CMS Announces Next Generation ACO

The Centers for Medicare & Medicaid Services (CMS) Innovation Center introduced the “Next Generation Accountable Care Organization” model of payment and care delivery on March 10, 2015. This initiative is for ACOs experienced in coordinating care for populations of patients and will allow these provider groups to assume higher levels of financial risk and reward […]

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NC ACO Collaborative Draws Crowd to Raleigh

On Thursday, March 5, members of the NC ACO Collaborative packed the auditorium of the North Carolina Medical Society (NCMS) Center for Leadership in Medicine in Raleigh for the first of its twice- yearly meeting. The gathering brings together ACOs, aspiring ACOs, ACO participants and other interested parties like the representatives from the State Health […]

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Move Toward ‘Pay for Quality’ Accelerates With HHS Announcement

In an announcement last week, the US Secretary of Health and Human Services Sylvia M. Burwell set the stage for more aggressive adoption of a Medicare reimbursement system centered on paying physicians based on the quality rather than the quantity of care they provide patients.The program she described will have measurable goals and a timeline. […]

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North Carolina Home to Seven New Medicare ACOs in 2015

Just before the new year dawned, the Centers for Medicare & Medicaid Services (CMS) announced 89 new Medicare Shared Savings Plan (MSSP) Accountable Care Organizations (ACO) bringing the nationwide total of MSSP ACOs to 405. Of the new ACOs announced, seven have service areas in North Carolina. 1)      Cape Fear Valley ACO 2)      Carolina Medical […]

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Wilmington Health: Health Care Reform “In the Trenches”

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Governor McCrory and Secretary of the NC Department of Health and Human Services Aldona Wos, MD, visited Wilmington Health last summer as part of their statewide tour of accountable care organizations (ACOs). The McCrory administration supports Medicaid reform that incorporates accountable or value-based care, and the visiting officials wanted to learn how this emerging model […]

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NC ACOs Rank in Top 15 Percent Nationally for Quality of Care

The Centers for Medicare and Medicaid Services (CMS) recently released the quality reports for the 220 accountable care organizations (ACO) nationwide that have participated in the Medicare Shared Savings Program (MSSP) starting in 2012 and 2013. Four of the six participating ACOs in North Carolina ranked in the top 15 percent in quality of care […]

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Triad HealthCare Network Founded on Unique Relationship With Cone Health

As the saying goes – ‘if you’ve seen one accountable care organization (ACO), you’ve seen one accountable care organization.’ But while every ACO in our state is “homegrown” in its particular population and faces its own challenges as well as advantages, some transcendent lessons can be gleaned from each unique situation. Triad HealthCare Network (THN), […]

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Latest ACO Headlines…

Reducing health care costs takes education, not just expanded coverage, 1/3/14, Triad Business Journal More partnerships between doctors and hospitals strengthen coordinated care for Medicare beneficiaries   123 New Accountable Care Organizations Join Program to Improve Care for  Medicare beneficiaries, press release, CMS 12/23/13 More Than Half of U.S. Hospitals Aim for ACOs by 2015, […]

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Unique to the Triad: Health Care Affiliation Joins Wake Forest Baptist and Cornerstone Health Care

Wake Forest Baptist Medical Center announced that it has entered into a first-of-its-kind strategic affiliation agreement in the Triad with Cornerstone Health Care, P.A. through its wholly-owned management services organization Cornerstone Health Enablement Strategic Solutions, LLC (CHESS). The goal of the affiliation is to better position both partners for new models of health care delivery […]

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SGR Repeal Proposal Raises Hopes For ACOs

Physicians who see Medicare patients have reason for cautious optimism that the Sustained Growth Rate (SGR) formula could possibly be repealed this year. As in previous years, unless Congress acts by January 1, physician Medicare reimbursement payments will be cut dramatically. In 2014 that would mean a 24.4 percent reduction. In the past, Congress has […]

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