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4 essential steps to forming an ACO

January 2016 may seem like a long ways off. But if you’re thinking about forming an Accountable Care Organization (ACO) for next year, the clock is already ticking. The fee-for-service reimbursement model is shifting to value-based-care financial models, such as an ACO. The U.S. Health and Human Services (HHS) set a goal of tying 30% of its payments to these types of arrangements by the end of 2016, and 50% by the end of 2018. Now is the time to start planning. Here’s a checklist of the essential steps organizations should take in 2015 to be ready to start an ACO in January: 1. April & May 2015 – Decide if the ACO model is the right one for you. Assess your current situation with questions like these: Are physician incomes going up or down? Are your physicians properly aligned […]

I’m a big fan of Clayton Christensen. In fact, I just got done reading his latest book, How Will You Measure Your Life. I’m concerned, however, with how people might interpret his  opinion piece about Accountable Care Organizations (ACOs), recently published in The Wall Street Journal. Some might read it and think that ACOs are a complete waste or because success isn’t guaranteed, the new approach isn’t worth trying. Some ACOs will fail, some will succeed I agree with a lot of the challenges that Christensen points out. However, Pioneer ACOs were launched with the intent that they would start from a more advanced position than other providers and teach the industry what works and what doesn’t in moving to the next phase of technology application – not that they would all be 100% successful. The CMS Medicare Shared Saving […]