Contributors to Success Sponsored by CPSI Reported by Porter Research January 2007 EXECUTIVE SUMMARY Computer Programs

More information

THE IMPACT OF CONSUMERISM ON PROVIDER REVENUES

THE IMPACT OF CONSUMERISM ON PROVIDER REVENUES THE IMPACT OF CONSUMERISM ON PROVIDER REVENUES An Availity Research Study February, 2015 2015 Availity, LLC TABLE OF CONTENTS 1 Introduction 2 Definitions 3 Key Findings 6 Survey Results 01 Provider viewpoints

More information

KEY INSIGHTS FROM CAMPBELL ALLIANCE S THIRD ANNUAL US MEDICAL AFFAIRS LEADERSHIP SUMMIT

KEY INSIGHTS FROM CAMPBELL ALLIANCE S THIRD ANNUAL US MEDICAL AFFAIRS LEADERSHIP SUMMIT KEY INSIGHTS FROM CAMPBELL ALLIANCE S THIRD ANNUAL US MEDICAL AFFAIRS LEADERSHIP SUMMIT Introduction For the third year running, Campbell Alliance brought together Medical Affairs (MA) leaders from a diverse

More information

Health IT and Health Care Delivery and Payment Reform. August 25, 2015

Health IT and Health Care Delivery and Payment Reform. August 25, 2015 Health IT and Health Care Delivery and Payment Reform August 25, 2015 Agenda Provide background information Characterize the delivery and payment reform participation in 2013 Describe use of health IT

More information

The Landscape of Health Information Management

The Landscape of Health Information Management 1 Benchmark Report The Landscape of Health Information Management Benchmarking Trends and Insights for HIM Leadership Sponsored by himagine solutions Brought to you by himagine solutions, inc. and ADVANCE

More information

6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series

6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series 6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the

More information

Second Annual Florida 2008 Electronic Prescribing Report

Second Annual Florida 2008 Electronic Prescribing Report Second Annual Florida 2008 Electronic Prescribing Report FLORIDA CENTER FOR HEALTH INFORMATION AND POLICY ANALYSIS AGENCY FOR HEALTH CARE ADMINISTRATION JANUARY 2009 Better Health Care for All Floridians

More information

Themes from the Accountable Care Organization (ACO) Payment Reformers Consultation December 4, 2014

Themes from the Accountable Care Organization (ACO) Payment Reformers Consultation December 4, 2014 Themes from the Accountable Care Organization (ACO) Payment Reformers Consultation December 4, 2014 The Payment Reformers Project Community convened for a group consultation session to discuss the development

More information

Healthcare Organizations Seek to Improve the Quality of Patient Care Through Payer-Provider Data Integration

Healthcare Organizations Seek to Improve the Quality of Patient Care Through Payer-Provider Data Integration Healthcare Organizations Seek to Improve the Quality of Patient Care Through Payer-Provider Data Integration SPONSORED BY n = 196 INTRODUCTION Problems within our healthcare system are well known and well

More information

Attitudes towards Financial Planners. Factuality research

Attitudes towards Financial Planners. Factuality research Attitudes towards Financial Planners Factuality research October 2014 Main findings 2 Main findings v v v v v The image of financial planners remains problematic, with 27% expressing a positive opinion

More information

How Single Sign-On Is Changing Healthcare: SSO Vendor Comparison

How Single Sign-On Is Changing Healthcare: SSO Vendor Comparison How Single Sign-On Is Changing Healthcare: SSO Vendor Comparison Sponsored by Imprivata Independently conducted by Ponemon Institute LLC Publication Date: June 2011 Ponemon Institute Research Report How

More information

Medicare Value Partners

Medicare Value Partners Medicare Value Partners Medicare Shared Savings ACO Program Frequently Asked Questions (FAQ) Q: What exactly is a Medicare Shared Savings Program ACO? A: Medicare Shared Savings Program accountable care

More information

House Committee on Healthcare. CMS Evaluation of the Multi-Payer Advanced Primary Care Practice Demonstration

House Committee on Healthcare. CMS Evaluation of the Multi-Payer Advanced Primary Care Practice Demonstration House Committee on Healthcare CMS Evaluation of the Multi-Payer Advanced Primary Care Practice Demonstration HUD and ASPE Evaluation of Vermont s Support & Services at Home Program February 25, 2015 2008Q3

