Patients who are members of an ACO are not likely to realize it, comments Dennis Scanlon, PhD, Summit moderator. He asks how providers can keep ACO members within the system, avoiding care providers who do not have the same incentives. Ateev Mehrotra, MD, MPH, associate professor of healthcare policy and medicine at Harvard Medical School, and a hospitalist at Beth Israel Deaconess Medical Center, agrees that patients probably do not know what type of system it is or the incentives being used within their ACO.
Coordination of care among any providers (within or outside of the system) improves quality, insists Arthur Vercillo, MD, FACS, a surgeon and regional president of Excellus Blue Cross Blue Shield. This is true of the sickest patients who utilize many services and those members who occasionally use the healthcare system.
Dr Scanlon points out that health information technology is supposed to help in this regard, and legislation (eg, the HITECH Act) and resources have been directed toward improving the utilization of HIT. Yet, he says, “I think critics would say this concept of ‘meaningful use’ has been anything but meaningful in terms of how HIT is being used…all of the investment we’ve made in HIT isn’t sort of moving us in that direction.”
Dr Vercillo notes that the money spent on HIT, the formation of regional health information organizations, “is supposed to reduce redundancy. Empirically, it makes so much sense, but so far, we’re having a hard time proving the ROI is there.”
The Future of Drug Pricing: Most Favored Nation, PBMs, and Patient Access
July 11th 2025During the Reshaping Rx: Navigating 2025 Drug Pricing Policies webinar, panelists discussed the Most Favored Nation executive order, bills aimed at pharmacy benefit managers (PBMs), and other drug pricing policies.
Read More
Blister Packs May Help Solve Medication Adherence Challenges and Lower Health Care Costs
June 10th 2025Julia Lucaci, PharmD, MS, of Becton, Dickinson and Company, discusses the benefits of blister packaging for chronic medications, advocating for payer incentives to boost medication adherence and improve health outcomes.
Listen
What Will AI in Health Care Look Like in the Future?
July 10th 2025Artificial intelligence (AI) transforms oncology by enhancing clinical decision-making, improving patient outcomes, and shaping future health care training, as discussed by experts at Tennessee Oncology's “Tech Innovations in Community Oncology."
Read More