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Integration & Physician Issues

Understandably, the need for clearly defined accountable care organization clinical outcomes criteria has led to industry-wide interpretation. But while stakeholder interest lies in shared savings and aligned incentives, ACOs above all must be about creating a consortium focused on improving…

CMS will officially implement its Value-Based Purchasing program Oct. 1 of this year, withholding 1 percent of all acute-care hospitals' diagnosis related group payments in order to provide incentive payments to those hospitals with the highest quality scores.

Blue Cross and Blue Shield of North Carolina has launched an accountable care organization with multispecialty physician group Wilmington (N.C.) Health, according to a news release.

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Cigna and New West Physicians P.C., a Denver-based physicians group, have launched a collaborative accountable care initiative, Cigna's version of an accountable care organization, according to a news release.

It's happening in different ways and different places around the country, but, broadly speaking, healthcare payors are starting to move away from traditional fee-for-service payment models. Providers, in turn, may be taking on a certain amount of risk in payment…

The American Medical Association has garnered the support of more than 60 organizations, including numerous specialty and state medical organizations and Cigna Healthcare and UnitedHealth Group, among others, to standardize the reporting of physician performance data.

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