Archive for the ‘Accountable Care Organizations (ACO)’ Category

What it ACTUALLY takes to impact healthcare cost and quality

Friday, August 12th, 2011

Earlier this week, CMS reported the 5th year performance impact for the Physician Group Practice Demonstration (PGP Demo). The PGP Demo has served as the learning laboratory for 10 organizations across the country seeking to improve quality and reduce costs of care for the Medicare population. We are privileged to have worked closely with Park Nicollet Health System as they navigated the journey to success. (Park Nic received a substantial bonus payment from CMS this year). We’ve had a bird’s eye view on this effort over the past 5 years, and have MUCH to share!!
But before I tell you more, please take the time to see the CMS press release:
https://www.cms.gov/apps/media/press/release.asp?Counter=4047
And while you are at it, you may want to read more about Park Nicollet’s approach as covered by the Minneapolis Star Tribune:
http://www.startribune.com/business/127283643.html
In the coming days, visit the Collaborative Forum to hear more about the lessons learned, the impact seen, and the challenges faced to get there. I promise it will put you several steps ahead on the journey from fee for transactional care to transformational care coordination!

Moving the Needle in Transforming Our Healthcare System

Tuesday, August 10th, 2010

Healthcare reform is a hot topic. And rightly so. If done right, it has the potential to truly transform our healthcare delivery system. Recently, Secretary of Health and Human Services Kathleen Sebelius, posted a piece on the Commonwealth Fund website which discussed the need to approach healthcare delivery in a coordinated and patient-centered way that focuses on keeping patients healthier.

Secretary Sebelius cites the statistic that two-thirds of Medicare spending goes toward beneficiaries with five or more chronic diseases. Yet under the current payment system, doctors are paid for quantity of individual services instead of for managing and coordinating the care of their patients across time and location.  She writes, “Dysfunctional incentives create fragmentation and fail to address the underlying drivers of disease.” And there are ways to create open communication between patients and care managers to address the drivers of disease and keep patients healthier, all at significant cost savings to Medicare.  We’ve seen it work. Read the rest of this entry →

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