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Doc-Led ACOs Show Promise for Patients, Payers
In the search for meaningful patient care improvements and sustainable financing, some independent physician groups are charting unique approaches that may offer models for payers and providers in the age of cost-containment and risk-sharing.
In the search for meaningful patient care improvements and sustainable financing, some independent physician groups are charting unique approaches that may offer models for payers and providers in the age of cost-containment and risk-sharing.
Created in 1979 amid the rise of HMOs in Southern California, the Heritage Provider Network has evolved into an independent group practice with 2,100 primary care physicians working on a clinical model that tries to make managed care feel less “managed” and bridge gaps between social, personal and health issues before they grow into bigger, costly problems.
As part of a large commercial accountable care contract covering 70,000 lives and three Medicare ACOs, Heritage Provider Network is scaling up services it has been pursuing since before health reform and positioning itself as an payer-agnostic partner for insurers for the post-fee-for-service era.
Read the full story here: http://bit.ly/1nYgbtP
Source: Healthcare Payer News
Laundromats as a New Frontier in Community Health, Medicaid Outreach
May 29th 2025Lindsey Leininger, PhD, and Allister Chang, MPA, highlight the potential of laundromats as accessible, community-based settings to support Medicaid outreach, foster trust, and connect families with essential health and social services.
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New Research Challenges Assumptions About Hospital-Physician Integration, Medicare Patient Mix
April 22nd 2025On this episode of Managed Care Cast, Brady Post, PhD, lead author of a study published in the April 2025 issue of The American Journal of Managed Care®, challenges the claim that hospital-employed physicians serve a more complex patient mix.
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