FierceHealthPayer spoke with BCBSMA Senior Vice President of Performance Measurement and Improvement Dana Gelb Safran to find out how the insurer continues to use global payments to cut medical costs and improve patient care.
The rise of private insurer-led accountable care organizations across the country comes with several challenges, including applying various quality measures, managing different provider requirements and recruiting independent providers to join, reported California Healthline.
No two accountable care organizations are the same, but they face similar challenges, namely aggregating data from separate sources, reported Healthcare Finance News.
As insurers continue to implement value-based programs, including patient-centered medical homes and accountable care organizations, they should get to know their members better.
Colorado was one of the first states to launch an accountable care-like model in 2011 to rein in Medicaid costs while improving quality of care. But other states are now following the Centennial State's lead. States across the country are either joining Medicaid ACO demonstration projects, in the middle of a pilot program or looking to start one, MedPage Today reported.
The growing population health movement has led insurers and providers to patient-centered medical homes (PCMH), accountable care organizations and other integrated care models to improve the outcomes and reduce the costs for patient populations.
As accountable care organizations proliferate throughout the country, Aetna's chief of ACO operations says the organizations can continue to succeed even though they'll hit some bumpy roads ahead.
Preliminary data showing the Medicare Shared Savings Program saved more than $380 million in 2012 didn't explain why some of the accountable care organizations generated a substantial portion of the cost savings.
CVS Caremark's decision to stop selling cigarettes and other tobacco products could mean more partnerships between insurers and the pharmacy giant, reported Forbes.
Humana has begun working with providers on several new, collaborative delivery system models that already have yielded successful results.