Pathways to a successful accountable care organization

著者

    • Gross, Peter A.

書誌事項

Pathways to a successful accountable care organization

edited by Peter A. Gross

Johns Hopkins University Press, 2020

  • pbk.

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内容説明・目次

内容説明

A valuable guide to starting and running a successful accountable care organization. Health care in America is undergoing great change. Soon, accountable care organizations-health care organizations that tie provider reimbursements to quality metrics and reductions in the cost of care-will be ubiquitous. But how do you set up an ACO? How does an ACO function? And what are the keys to creating a profitable ACO? Pathways to a Successful Accountable Care Organization will help guide you through the complicated process of establishing and running an ACO. Peter A. Gross, MD, who has firsthand experience as the chairman of a successful ACO, breaks down how he did it and describes the pitfalls he discovered along the way. In-depth essays by a group of expert authors touch on * the essential ingredients of a successful ACO * monitoring and submitting Group Practice Reporting Option quality measures * mastering your patients' responses to the Consumer Assessment of Health Plans Survey * how bundled payments and CPC+ can meld with your ACO * how MACRA and MIPS affect your ACO * the role of an ACO/CIN * the complexities of post-acute care * data analytics * engaging and integrating physician practices Dr. Gross and his colleagues are in a perfect position to guide other health care leaders through the ACO process while also providing excellent case studies for policy professionals who are interested in how their work influences health care delivery. Readers will come away with the necessary knowledge to thrive and be rewarded with cost savings. Contributors: Joshua Bennett, Allison Brennan, Glen Champlin, Kris Corwin, Guy D'Andrea, Joseph F. Damore, Mitchel Easton, Andy Edeburn, Seth Edwards, Jennifer Gasperini, Kris Gates, Shawn Griffin, Peter A. Gross, Brent Hardaway, Mark Hiller, Beth Ireton, Thomas Kloos, Jeremy Mathis, Miriam McKisic, Morey Menacker, Denise Patriaco, Elyse Pegler, John Pitsikoulis, Michael Schweitzer, Bryan F. Smith

目次

Contributors Preface Acknowledgments Chapter 1. Essential Ingredients of a Successful Accountable Care Organization Peter A. Gross Chapter 2. Patient-Centered Medical Homes: A Key Building Block for Accountable Care Organizations Joshua Bennett Chapter 3. Care Coordination: Initial Plans and Evolution Denise Patriaco Chapter 4. Quality Measurement in Accountable Care Organizations Guy D'Andrea and Kris Corwin Chapter 5. Monitoring and Submitting Quality Measures for the Group Practice Reporting Option: CMS Web Interface Kris Gates Chapter 6. Live Experience of a Quality Measure Validation Audit Mitchel Easton Chapter 7. Ready, Risk, Reward: Building Successful Two-Sided Risk Models Brent Hardaway, Elyse Pegler, and Bryan Smith Chapter 8. Post-Acute Care: A Key Consideration for an Accountable Care Organization Andy Edeburn Chapter 9. Data Analytics: Making a Choice Shawn Griffin Chapter 10. Impact of Coding and Documentation on Risk Scores Glen Champlin and John Pitsikoulis Chapter 11. Legal and Compliance Considerations Seth Edwards Chapter 12. Employee Health Management and the Role of an Accountable Care Organization Jeremy Mathis Chapter 13. The Role of Primary Care in the Future of Health Care Morey Menacker Chapter 14. Practice Transformation: Engaging and Integrating Physician Practices Thomas Kloos Chapter 15. Population Health Management Consulting Joseph F. Damore Chapter 16. The Comprehensive Primary Care Plus Initiative Seth Edwards Chapter 17. Keys to Success in Bundled Payments Mark Hiller, Beth Ireton, Miriam McKisic, and Mike Schweitzer Afterword Index

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