Financial and quality results released by the Centers for Medicare & Medicaid Services (CMS) earlier this week showed that Brown & Toland Physicians’ again helped generate significant savings for the Pioneer Accountable Care Organization program in 2013 and helped improve the care of the patients in the program.
PURPOSE In 2006, Illinois established Illinois Health Connect (IHC), a primary care case management program for Medicaid that offered enhanced fee-for-service, capitation payments, performance incentives, and practice support. Illinois also implemented a complementary disease management program, Your Healthcare Plus (YHP). This external evaluation explored outcomes associated with these programs.
Montefiore Medical Center, a premier academic medical center, and the University Hospital for Albert Einstein College of Medicine today announced its continued success in delivering quality care with improved outcomes for Medicare patients as part of the Pioneer Accountable Care Organization (ACO) program. A new analysis shows Montefiore's ACO generated substantial savings for the Medicare program – one of the highest financial performers among all Pioneer ACOs – while delivering improved care to more than 25,000 patients within its ACO.
The five initial Accountable Care Organizations (ACOs) participating in Wellmark Blue Cross and Blue Shield’s ACO Shared Savings model have improved their quality scores by over 35 percent and saved more than $12 million during the first two years, Wellmark announced today. The positive results mean that each of the initial five participating ACOs will receive an incentive payment from Wellmark for achieving their performance goals.
To compare health care utilization and payments between NCQA-recognized patient-centered medical home (PCMH) practices and practices without such recognition.
Data Sources
Medicare Part A and B claims files from July 1, 2007 to June 30, 2010, 2009 Census, 2007 Health Resources and Services Administration and CMS Utilization file, Medicare's Enrollment Data Base, and the 2005 American Medical Association Physician Workforce file.
New study findings released today confirm that Horizon Blue Cross Blue Shield of New Jersey’s patient-centered program is working to improve the coordination of care and lower costs. The 2013 patient-centered study is the largest to date and includes more than 200,000 Horizon BCBSNJ members. Patient-centered care is an innovative approach that focuses on delivering better quality outcomes, a better patient experience and lowering the cost of care.
Minnesota’s new, nation-leading approach to delivering quality health care more efficiently for low-income individuals and families is paying off. In the first year of a program announced by the Department of Human Services and Governor Mark Dayton in 2013, six health care providers serving 100,000 Minnesotans spent $10.5 million less than projected – cost savings that will benefit Minnesota taxpayers.
Rewarding physicians and hospitals for collaborating to improve quality of care and lower costs is making a measureable difference in the Philadelphia region, according to initial results from Independence Blue Cross (Independence), a nationally recognized health insurer serving nearly 8.8 million people in 24 states and the District of Columbia, including 2.5 million in southeastern Pennsylvania.
The use of nationally certified medical homes to coordinate the care of Connecticut's Medicaid patients has led to improved quality, a 2 percent cut in per person costs, and a 32 percent increase in the number of participating providers during an 18-month period.
