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Integrated delivery model? Check. Coordinated care and services? Check. Improved quality and reduced costs? Check. Survival strategy to maintain market share and improve profitability? Check.
Provider partnerships forged through accountable care organizations (ACOs) hit all of the marks for healthcare delivery reform set forth by the Affordable Care Act (ACA) and offer a key opportunity to boost revenue. With the publication of CMS's proposed guidelines for Medicare ACOs under its Shared Savings Program and the NCQA seeking comments on its ACO guidelines, it's not too early for healthcare organizations to assess market position and readiness for the ACO model and move quickly to improve profitability and market share.
The Essential Guide to Accountable Care Organizations: Challenges, Risks and Opportunities of the ACO Model answers key questions surrounding ACOs so that hospitals, PHOs, IPAs and other physician organizations, networks or group practices can weigh the merits now of creating an ACO and complete the necessary groundwork before CMS's ACO operation date of January 2012.
Healthcare decision-makers must consider their organizations' competitive landscape and market share now because the new law provides that physicians and other professionals in group practices or networks of practices, hospitals employing physicians/professionals, partnerships or joint ventures between hospitals and physicians and others can become an ACO.
The 60-page Essential Guide to Accountable Care Organizations: Challenges, Risks and Opportunities of the ACO Model delivers a detailed analysis of CMS's Medicare ACO Shared Savings Program as well the short- and long-term financial opportunities afforded by ACOs and an inside look at two existing ACOs and the lessons learned from their development and launch:
Healthcare thought leaders William Shea, partner, health industry consulting for Cognizant Business Consulting, Steven T. Valentine, president, The Camden Group, and John Harris, principal, DGA Partners, evaluate the CMS ACO model as well as the revenue opportunities proposed by ACOs.
This comprehensive guide provides details on the following:
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