Healthcare Performance Benchmarks
Healthcare Performance Benchmarks
December 28, 2011Vol. I. No. 51

Welcome to our first annual "Best Of" issue with the most-viewed benchmarks chart of 2011.

5 Challenges of New CMS ACO Rule

5 Challenges of New CMS ACO Rule This Week's Challenge: With CMSí long-awaited proposed rule governing the Medicare Shared Savings (ACO) program now on the table, healthcare organizations will begin to analyze the opportunities that exist with accountable care organizations. We wanted to identify the challenges of the new CMS ACO rule. Click here to view a printable version of the table.

What We Learned:"The whole concept of the ACO is kind of the medical home on steroids — the sharing of clinical information, the access to a broad range of clinical information on a patient so that youíre not duplicating whatís already been done and using the data thatís available to make informed clinical decisions. If thatís not in electronic format, moving paper along with the patient through the system gets us back to where we are now. The cost of managing data manually is going to eat up any potential incentive from shared savings. Not only do I think that the data needs to be collected and stored electronically, but also that disparate systems need to share that data with each other. The hospital needs access to the doctor data. The doctors need access to the hospital data and the lab data. The technology teams need to find a way to make these freestanding systems share information in a relatively seamless fashion."

Source: Greg Mertz, senior project director with the Healthcare Strategy Group.

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Read related blog post: NCQA Launches ACO Accreditation Program

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Assessing ACO Business Opportunities

Excerpted from Assessing ACO Business Opportunities in the Medicare and Commercial Markets, a 45-minute webinar replay, during which Greg Mertz provided a critical analysis of CMS's final rule on Medicare Shared Savings and how they will impact commercial ACOs.

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