More information

6 Critical Impact Factors of Health Reform on Revenue Cycle Management

6 Critical Impact Factors of Health Reform on Revenue Cycle Management 6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the

More information

Contractor. Attitude Survey July to December 2012 1.0 0.8 0.6 0.4 0.2 0.0. www.sjdaccountancy.com

Contractor. Attitude Survey July to December 2012 1.0 0.8 0.6 0.4 0.2 0.0. www.sjdaccountancy.com Contractor Attitude Survey July to December 212 1..8.6.4.2. www.sjdaccountancy.com Contractor Attitude Survey July to December 212 In July 212 we carried out our first ever research programme to SJD Accountancy

More information

Critical Access Hospitals and

Critical Access Hospitals and Critical Access Hospitals and Health Care Reform What s in it for you? Patient Protection and Affordable Care Act (ACA) Fundamental changes Moving Medicare from payment for services to payment for outcomes

More information

Accountable Care Organizations. Rick Shinto, MD Aveta Health Inc. July 20, 2010

Accountable Care Organizations. Rick Shinto, MD Aveta Health Inc. July 20, 2010 Accountable Care Organizations Rick Shinto, MD Aveta Health Inc. July 20, 2010 1 Health Care Reform- New Models of Care Patient Protection and Affordable care Act (PPACA 2010) controlling costs and improving

More information

Physician Workshop Data Analytics. Minnesota e-health Summit June 12, 2014

Physician Workshop Data Analytics. Minnesota e-health Summit June 12, 2014 Physician Workshop Data Analytics Minnesota e-health Summit June 12, 2014 REACH - Achieving - Achieving meaningful meaningful use of your use EHR of your EHR Paul Kleeberg, MD CMIO Stratis Health Speakers:

More information

MEDICAID MANAGED CARE PROGRAM MANAGEMENT: THE NEXT GENERATION ANNE JACOBS, MANAGING DIRECTOR NAVIGANT HEALTHCARE

MEDICAID MANAGED CARE PROGRAM MANAGEMENT: THE NEXT GENERATION ANNE JACOBS, MANAGING DIRECTOR NAVIGANT HEALTHCARE MEDICAID MANAGED CARE PROGRAM MANAGEMENT: THE NEXT GENERATION ANNE JACOBS, MANAGING DIRECTOR NAVIGANT HEALTHCARE Page 1 WHAT S EXPECTED OF MEDICAID HEALTH PLANS? Some might ask, if the delivery system

More information

HEALTHCARE CHANGES AFFECTING YOUR PRACTICE. Vinay Kumar MD, FACS, ABVM Endovascular options Dallas, Texas

HEALTHCARE CHANGES AFFECTING YOUR PRACTICE. Vinay Kumar MD, FACS, ABVM Endovascular options Dallas, Texas HEALTHCARE CHANGES AFFECTING YOUR PRACTICE Vinay Kumar MD, FACS, ABVM Endovascular options Dallas, Texas HEALTH CARE CHANGES 1 st Major overhaul of health care system since WWII introduction of 3 rd party

More information

6 Critical Impact Factors of Health Reform on Revenue Cycle Management

6 Critical Impact Factors of Health Reform on Revenue Cycle Management 6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the

More information

Accountable Care Organizations: Forging Stakeholder Partnerships for Health Care Performance and Efficiency

Accountable Care Organizations: Forging Stakeholder Partnerships for Health Care Performance and Efficiency Accountable Care Organizations: Forging Stakeholder Partnerships for Health Care Performance and Efficiency Julie Lewis Director of Health Policy Dartmouth Institute for Health Policy and Clinical Practice

More information

Bad Data In Is Bad Data Out. The Critical Role of Clean Item Master Data in Successful Value Analysis Efforts

Bad Data In Is Bad Data Out. The Critical Role of Clean Item Master Data in Successful Value Analysis Efforts Bad Data In Is Bad Data Out The Critical Role of Clean Item Master Data in Successful Value Analysis Efforts Bad Data In Is Bad Data Out: The Critical Role of Clean Item Master Data in Successful Value

