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The Success of California's ACO Model
A blog on Health Affairs highlights California's successful ACO models that are steadily moving towards the goal of 60% of the population being cared-for by an integrated healthcare delivery system.
The Berkeley Healthcare Forum group at the University of California, Berkeley, recently published a report: A New Vision for California’s Healthcare System, which highlighted the changes in California's healthcare system, which is moving toward integrated care by building Accountable Care Organizations (ACOs).
The Berkley Healthcare Forum group is a collaboration between private and public health care leaders representing the major health insurance plans, healthcare delivery systems, medical groups,and state agencies. Their report estimates that more than 1.3 million Californians will be receiving care from ACOs within the next year. With 67 ACOs, California leads the country with the highest number of these intergracted care delivery systems.
A blog on Health Affairs says that California’s ACOs are rapidly moving toward the goal of 60% of the population receiving care in integrated systems by 2022, which the authors say would simultaneously reduce the state’s healthcare expenditures by nearly 30%.
ACOs’ Focus on Rooting Out Fraud Aligns With CMS Vision Under Oz
April 23rd 2025Accountable care organizations (ACOs) are increasingly playing the role of data sleuths as they identify and report trends of anomalous billing in hopes of salvaging their shared savings. This mission dovetails with that of CMS, which under the new administration plans to prioritize rooting out fraud, waste, and abuse.
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Examining Low-Value Cancer Care Trends Amidst the COVID-19 Pandemic
April 25th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the April 2024 issue of The American Journal of Managed Care® about their findings on the rates of low-value cancer care services throughout the COVID-19 pandemic.
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Bridging Care Gaps With a Systemwide Value-Based Care Strategy
March 29th 2025Mapping care management needs by defining patient populations and then stratifying them according to risk and their needs can help to spur the transformation of a siloed health care system into an integrated system that is able to better provide holistic, value-based care despite the many transitions that continue among hospital, primary, specialty, and community care environments.
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