Blue Shield of California has named John Hirshleifer, MD, MPH, as medical director of accountable care organizations, according to a company news release. In his new position, Dr. Hirshleifer will be responsible for collaborating with the network management team to…
Integration & Physician Issues
CMS has announced it will host a conference call on Nov. 15 from 1:30-3:00 p.m. EST on the application process for its accountable care organization program.
Influential physician groups, such as the American Medical Association and American Medical Group Association, are beginning to warm up to CMS’ accountable care organization program. The groups had previously expressed disappointment with CMS’ proposed rule for ACOs, which they found…
Medicare ACO Participation Will be Determined by Factors Outside CMS' Control, Despite Improved Rule
Over the past year, providers have been hopefully contemplating and building new delivery system models designed to reward better outcomes, population health and increased value.
Health insurer Highmark, based in Pittsburgh, has posted the results of its pay-for-performance program from fiscal year 2011, according to a company news release. Highmark launched its Quality BLUE pay-for-performance program in 2002 with six hospitals. By fiscal year 2011,…
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Montgomery, Ala.-based Baptist Health has formed an agreement to acquire Montgomery Cancer Center, according to a health system news release. Under the agreement, Baptist will acquire MCC, Montgomery Breast Center and Carmichael Imaging. MCC includes 13 physicians. The acquisition does…
Melbourne, Fla.-based Wuesthoff Health System has signed a definitive agreement to acquire Osler Medical, a multispecialty physician group with 47 providers, effective Nov. 1, according to a Wuesthoff news release.
Phoenix-based Banner Health, which has locations in seven states, has been accepted by CMS into the agency's Accountable Care Organization Pioneer Program, according to a Phoenix Business Journal report.
In its first year of a seven-year “learning lab,” the joint effort between rival Minnesota health systems HealthPartners and Allina Hospitals and Clinics was able to shave $6 million from medical costs, according to a Star Tribune report. Bloomington-based HealthPartners…
The following is reprinted with permission from Singletrack Analytics. In the draft ACO regulations, CMS established a single ACO risk adjustment factor using historical data from all participants, and did not modify it throughout the participation period. This policy reflected…