More information

Accountable Care Organizations

Accountable Care Organizations Healthcare Association of New York State Accountable Care Organizations In 2011, in an effort to contain spiraling health care costs, HHS released new rules under the ACA aimed at helping doctors, hospitals,

More information

Trends in Healthcare Payments Annual Report: 2012

Trends in Healthcare Payments Annual Report: 2012 Trends in Healthcare Payments Annual Report: 2012 Published: March 2013 CONTENTS 3 Executive Summary 4 Trends in Payer Payments 7 Trends in Patient Payments 9 Provider Sentiment 12 Payer Sentiment 14 Patient

More information

10 Key Concepts for Higher Sales into ACOs

10 Key Concepts for Higher Sales into ACOs By Michelle O Connor President and CEO By Michelle O Connor President and CEO CMR Institute Healthcare providers are under significant pressure from government payers, commercial health plans, and patients

More information

Which of the following best describes the principal industry of your company?

Which of the following best describes the principal industry of your company? WEST HOUSTON ECONOMIC PULSE Survey of West Houston businesses on their outlook for the West Houston and HoustonEconomies for 2016 SENTIMENT SURVEY: WEST SIDE BUSINESSES WEIGH IN The Houston West Chamber

More information

ICD-10 Compliance Date. Frequently Asked Questions. ICD-10 Implementation Frequently Asked Questions Updated September 2014

ICD-10 Compliance Date. Frequently Asked Questions. ICD-10 Implementation Frequently Asked Questions Updated September 2014 ICD-10 Implementation Frequently Asked Questions Updated September 2014 ICD-10 Compliance Date The U.S. Department of Health and Human Services (HHS) issued a rule on July 31, 2014 finalizing October 1,

More information

TheMyersGroup.net. Consumer Awareness of the Health Insurance Marketplace. 2014 TMG Polling Study Findings

TheMyersGroup.net. Consumer Awareness of the Health Insurance Marketplace. 2014 TMG Polling Study Findings TheMyersGroup.net Consumer Awareness of the Health Insurance Marketplace 2014 The Myers Group conducted two consecutive year (2013 and 2014) polling studies to measure and compare consumer awareness of

More information

LICENSING COMMITTEE AD-HOC Committee on Pharmaceutical Benefit Managers (PBMs) Regulation. Meeting Summary

LICENSING COMMITTEE AD-HOC Committee on Pharmaceutical Benefit Managers (PBMs) Regulation. Meeting Summary California State Board of Pharmacy STATE AND CONSUMER SERVICES AGENCY 400 R Street, Suite 4070, Sacramento, CA 95814-6237 DEPARTMENT OF CONSUMER AFFAIRS Phone (916) 445-5014 GRAY DAVIS, GOVERNOR Fax (916)

More information

3/28/2014. Spencer Berthelsen, M.D. Texas Club of Internists

3/28/2014. Spencer Berthelsen, M.D. Texas Club of Internists Spencer Berthelsen, M.D. Texas Club of Internists April 4, 2014 Cost The US spends twice as much per capita as the average of other industrialized nations Institute of Medicine 30% of healthcare dollars

More information

Q4. Is BCBSAZ going to update the HIPAA Version 5010 Companion Guide??

Q4. Is BCBSAZ going to update the HIPAA Version 5010 Companion Guide?? An Independent Licensee of the Blue Cross and Blue Shield Association ICD-10 FAQs General Questions Q1. What are ICD-10-CM and ICD-10-PCS? A1. ICD-10-CM is the International Classification of Diseases,

More information

April 3, 2015. Re: Request for Comment: ONC Interoperability Roadmap. Dear Dr. DeSalvo:

April 3, 2015. Re: Request for Comment: ONC Interoperability Roadmap. Dear Dr. DeSalvo: Karen DeSalvo, M.D., M.P.H., M.Sc. Acting Assistant Secretary for Health National Coordinator for Health Information Technology U.S. Department of Health and Human Services 200 Independence Avenue, S.W.,

More information

Care Transformation and the Journey to Population Health Management

Care Transformation and the Journey to Population Health Management Care Transformation and the Journey to Population Health Management Richard A Bankowitz, MD MBA FACP Chief Medical Officer, Premier healthcare alliance AMGA Institute for Quality September 26, 2013 Premier:

