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Increasing Evidence of ACO Effectiveness
Accountable care is gaining traction in light of the changes to come with the Affordable Care Act. While most industry focus has been placed on October enrollment dates in healthcare exchanges, hospitals and physicians are increasingly joining ACOs as way to share the financial risk of keeping patients healthy. According to an article in Bloomberg News, the government foresees cost savings as much as $1.9 billion by 2015 with ACO ventures:
“We’re providing better care because we’re keeping people out of the hospital,” Kenneth Davis, president of Mt. Sinai Hospital in New York, said in a telephone interview.
Mt. Sinai has reduced emergency room visits by 54 percent among high-risk patients. Similarly, New Jersey’s Hackensack University Medical Center saved about $16 million last year on care of about 11,000 Medicare patients who are part of the hospital’s accountable-care program. And at Coastal Carolina Health Care in New Bern, North Carolina, monthly emergency room visits dropped to 340 in February from 521 in April 2012.
Read the full story here: http://bloom.bg/14wjDT0
Stuck in Prior Auth Purgatory: The Hidden Costs of Health Care Delays
June 19th 2025Delays, denials, and endless paperwork—prior authorization isn’t just a headache for providers; it’s a barrier for patients who need timely care, explains Colin Banas, MD, MHA, chief medical officer with DrFirst.
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From Red Tape to Relief: Rewriting the Rules of Prior Authorization
June 23rd 2025Up to 257 million Americans could benefit from these prior authorization reforms that could have cross-market implications on health care plans administered through commercial insurers, Medicare Advantage, and Medicaid.
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Moving Evidence From Research to Practice: Q&A With Ken Cohen, MD
June 23rd 2025In 2025, each issue of Population Health, Equity & Outcomes will feature a profile of a health system leader transforming care in their area of expertise. This issue spotlights a conversation with Ken Cohen, MD, executive director of translational research at Optum Health.
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