|
News Clips
Med City News (4/16) How Technology and Value-Based Models Will Reshape Healthcare by 2035 – To address converging challenges facing the health care system, value-based care has emerged as the dominant strategy, and its momentum will continue regardless of political shifts. What does this mean in practical terms? We can expect:
- Increased capitation models that align provider incentives with population health outcomes;
- A significant expansion of home-based care delivery;
- Greater emphasis on primary care to manage health proactively; and
- More direct payer involvement in care delivery as they acquire practices and provider organizations.
AJMC (4/23) ACOs’ Focus on Rooting Out Fraud Aligns With CMS Vision Under Oz – First catheters, now skin substitutes—and more areas of anomalous medical billing will continue to pop up, requiring data vigilance and collaboration on the part of accountable care organizations (ACOs). The identification of these areas potentially signaling fraud aligns with the Trump administration’s focus on promoting efficiency and cutting out waste, as described by new CMS Administrator Mehmet Oz. “ACOs really are that frontline defense. We’re looking at the data; we can move a lot quicker than CMS to be able to address these kinds of challenges. We have that regular connection with our providers. We're working with the network or connecting with the beneficiaries. We can actually get in and intervene a lot faster.”
JAMA (4/28) Long-Term Spending of Accountable Care Organizations in the Medicare Shared Savings Program – In this longitudinal study examining 10 years of the Medicare Shared Savings Program (MSSP) performance across six cohorts of ACOs, findings showed that ACO participation led to meaningful reductions in health care spending and these reductions increased with time. Study findings suggest that between 2012 and 2019, MSSP resulted in savings for Medicare of between $4.1 billion and $8.1 billion, after accounting for shared savings payments to ACOs. Physician-group and small ACOs generated larger spending reductions.
ACP (4/29) Empowering Physicians Through Collective Action: A Position Paper From the American College of Physicians – Physicians are increasingly frustrated with the nation’s health care system. The erosion of the patient–physician relationship, diminished clinical independence, the mounting burden of administrative tasks, and the growing influence of nonclinicians in the health care system have left many physicians disempowered, demoralized, and burned out. As a result, physicians, most of whom are employed by hospitals, health systems, and other organizations, are exploring collective action to enhance their ability to deliver high-quality care to patients, regain control of their profession, and improve their well-being. In this position paper, the American College of Physicians offers recommendations on how physicians can become effective advocates for their patients and their profession through advocacy, the organized medical staff, responsible collective bargaining, and other means.
|
