By Carl Couch MD MMM FAAFP

ISBN-10: 1498743358

ISBN-13: 9781498743358

While many future health care corporations have to increase wellbeing and fitness care caliber and decrease expenses, so much lack particular techniques and strategies for enforcing those adjustments. Baylor Scott & White wellbeing and fitness has tested and keeps to advance an responsible care association (ACO) referred to as the Baylor Scott & White caliber Alliance (BSWQA) to enhance the standard of care and reduce wellbeing and fitness care charges via scientific integration.

Accountable: The Baylor Scott & White caliber Alliance dependable Care trip tells the tale of the BSWQA and its scientific community and payers who're devoted to supplying dependable, value-based sufferer care. It describes the necessity for ACOs in brand new well-being care surroundings and information the framework and specifications had to identify one.

The ebook presents readers with crucial historical past information regarding dependable care, together with the Triple goal and inhabitants healthiness administration. It outlines the infrastructure and governance framework had to determine a profitable ACO and offers real-world examples from the ACO owned via Baylor Scott & White health and wellbeing, the biggest not-for-profit health and wellbeing care procedure in Texas.

The ebook explores the idea that of responsibility for all stakeholders in today’s complicated care platforms, in addition to the position of non-public and organizational responsibility in dealing with sufferer populations. additionally it is specified outlines to lead you in constructing your individual liable care organization―from step by step information of criminal standards to an overview of the position of payers during this model.

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Extra info for Accountable: the Baylor Scott & White Quality Alliance Accountable Care Journey

Sample text

Why ACOs? How Can an Organization Produce Accountability? 6 Medicare payment at risk under CMS quality-based payment­reform initiatives. Most leaders in the ACO environment recognize that there is a long road ahead to achieve the levels of accountability­ required to truly reform our system and bring the best value possible to our patients [58, 59]. 6). At the 2015 Healthcare Leadership Council on Value and Innovation, a coalition of providers, payers, patients, and regulators agreed that payment reform will become essential to achieving the best value.

The intent of both these programs was for participating organizations to try to lower Medicare costs while meeting stringent quality standards, with the incentive­to do so being receipt of a portion of the resultant ­savings. While the ACA did not formally address the formation of private or commercial ACOs, these have also proliferated in its wake: in 2014, there were at least 626 ACOs across the United States, including 329 with government contracts, 210 with commercial contracts, 74 with both, and 13 that had not announced or finalized the nature of their contracts [15, 50].

It will require finding ways to attract and reward more physicians to comprehensive primary care careers rather than the specialties that offer greater financial reward, more prestige, and more flexible schedules. It may also necessitate Why ACOs? How Can an Organization Produce Accountability? ◾ 21 transforming primary care itself into teams of highly regarded “comprehensivists­” supported by greater use of nurse practitioners, physician assistants, nurses, and expanded care teams. ” Many of us have heard physicians and o ­ thers make such statements in the care of complex patients, even though the overall patient outcome was poor.

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Accountable: the Baylor Scott & White Quality Alliance Accountable Care Journey by Carl Couch MD MMM FAAFP


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