More information

Future of Health Care: How Do You Fit In? Physician Leadership Institute February 28, 2015 Brian M. McCook, CPA

Future of Health Care: How Do You Fit In? Physician Leadership Institute February 28, 2015 Brian M. McCook, CPA Future of Health Care: How Do You Fit In? Physician Leadership Institute February 28, 2015 Brian M. McCook, CPA Learning Objectives Industry Transitions Challenges and Changes ACO s Look at the Future

More information

Nuts and Bolts of. Frank G. Opelka, MD FACS American College of Surgeons. Vice Chancellor for Clinical Affairs Professor of Surgery LSU New Orleans

Nuts and Bolts of. Frank G. Opelka, MD FACS American College of Surgeons. Vice Chancellor for Clinical Affairs Professor of Surgery LSU New Orleans Nuts and Bolts of Accountable Care Organizations Frank G. Opelka, MD FACS American College of Surgeons ACS Advocacy & Health Policy, Vice Chancellor for Clinical Affairs Professor of Surgery LSU New Orleans

More information

NEVADA STATE BANK SMALL BUSINESS SURVEY

NEVADA STATE BANK SMALL BUSINESS SURVEY 2015 NEVADA STATE BANK SMALL BUSINESS SURVEY 1 OUTLOOK & CONCERNS 4 2 ECONOMY page 6 3 EMPLOYMENTPage 8 4 FINANCINGpage 10 5 LEGISLATIONpage 12 6 THE BANKING RELATIONSHIPPage 14 This survey was conducted

More information

Preparing for Meaningful Use Stage 2 Bill Beighe, CIO Becky Shoemaker, HIE Project Manager

Preparing for Meaningful Use Stage 2 Bill Beighe, CIO Becky Shoemaker, HIE Project Manager SCHIE Mission 1 To improve the quality and efficiency of health care for all stakeholders in the Santa Cruz community. To deliver technology assistance, guidance and information on best practices to providers

More information

TABLE OF CONTENTS. Introduction. Executive Summary. Detailed Findings. Study Methodology. Appendix. The Foot Soldiers The Study

TABLE OF CONTENTS. Introduction. Executive Summary. Detailed Findings. Study Methodology. Appendix. The Foot Soldiers The Study TABLE OF CONTENTS 3 4 5 6 8 9 10 11 12 13 14 16 18 19 Introduction The Foot Soldiers The Study Executive Summary Detailed Findings Branding Metrics are Important for Measuring & Optimizing Campaigns Branding

More information

TRANSITIONING INTO ACCOUNTABLE CARE IMPLICATIONS FOR HEALTHCARE COMMUNICATORS

TRANSITIONING INTO ACCOUNTABLE CARE IMPLICATIONS FOR HEALTHCARE COMMUNICATORS COUNCIL OF ACCOUNTABLE PHYSICIAN PRACTICES An affiliate of the American Medical Group Association TRANSITIONING INTO ACCOUNTABLE CARE IMPLICATIONS FOR HEALTHCARE COMMUNICATORS Survey Results November 2012

More information

At the End of the Day Does the Pipeline Deliver: Cerner / WellPoint ICD-10 Pilot Test Collaboration

At the End of the Day Does the Pipeline Deliver: Cerner / WellPoint ICD-10 Pilot Test Collaboration At the End of the Day Does the Pipeline Deliver: Cerner / WellPoint ICD-10 Pilot Test Collaboration Elaine O Bleness MBA, RHIA, CHP, AHIMA-approved ICD-10 CM/PCS Trainer Cerner Revenue Cycle Executive

More information

Finding Dr. Right. The Accuracy of Colorado s Provider Directories

Finding Dr. Right. The Accuracy of Colorado s Provider Directories Finding Dr. Right The Accuracy of Colorado s Provider Directories SEPTEMBER 2015 Finding Dr. Right: The Accuracy of Colorado s Provider Directories The Affordable Care Act (ACA) aims to make it easier

