Accountable Care
Less than two months after raising $30 million in Series B funding, Aledade, the physician-focused company launched by former National Coordinator Farzad Mostashari, is growing.
Aviation giant Boeing has added Roper St. Francis Health Alliance in Charleston, South Carolina and Mercy in St. Louis to its health plan, according to a Boeing spokesman, as the company continues to grow its in-house benefits network.
According to the company, the analytics service will be especially helpful as the ACO prepares to expand its value-based care model to other insurers and suppliers.
Over 140 Medicare-certified hospices have been invited to participate in a new five-year model of care that will allow for dual coverage of hospice and curative care.
While a proposed final rule for accountable care organizations taking part in the Medicare Shared Savings Program showed officials may be listening to concerns, many participating healthcare providers many participating providers say it doesn't go far enough.
Once bitter rivals, healthcare providers in same markets are finding it's better to keep their enemies close, sharing services, health plans and purchasing power among them.
A former advisor to President Barack Obama is warning healthcare providers to embrace bundled payments as accountable care organizations fall behind in reaping savings from value-based payment models.
"There can be a snowball effect, where you have more and more costs that often could have been prevented by just doing better primary care." - James A. Colbert, MD, Instructor in Medicine at Harvard Medical School.
With Aetna's market share set to balloon next year after its takeover of Humana wraps up, the insurer is trying to assuage health systems that might fear greater reimbursement pressure.
Presbyterian Healthcare Services, an integrated delivery system with eight hospitals, 700 physicians, 100-plus clinics and a 300,000-member health plan, will take on care coordination and prevention for more than 12,000 members in UnitedHealthcare's employer-sponsored plans in New Mexico.