Latest Kaiser Health News Stories
The moves could lead to a dramatic decrease in hospitals and doctors participating in the program, industry officials said.
New programs, known as ACOs, reward hospitals and physician groups that hold down costs by keeping enrollees healthy. The health care providers are asked to address social issues — such as homelessness, lack of transportation and poor nutrition — that can cause and exacerbate health problems.
One part of the federal health law gave hospitals financial incentives to improve patient care. Some invested big to make those changes and are worried about what losing that support would mean.
The nation’s largest insurer and the state’s university health system intend to offer a health plan option to self-funded employers in California and pursue research drawing upon a huge reservoir of patient data.
Aerospace giant’s Southern California employees will have access to MemorialCare’s network of hospitals and clinics, in addition to UC Irvine Health and other providers.
Candidates — on both sides — are bending the facts about the Affordable Care Act.
Federal officials reported recently that in 2014 the accountable care organizations saved $411 million, but after the program paid bonuses to the successful groups, Medicare recorded a net loss of $2.6 million. So KHN asked a panel of experts to offer their views about the program.
With legislation that passed last month, North Carolina is trying to build a hybrid managed care, accountable care model – with doctors, hospitals and insurance companies all sharing some risk. Advocates worry it could eclipse gains made by Medicaid in the state in the past.
The government expected accountable care organizations to save Medicare millions by now, but the program is falling short of targets, records show. KHN also has performance data for all 353 ACOs in 2014.
This model of care is one of the ways created by the Affordable Care Act to reduce health care costs while improving quality of care. You can also watch the accompanying video that explains ACOs.
The government’s proposed rule addresses many concerns of accountable care organizations.
About a quarter of the 243 groups of hospitals and doctors that banded together as accountable care organizations under the Affordable Care Act saved Medicare enough money to earn bonuses, the Centers for Medicare & Medicaid Services announced Tuesday. Those 64 ACOs earned a combined $445 million in bonuses, the agency said. Medicare saved $372 […]
Accountable Care Organizations have given little attention to surgery in the early years of the Medicare program, choosing to focus instead on managing chronic conditions and reducing hospital readmissions. That’s according to a case study and survey published this week in the journal Health Affairs. The authors conducted case studies at four ACOs in 2012 […]
The first public evaluation of how 141 networks of doctors and hospitals performed looks at five quality measures for patients with diabetes and heart disease.
Accountable care organizations are saving some money, though what exactly that means is still unclear. The Centers for Medicare and Medicaid Services announced Thursday that overall, provider groups involved in Medicare ACO programs saved a total of $380 million in the first year. Sounds like a lot of money, but CMS declined to explain which […]
The Medicare program created by the Affordable Care Act focuses on smarter, targeted care to save lives and money.
Accountable care organizations (ACOs) may actually be the unicorns we’ve been waiting for, spreading their cost-saving magic throughout the health system. An early cost-sharing program in Massachusetts designed to cut costs for private Blue Cross Blue Shield patients also lowered costs for Medicare patients who were seen by the same providers, according to a study published […]
A Minnesota hospital’s care for congestive heart failure patients set the stage for it to become an Accountable Care Organization under the health law.
The Pioneer accountable care organizations have long been the shining stars of the Affordable Care Act’s strategy to rein in the country’s out-of-control spending on health care. The 32 organizations are part of a Medicare pilot project called for in the health law that could revolutionize the health system by paying doctors and hospitals for […]
ACOs are among the most ambitious of the new Medicaid cost containment and quality improvement schemes that have arisen in response to the federal health law and state fiscal pressures.