More information

Payor Perspectives on Provider Realignment and ACOs

Payor Perspectives on Provider Realignment and ACOs Payor Perspectives on Provider Realignment and ACOs Joel L. Michaels March 15, 2011 Overview Issues to be addressed Medicare Shared Savings Program overview ACO organization options Health care reform

More information

Business Expectations Survey

Business Expectations Survey Business Expectations Survey Dun & Bradstreet Q1 2016 FINAL RESULTS RELEASED 5 JANUARY 2016 Index CapEx plans up despite low expectations The results from Dun & Bradstreet s December Business Expectations

More information

Nuts and Bolts Accountable Care Organizations: A New Care Delivery Model for New Expectations

Nuts and Bolts Accountable Care Organizations: A New Care Delivery Model for New Expectations Nuts and Bolts Accountable Care Organizations: A New Care Delivery Model for New Expectations Presented to The American College of Cardiology October 27, 2012 1 Franciscan Alliance Overview Franciscan

More information

CPCA California Primary Care Association

CPCA California Primary Care Association CPCA California Primary Care Association Accountable Care Organizations: Next Generation Systems for Community Health Centers? CPCA Annual Conference Sacramento, California October 10, 2014 Larry Garcia,

More information

DRIVING VALUE IN HEALTHCARE: PERSPECTIVES FROM TWO ACO EXECUTIVES, PART I

DRIVING VALUE IN HEALTHCARE: PERSPECTIVES FROM TWO ACO EXECUTIVES, PART I DRIVING VALUE IN HEALTHCARE: PERSPECTIVES FROM TWO ACO EXECUTIVES, PART I A firm understanding of the key components and drivers of healthcare reform is increasingly important within the pharmaceutical,

More information

FILLING THE. reported by. continue...

FILLING THE. reported by. continue... FILLING THE 2013 Physician Outlook & PRACTICE TRENDS reported by continue... OVERVIEW Physician discontent appears to be creating a void in the healthcare field. Physicians are preparing to leave medicine

More information

Enterprise Analytics Strategic Planning

Enterprise Analytics Strategic Planning Enterprise Analytics Strategic Planning June 5, 2013 1 "The first question a data driven organization needs to ask itself is not "what do we think?" but rather "what do we know? Big Data: The Management

More information

Five things your company needs to do to prepare for the influence of Accountable Care Organizations

Five things your company needs to do to prepare for the influence of Accountable Care Organizations Five things your company needs to do to prepare for the influence of Accountable Care Organizations An extract from Pricing & Market Access Outlook 2013 Edition Five things your company needs to do to

More information

Premier ACO Collaboratives Driving to a Patient-Centered Health System

Premier ACO Collaboratives Driving to a Patient-Centered Health System Premier ACO Collaboratives Driving to a Patient-Centered Health System As a nation we all must work to rein in spiraling U.S. healthcare costs, expand access, promote wellness and improve the consistency

More information

2015 Population Health Study

2015 Population Health Study 2015 Population Health Study Population health initiatives are gaining momentum, but the industry is still in the early stages of proving strategy and vendor solution value As the emphasis on the change

More information

The Rising Tide of Pharmacy Benefit Cost and Complexity: A health plans roadmap to optimizing pharmacy services relationships

The Rising Tide of Pharmacy Benefit Cost and Complexity: A health plans roadmap to optimizing pharmacy services relationships The Rising Tide of Pharmacy Benefit Cost and Complexity: A health plans roadmap to optimizing pharmacy services relationships New pharmacy benefit challenges After several years of manageable pharmacy

More information

Current State of Marketing Measurement. Ifbyphone Survey Finds 4 Out of 5 Marketing Executives Expect Measurable Campaigns, Yet Only 29% Can Deliver

Current State of Marketing Measurement. Ifbyphone Survey Finds 4 Out of 5 Marketing Executives Expect Measurable Campaigns, Yet Only 29% Can Deliver Current State of Marketing Measurement Ifbyphone Survey Finds 4 Out of 5 Marketing Executives Expect Measurable Campaigns, Yet Only 29% Can Deliver Current State of Marketing Measurement Ifbyphone Survey

