Our Latest Thinking

We are constantly scanning the health care market for new and interesting developments; then we write about them here. Check out our latest thinking.

Alternative Payment Models

CMS Proposes New Mandatory Bundled Payment Models: 4 Observations

July 29th, 2016

On July 25, 2016, CMS announced a proposed rule to provide additional incentives for hospitals to provide higher quality care at a lower cost. The proposed rule seeks to increase coordination of care and decrease costs for heart attack and bypass surgery patients, creates a new Surgical Hip/Femur Fracture Treatment model (SHFFT), and outlines a […]

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Bundled Payments Gaining Adoption; Provider Participants Seeking Care Redesign

June 28th, 2016

With CJR beginning last April and BPCI being extended for two more years until 2018, bundled payments have established themselves as CMS options for value-based care programs. Adoption looks to continue upward for future years, though, a potential mass adoption could take place if a favorable, future MACRA decision determines that bundled payments qualify for […]

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Projected Growth of Accountable Care Organizations

December 23rd, 2015

In this paper, we present projections of how the ACO model is likely to grow under four possible future scenarios.

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Assessment of the Hospital Value-Based Purchasing Program: Current Results and Opportunities for Improvement

November 16th, 2015

This paper provides an analysis of the hospital value-based purchasing program, specifically examining regional differences, performance over time, comparison to other programs, and policy implications.

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The Rise and Future of Medicaid ACOs

September 10th, 2015

No two models nor markets are alike, and the pace and prevalence of Medicaid accountable care growth will largely depend on states’ ability to generate savings and successfully overcome common and unique challenges over the long run. This paper contains a state-by-state landscape analysis.

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Dental Care in Accountable Care Organizations: Insights from 5 Case Studies

June 9th, 2015

As the health care system continues to evolve toward increased coordination of care and value based payment, there could be further opportunities for better coordination of dental and overall medical care.

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A Taxonomy of Accountable Care Organizations: Different Approaches to Achieve the Triple Aim

June 16th, 2014

As providers begin to bear risk for defined populations, providers and payers have begun to change the way they deliver and pay for health care. Accountable care organizations (ACOs), in particular, have proliferated with the common goal to fulfill the triple aim of improved patient satisfaction, improved care and decreased health care costs. Though ACOs […]

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Growth and Dispersion of Accountable Care Organizations

November 24th, 2011

Following the Patient Protection and Affordable Care Act’s emphasis on Accountable Care Organizations (ACOs) and the announcement of the Medicare Shared Savings Program, an increased interest has emerged among providers and payers to create ACOs.

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