After the recent election, there is a certain buzz around Accountable Care Organizations (ACOs) and their projected impact upon Healthcare Reform. The establishment of ACOs is part of the Affordable Care Act’s long and varied history. The ideas behind the development of ACOS are drawn from the need to significantly reduce Healthcare costs, increase quality of outcomes and offset rising prices. The proposed means of attaining these goals include incentive programs and meaningful technological integration. These provider organizations, which are community-centric and operate heavily within the depleting government Healthcare programs, are seen as the most viable candidates to become ACOs. ACOs are becoming defined as any one large organization, existing system or cluster of smaller organizations partnering as a networked, technology-driven care system with competitive and incentivized markets. ACOs will be created around quality, cost control and tracking care outcomes. These outcomes will be monitored and maintained by EHRs. Continue reading: Accountable Care and the ACO will be “Glued Together With Technology”
What is your history with Greenway?
I have been with Greenway for over seven years as the Vice President of Marketing, Corporate Development and Government Affairs. My other major title is Chairmen Emeritus of the EHR Association.
When I graduated, I went to work for HBO & Company. They merged in 1999 with McKesson. After working at HBO & Co., four associates and I left to form Healinx. McKesson later acquired Healinx and renamed it RelayHealth. I was not active in the organization at that time, but I was a shareholder. McKesson RelayHealth is much larger today.
That brings me up to my present position. Greenway has grown fairly substantially while I have been present, so it has been a wonderful opportunity. Continue reading: EHR Scope Q&A With Justin Barnes of Greenway Medical Technologies
The following is a piece of an upcoming review we will be releasing on Accountable Care Organizations (ACOs). It deserves a expidited mention in that it is slightly overdue…
The HHS is also taking cues from industry thought leadership. The CMS is moving to take an additional and different approach to solving some of the quandaries currently extant in Healthcare. The most recent step in CMS’ involvement in reform is the establishment of The Center for Medicare and Medicaid Innovations (CMMI). This specific organization will be undertaking research and workgroups focused on “patient outcomes” and “community care models.” They are even taking public comments at the moment. This center will perpetuate new efforts toward the development of ACOs in addition to finding ways to approach Medicaid and Medicare from new directions and analysis. There is an expressed interest in the speed and pace of the solutions development as an underlying layer of the CMMI strategy.
RE-POST FROM: http://www.ama-assn.org
CHICAGO – New principles for the development and operation of Accountable Care Organizations (ACOs) became American Medical Association (AMA) policy this week at the organization’s semi-annual policy-making meeting. ACOs are an emerging model of patient care designed to provide high-quality patient care in an efficient manner.
The AMA’s new principles emphasize that ACOs must be physician-led, place patients’ interest first, ensure voluntary physician and patient participation and enable independent physicians to participate.
“The AMA is committed to ensuring physicians in all practice sizes can lead and participate successfully in new models that allow them to provide the best care to their patients,” Dr. Wilson said. “For this to happen, significant barriers must be addressed, including a lack of resources, existing antitrust rules and conflicting federal policies.”
During a recent joint government agency meeting, AMA President Cecil B. Wilson, MD. testified that there should be enough flexibility for physicians in all practice sizes to participate in ACOs. Although ACOs and other models of patient care were recently authorized in the new health reform law, existing antitrust and fraud rules can make becoming part of an ACO difficult for physicians, especially those in small practices. According to the latest AMA Physician Practice survey, 78 percent of office-based physicians in the United States work in practices with nine physicians or less. A majority of those are in either solo practices or practices of 2 to 4 physicians.
The AMA is developing resources for physicians to help them make informed participation decisions about ACOs. Physicians can find the tools they need to successfully participate and lead new initiatives, like accountable care organizations, on the AMA Web site at: www.ama-assn.org/go/paymentpathways.