More information

HEALTH REFORM LAW: ACCOUNTABLE CARE ORGANIZATIONS

HEALTH REFORM LAW: ACCOUNTABLE CARE ORGANIZATIONS HEALTH REFORM LAW: ACCOUNTABLE CARE ORGANIZATIONS PRESENTED AT THE NASABA 2011 CONVENTION BY: PURVI B. MANIAR Context and Background Patient Protection and Affordable Care Act of 2010 ( PPACA ) (Section

More information

TTM Informer. Fourth Quarter 2012 - Issue 1 WELCOME TO THE TTM INFORMER

TTM Informer. Fourth Quarter 2012 - Issue 1 WELCOME TO THE TTM INFORMER TTM Informer Fourth Quarter 2012 - Issue 1 In This Issue: Provider Outreach within Accountable Care Organizations...1 What are Heathcare Leaders Saying?...2 PROVIDER OUTREACH WITHIN ACCOUNTABLE CARE ORGANIZATIONS

More information

U.S. ATTITUDES TOWARD HEALTH INSURANCE AND HEALTHCARE REFORM. A report by Valence Health August 2015

U.S. ATTITUDES TOWARD HEALTH INSURANCE AND HEALTHCARE REFORM. A report by Valence Health August 2015 U.S. ATTITUDES TOWARD HEALTH INSURANCE AND HEALTHCARE REFORM A report by Valence Health August 2015 U.S. ATTITUDES TOWARD HEALTH INSURANCE AND HEALTHCARE REFORM Executive Summary With the Affordable Care

More information

REPORT California Small Business Healthcare Survey

REPORT California Small Business Healthcare Survey REPORT California Small Business Healthcare Survey August 23, 2007 Small Business for Affordable Healthcare 3030 Bridgeway, Suite 132 Sausalito, CA 94965 (866) 587-7431 www.smallbusinessforhealthcare.org

More information

The Need for an Interdisciplinary Approach to QI of Medication Use

The Need for an Interdisciplinary Approach to QI of Medication Use The Need for an Interdisciplinary Approach to QI of Medication Use David Nau, RPh, PhD, CPHQ, FAPhA President Pharmacy Quality Solutions Market Drivers: Medication-Use Quality in Ambulatory Care HHS Consumers

More information

The 2010 Symantec Break in the Clouds Report. 2010 Symantec Break in the Clouds Report

The 2010 Symantec Break in the Clouds Report. 2010 Symantec Break in the Clouds Report The 2010 Symantec Break in the Clouds Report 1 Introduction The White House is urging Federal agencies to adopt cloud computing, with a clear focus on streamlining infrastructure management, improving

More information

Reforming and restructuring the health care delivery system

Reforming and restructuring the health care delivery system Reforming and restructuring the health care delivery system Are Accountable Care Organizations and bundling the solution? Prepared by: Dan Head, Principal, RSM US LLP dan.head@rsmus.com, +1 703 336 6536

More information

Reporting Once for 2014 Medicare Quality Reporting Programs

Reporting Once for 2014 Medicare Quality Reporting Programs Reporting Once for 2014 Medicare Quality Reporting Programs Use this tool* to learn how to report quality measures one time in 2014 in order to: Become incentive eligible for 2014 Physician Quality Reporting

More information

Craig E. Samitt, MD, MBA President & CEO Dean Clinic

Craig E. Samitt, MD, MBA President & CEO Dean Clinic ACO Accelerated Development Learning Session Baltimore, MD November 17 18, 2011 Case Study 3: Building an ACO on the Foundation of an IDS November 17, 2011 10:00 10:30 a.m. Craig E. Samitt, MD, MBA President

More information

Empowering the Consumer: The Ultimate Health Care Stakeholder

Empowering the Consumer: The Ultimate Health Care Stakeholder Empowering the Consumer: The Ultimate Health Care Stakeholder Rebecca Burkholder Alliance for Health Reform Briefing July 24, 2015 REBECCA BURKHOLDER @ncl_tweets 1 Estimated Source of Insurance Coverage,

More information

How Health Reform Will Affect Health Care Quality and the Delivery of Services

How Health Reform Will Affect Health Care Quality and the Delivery of Services Fact Sheet AARP Public Policy Institute How Health Reform Will Affect Health Care Quality and the Delivery of Services The recently enacted Affordable Care Act contains provisions to improve health care

