Healthcare Intelligence Network
Accountable Care Organizations
Best Sellers
Behavioral Healthcare
Benchmarking
Bundled Payment
Care Coordination
Care Transitions
Case Management
Chronic Care Management
Coaching
Coming Soon
Community Health
Compliance
Consumer-Driven
Cultural Diversity
Data Analytics
Diabetes Management
Disease Management
Dual Eligibles
e-Books
eHealthcare
Emergency Medicine
Health Literacy
Health Risk Assessments
Health Risk Stratification
Healthcare Reform
Healthcare Trends
HIN Benchmark Reports
HIN Case Studies
HIPAA
Home Health
Home Visits
Hospice
Hospital
Hospital Readmissions
Hospitalist
ICD-10
Infection Control
Infographics
Information Technology
Long-Term Care
MACRA
Managed Care
Medicaid
Medical Home
Medical Neighborhood
Medical Practice
Medical Records
Medicare
Medication Adherence
Nurse Management
Palliative Care
Patient Engagement
Patient Experience
Patient Registry
Pay for Performance
Physician Practice Transformation
Physician Organizations
Physician Quality Reporting Initiative
Population Health Management
Post-Acute Care
Predictive Modeling
Pre-Publication
Quality Improvement
Reimbursement
Remote Patient Monitoring
Revenue Cycle Management
Safety
Social Health Determinants
Telehealth
Training DVDs
Transparency
Value-Based Reimbursement
Webinars
Wellness
What's New
Subscribe to the Free
'Healthcare Business Weekly Update' e-Newsletter and receive the latest trends, news and analysis in healthcare.
Email:

Click here to view this week's issue
Home > e-Books
Blueprint for ACO Success: Clinical, Quality and Compliance Considerations for an Accountable Care Organization
Blueprint for ACO Success: Clinical, Quality and Compliance Considerations for an Accountable Care Organization
Be the first to review this item
Price
Your Price:
$139.00
Choose Format and Quantity
Format Recommended: Print and Instant PDF Download
Print
Instant PDF Download
Save on Multi-User PDFs*
Quantity Price Per Copy
2-5 $90.35
6-10 $76.45
11-25 $34.75
Contact us for multiple print pricing or to order 25+ copies.
Quantity
Add to Wish List
Description

Like the convenience of an instant PDF download but still want a hard copy of this book? Order both and save 35 percent!

Accountable care organizations (ACOs) create integrated delivery systems that encourage teams of physicians, hospitals and other providers to collaboratively coordinate care for ACO members. Built into the ACO model is a business opportunity: provide a focal point of care while attaining health and cost containment goals.

However, to ensure the ACO's fiscal health, its planners must construct a strong clinical foundation for the ACO while meeting state and federal legal, regulatory and compliance requirements for ACOs.

Blueprint for ACO Success: Clinical, Quality and Compliance Considerations for an Accountable Care Organization provides perspectives and lessons learned in both critical areas from two organizations already far along the path to ACO creation:

  • Advocate Physician Partners' clinical integration (CI) program, which includes over 3,000 physicians, has resulted in improvements in patient outcomes and significant cost savings and ideally positions them for an ACO.

  • The Queens County Medical Society, which is launching one of New York States largest physician-owned ACOs, will allow more than 700 local physicians to share Medicare savings, best practices and access to new information technologies.

This 40-page resource will prepare healthcare organizations considering an ACO for clinical and regulatory success. First, Mark Shields, MD, MBA, senior medical director for Advocate Physician Partners and vice president of medical management for Advocate Health Care, details Advocate Physician Partners' CI program, from the structure of the CI group to funding, incentives, mechanisms and technology that support CI, and why a successful CI program can provide the ACO foundation.

Next, Jeffrey R. Ruggiero, Esq., a partner in Arnold & Porter LLP, the law firm advising the Queens County Medical Society on its ACO development approach, describes the operational and regulatory compliance requirements that must be met to ensure a highly cost-effective, high quality, safe and legally compliant ACO for patients and health plan members.

These areas include anticipating the mandates of the CMS Shared Savings program; achieving and maintaining compliance with state and federal regulations governing healthcare while positioning for possible changes; developing a multi-disciplinary compliance approach; and creating policies and procedures for ongoing compliance monitoring.

Blueprint for ACO Success: Clinical, Quality and Compliance Considerations for an Accountable Care Organization also presents new market research on ACO awareness and creation in the industry derived from the 2011 Healthcare Intelligence Network Accountable Care Organizations Survey.

Table of Contents

  • ACO Benchmarks: Results from the 2011 Accountable Care Organizations Survey
  • Framing an ACO Through Clinical Integration of Independent Physicians
    • Advocates Vision of Clinical Integration
    • Components of Clinical Integration
    • Pay for Performance Incentives
    • Performance Improvement Tools
    • Lessons Learned
    • Clinical Integration as ACO Chassis
  • Physician-Owned ACOs: Overcoming Legal and Regulatory Challenges
    • Whats Driving ACO Development
    • Whos Eligible to be an ACO?
    • Understanding Shared Savings
    • Legal Considerations for ACOs
    • Antitrust, Anti-Kickback and Stark Laws
    • Fraud and Abuse Provisions
    • The Physician Organizational Process
    • Overcoming Physician Resistance to Change
    • Case Study: Queens County Medical Society ACO
    • Benefits of ACO Participation
  • Q&A: Ask the Experts
    • Quality and Performance Measures
    • Focusing on Efficiency Measures
    • Exclusive vs. Non-Exclusive Programs
    • Responsibility for Tracking Care
    • Overcoming Physician Resistance
    • Post-Acute Network
    • Convincing Payors to Collaborate
    • Future Contracting Plans
    • What Physicians Should Ask Before Joining an ACO
    • Role of Health Plans in ACOs
    • Guidelines for Selecting ACO Managers
    • Defining Savings Targets
    • Challenges of Launching a Physician-Owned ACO
    • Choosing ACO Shareholders
    • The Ideal ACO Model
    • Ideal Practice for an ACO
    • Why Payors Should Partner in an ACO
  • Glossary
  • For More Information
  • About the Presenters
Publication Date: February 2011
Number of Pages: 40
ISBN 10: 1-936186-68-3 (Print version); 1-936186-69-1 (PDF version)
ISBN 13: 978-1-936186-68-6 (Print version); 978-1-936186-69-3 (PDF version)
Frequently Bought Together
Essential Guide to Accountable Care Organizations: Challenges, Risks and Opportunities of the ACO Model
Essential Guide to Accountable Care Organizations: Challenges, Risks and Opportunities of the ACO Model
Your Price: $179.00
Buy
2011 Benchmarks in Accountable Care Organizations: Metrics from Early ACO Adopters
2011 Benchmarks in Accountable Care Organizations: Metrics from Early ACO Adopters
Your Price: $127.00
Buy
 
Browse Similar Items
Quality Improvement
Community Health
Physician Organizations
Medicare
Medicaid
Managed Care
HIN Case Studies
Medical Home
Disease Management
Medical Practice
Reimbursement
Wellness
Accountable Care Organizations
Bundled Payment

Care Coordination of Highest-Risk Patients: Business Case for Managing Complex Populations
2018 Healthcare Benchmarks: Telehealth & Remote Patient Monitoring
A New Vision for Remote Patient Monitoring: Creating Sustainable Financial, Operational and Clinical Outcomes
2019 Healthcare Benchmarks: Care Coordination
The Science of Successful Care Transition Management: Leveraging Home Visits to Improve Readmissions and ROI

Copyright Healthcare Intelligence Network. All Rights Reserved. eCommerce Software by 3dcart.