89 ACOs Open for Business

John Commins, for HealthLeaders Media , July 10, 2012

"Because of the different price Medicare pays us versus the hospital for the identical service outpatient services in the physician setting is a big savings right there," Schwartz says. "Then if you are able to provide urgent care services instead of ER services that is a big savings. Finally if you have sufficiently coordinated outpatient programs working with community providers such as nursing organizations and others you are able to further decrease hospital utilization. We are hoping to see savings of 5% or 10% over the course of the three years of the program."

Schwartz says WESTMED has hired case managers to better analyze patient data, which will help the group  identify and coordinate care for high-risk patients and plug other care coverage gaps.

"We consider it a trifecta," he says. "The government will do well, the patients will do well, and we will do well. And we hope it turns out to be successful."   

John Commins is a senior editor with HealthLeaders Media.

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2 comments on "89 ACOs Open for Business"

Al Neuman MD (7/13/2012 at 5:58 PM)
Anyone who has read the "HealthLeaders" site realizes by now that for whatever reason, they seem totally in the tank for Obama and his policies. Truth of the matter is what HealthLeaders ISN'T saying in this piece[INVALID]that the vast majority of hospitals and physician groups AREN'T taking the dubious bait of Obamacare. Just look @ the numbers[INVALID]only 150 from the whole country applied, out of many thousands of potential applicants! It's obvious as anyone seriously involved in healthcare already knows, that the professional community doesn't like this ridiculous elephant of a healthcare "law" with all its burdensome bureaucracy and huge administrative costs and certainly doesn't trust the Obama administration at all based on their duplicity and dishonesty about other health-related topics incl. Medicare physician reimbursements. Reality is that most responsible folks in healthcare are rooting for Congress to actually repeal this turkey[INVALID]nobody believes it's either workable or affordable and will be a sure job killer.d

J. Kuriyan (7/10/2012 at 9:31 AM)
While it is wonderful that providers are stepping up to the plate and becoming "accountable" my fear is that they are buying a "pig in a poke" when they envision "shared savings". I am absolutely amazed thatmany responsible provider organizations are entering into a contract where the "baseline" for calculating savings has not been defined by CMS. What if the CMS actuaries come up with an unrealistic standard for measuring savings? Isn't it prudent practice to know what these parameters are before providers enter into contracts that entail penalty clauses for non-preformance? Wonders never cease!




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