More information

Delivery System Reform Incentive Pool Plan (DSRIP) One Hospital s Experience

Delivery System Reform Incentive Pool Plan (DSRIP) One Hospital s Experience Delivery System Reform Incentive Pool Plan (DSRIP) One Hospital s Experience Carolyn Brown, Director Quality and Safety Vickie Wilson, Manager - DSRIP ABOUT US Santa Clara Valley Hospital and Health System

More information

2009 Credit Card Rewards Consumer Insights

2009 Credit Card Rewards Consumer Insights 2009 Credit Card Rewards Consumer Insights Key Insights 1. Membership in Credit Card Rewards Programs Decreases Among FI Members in 2009 Significantly less FI members report being a member of a credit

More information

Medicare Final Accountable Care Organization (ACO) Regulations Effective January 1, 2012 Median Savings of $470 Million over 4 Years

Medicare Final Accountable Care Organization (ACO) Regulations Effective January 1, 2012 Median Savings of $470 Million over 4 Years October 20, 2011 CIT Healthcare, John M. Cousins, SVP Healthcare Intelligence john.cousins@cit.com Tel: 850-668-2907 Cell: 716-867-9965 Medicare Final Accountable Care Organization (ACO) Regulations Effective

More information

MACRA & APMs: More than Acronyms June 2, 2016

MACRA & APMs: More than Acronyms June 2, 2016 MACRA & APMs: More than Acronyms June 2, 2016 Agenda 1. Framework 2. CMS Quality Initiatives 3. MACRA - MIPS or APM? 4. Alternative Payment Models 5. Case Study 2 Alternative Payment Models Transitioning

More information

Managing director, Outlook Senior manager, supply chain strategy Premier, Inc.

Managing director, Outlook Senior manager, supply chain strategy Premier, Inc. Care Coordination and the Supply Chain October 21, 2015 Kayla Sutton, MPH Managing director, Outlook Senior manager, supply chain strategy Premier, Inc. Premier s Outlook publication series Published semiannually,

More information

Technology Channel Outlook Are SMBs Ready to Embrace Managed Services?

Technology Channel Outlook Are SMBs Ready to Embrace Managed Services? in association with: Technology Channel Outlook Are SMBs Ready to Embrace Managed Services? Value-added resellers (VARs) and technology channel partners may be hampered in their quest to get small- and

More information

Tracking the Operational and Financial Health of US Physician Practices

Tracking the Operational and Financial Health of US Physician Practices THE SECOND ANNUAL Tracking the Operational and Financial Health of US Physician Practices -2014 EDITION- sponsored by in partnership with www.carecloud.com/ppi 1 THE PRACTICE PROFITABILITY INDEX 2013 Edition

More information

Accountable Care Organization Overview

Accountable Care Organization Overview Accountable Care Organization Overview Presented by: Bill Wachs & Kai Tsai April 28, 2015 This webinar is brought to you by the American Hospital Association s Center for Healthcare Governance. Backed

More information

Accountable Care Organization Quality Explorer. Quick Start Guide

Accountable Care Organization Quality Explorer. Quick Start Guide Accountable Care Organization Quality Explorer Quick Start Guide 1 P age Background HealthLandscape (a division of the American Academy of Family Physicians [AAFP]) and the Robert Graham Center for Policy

More information

Newsroom. The quality measures are organized into four domains:

Newsroom. The quality measures are organized into four domains: Newsroom People with Medicare will be able to benefit from a new program designed to encourage primary care doctors, specialists, hospitals, and other care providers to coordinate their care under a final

More information

The ABCs of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

The ABCs of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) The ABCs of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Medicare Access and CHIP Reauthorization Act (MACRA) Repeals the Sustainable Growth Rate Moves to a payment system based on

More information

Wolters Kluwer Health 2013 Physician Outlook Survey

Wolters Kluwer Health 2013 Physician Outlook Survey Wolters Kluwer Health 2013 Outlook Survey The Wolters Kluwer Health 2013 Outlook Survey explores the top issues and challenges physicians are facing in their practices from patient care to profitability

More information

The Affordable Care Act: Is Healthcare Becoming More Affordable?

