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Dr Joseph Gifford Addresses the Challenges of Managing Multiple ACO Models
With various accountable care organization models that cover a wide range of health coverage plans, organizations with multiple models need to create a common framework for each market to follow in order to manage them.
With various accountable care organization (ACO) models that cover a wide range of health coverage plans, Joseph Gifford, MD, chief executive of the Providence-Swedish Health Alliance, said that the challenge in managing these models is creating a common framework for each market to follow.
Dr Gifford explained that centralized IT and reporting, analytic and finance functions will allow members from all ACO markets to work from of the same template. He added that because each ACO is grounded in their own local environment, placing employees in the markets grants better opportunities for success.
“Creating the right model that is a federated model of coordinated, value-based care across 5 states representing and respecting every local territory—that’s the art of what we do and I won't say we’re there yet,” Dr Gifford said. “It’s going to be a voyage to really get this done right and at scale.”
Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
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