The Affordable Care Act: Is Healthcare Becoming More Affordable? The Affordable Care Act: Is Healthcare Becoming More Affordable? Houston Economics Club Federal Reserve Bank of Dallas, Houston Branch November 17, 2014 Vivian Ho, PhD James A. Baker III Institute Chair

More information

CMS Quality Measurement and Value Based Purchasing Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS

CMS Quality Measurement and Value Based Purchasing Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS CMS Quality Measurement and Value Based Purchasing Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS American Urological Association Quality Improvement Summit

More information

Key Findings: Timing, Readiness and Challenges

Key Findings: Timing, Readiness and Challenges Survey Background In August 2015, Navicure commissioned Porter Research to conduct a national survey of healthcare organizations to gauge their preparedness for the ICD-10 transition. This was a follow

More information

Accountable Care Organizations: What Are They and Why Should I Care?

Accountable Care Organizations: What Are They and Why Should I Care? Accountable Care Organizations: What Are They and Why Should I Care? Adrienne Green, MD Associate Chief Medical Officer, UCSF Medical Center Ami Parekh, MD, JD Med. Director, Health System Innovation,

More information

ACOs: Impacting the Past, Present and Future State of Healthcare

ACOs: Impacting the Past, Present and Future State of Healthcare ACOs: Impacting the Past, Present and Future State of Healthcare Article By Alan Cudney, RN, CPHQ, PMP, FACHE, Executive Consultant October 2012 What are Accountable Care Organizations? Can they help us

More information

6 Contract Management Best Practices - OPERATIONS EDITION -

6 Contract Management Best Practices - OPERATIONS EDITION - 6 Contract Management Best Practices - OPERATIONS EDITION - OPERATIONS EDITION table of contents You Have Control of the Contract Process...2 The Six Best Practices of Contract Management...4 As businesses

More information

Looking back on 2014, we:

Looking back on 2014, we: Aetna Inc. Fourth Quarter 2014 Earnings Conference Call Hartford, CT Tuesday February 3, 2015, 8:00 A.M. ET Prepared Remarks Tom Cowhey, Vice President Investor Relations Good morning and thank you for

More information

Business Financial Services Monitor Micro, Small and Medium Businesses Summary Report of Key Findings June 2013

Business Financial Services Monitor Micro, Small and Medium Businesses Summary Report of Key Findings June 2013 Business Financial Services Monitor Micro, Small and Medium Businesses Summary Report of Key Findings June 2013 Released July 2013 Market Research Professionals 5-7 Guest St, Hawthorn, Victoria 3122 Australia

More information

Summary of Major Provisions in Final House Reform Package

Summary of Major Provisions in Final House Reform Package SPECIAL BULLETIN Monday, March 22, 2010 This summary is five pages. Summary of Major Provisions in Final House Reform Package The U.S. House of Representatives late yesterday voted to pass landmark health

More information

Split Billing Overview

Split Billing Overview Split Billing Overview June 2, 2008 Doug McGregor Partner, Healthcare Services Feeley & Driscoll, P.C. (617) 742-7788 DougM@fdcpa.com Definitions Split Billing reimbursement A structure under which two

More information

Designing Integrated Payment Systems in Medicaid

Designing Integrated Payment Systems in Medicaid Designing Integrated Payment Systems in Medicaid Commonwealth of Massachusetts Public Payer Commission May 5, 2014 Tricia McGinnis Director of Delivery System Reform, CHCS Supported by The Massachusetts

More information

Testimony to the Senate Committee on Veterans Affairs and Health S. B. 739. February 27, 2014. What is an Accountable Care Organization or ACO?

Testimony to the Senate Committee on Veterans Affairs and Health S. B. 739. February 27, 2014. What is an Accountable Care Organization or ACO? Testimony to the Senate Committee on Veterans Affairs and Health S. B. 739 Professor Sidney D. Watson Center for Health Law Studies Saint Louis University School of Law February 27, 2014 My name is Sidney

More information

2012 Online Video Marketing Survey and Video Email Trends Report

2012 Online Video Marketing Survey and Video Email Trends Report 2012 Online Video Marketing Survey and Video Email Trends Report Published by the Web Video Marketing Council and Flimp Media March 2012 Table of Contents Executive Summary...3 Overview...3 Methodology...

More information