Scanning the Headlines: Clinical Integration (Archive) 2010-2009

 

Updated on June 21, 2012

Click here for Clinical Integration latest bibliography

Links to full-text articles are provided where available.
For information on obtaining print copies of articles, please call the AHA Resource Center at (312) 422-2050.


Shields M and others. A Model For Integrating Independent Physicians Into Accountable Care Organizations. Health Affairs, web first, Dec. 16, 2010.  http://content.healthaffairs.org/content/early/2010/12/15/hlthaff.2010.0824

Carbine, M., editor.  Small medical groups face decisions on affiliation and infrastructure to participate in accountable care organizations.  AIS Health.com.  Dec. 10, 2010. 

Page, L.  8 Points on hospital physician integration from Stephen Moore at Catholic Health Initiatives.  Becker’s Hospital Review.  Dec. 10, 2010.  http://www.beckershospitalreview.com/hospital-physician-relationships/8-points-on-hospital-physician-integration-from-stephen-moore-at-catholic-health-initiatives.html

Atlantic health launching ACO.  ModernHealthcare.com.  Dec. 9, 2010. 

Jenkins, S.  4 Ways to think about ACO strategy.  HealthLeaders Media.  Dec. 9, 2010.  http://www.healthleadersmedia.com/content/PHY-259945/4-Ways-to-Think-About-ACO-Strategy

McClellan, M.  Accountable Care Organizations in the Era of Healthcare Reform.  Washington:  Brookings.  Dec. 9, 2010.  http://www.brookings.edu/interviews/2010/0830_ACO_mcclellan.aspx

Using Partial Capitation as an Alternative to Shared Savings to Support Accountable Care Organizations in Medicare.  Pittsburgh, PA:  Center for Healthcare Quality and Payment Reform, Dec. 2010.  http://www.chqpr.org/downloads/PartialCapitationPaymentforACO.pdf

Feder, J., and Cutler, D.  Achieving Accountable and Affordable Care.  Washington: Center for American Progress, Dec. 2010.  http://www.americanprogress.org/issues/2010/12/pdf/affordablecare_exec_summ.pdf/

AMA Establishes New Principles for Accountable Care Organizations. American Medical Association news release, Nov. 11, 2010.  http://www.ama-assn.org/ama/pub/news/news/accountable-care-organizations.shtml

Newman, D.  Accountable Care Organizations and the Medicare Shared Savings Program.  Washington:  CRS Report for Congress, Nov. 4, 2010.  http://assets.opencrs.com/rpts/R41474_20101104.pdf

Steele, G., and others.  How Geisinger's advanced medical home model argues the case for rapid-cycle innovation.  Health Affairs.  29(11):2047-2053, Nov. 2010.  http://content.healthaffairs.org/cgi/content/abstract/29/11/2047

Healthcare Financial Management Association. HFMA compendium of ACO [accountable care organization] resources. Nov. 2010.  http://www.hfma.org/ACOCompendium/

Health Care Delivery.  GAO-11-49.  Washington:  United States Government Accountability Office.  Nov. 2010.  http://www.gao.gov/new.items/d1149.pdf

Page, L.  6 best practices on bringing independent physicians into hospital-run ACOs.  Becker's Hospital Review.  Oct. 29, 2010.  http://www.beckershospitalreview.com/hospital-physician-relationships/6-best-practices-on-bringing-independent-physicians-into-hospital-run-acos.html

Page, L.  Accrediting body issues proposed standards for acos, asks for comment.  Becker’s Hospitals Review.  Oct. 21, 2010.  http://www.beckershospitalreview.com/hospital-physician-relationships/accrediting-body-issues-proposed-standards-for-acos-asks-for-comment.html

Silva, C.  Joint Commission to accredit medical home models.  American Medical News.  Oct. 18, 2010.  http://www.ama-assn.org/amednews/2010/10/18/gvsc1018.htm

Peterson, L., and others.   Accountable care: the top five things the community hospital can do now.  Becker’s Hospital Review.  Oct. 15, 2010.  http://www.beckershospitalreview.com/hospital-physician-relationships/accountable-care-the-top-five-things-the-community-hospital-can-do-now.html

Scopeliti, J.  Acos: one system’s approach toward accountability and success.  Becker’s Hospital Review.  Oct. 15, 2010.  http://www.beckershospitalreview.com/hospital-physician-relationships/acos-one-systems-approach-toward-accountability-and-success.html

Page, L.  Unitedhealth proposes coordinated care model for medicare Medicaid.  Becker’s Hospital Review.  Oct. 15, 2010.  http://www.beckershospitalreview.com/hospital-financial-and-business-news/unitedhealth-proposes-coordinated-care-model-for-medicare-medicaid.html

Galewitz, P., and Gold, J.  Health care interests push to make acos pay off for them.  Kaiser Health News.  Oct. 10, 2010.  http://www.kaiserhealthnews.org/Stories/2010/October/11/health-care-interests-ACOS.aspx

Hospital Strategies to Support Accountable Care; an HFMA Education Report. Westchester, IL: Healthcare Financial Management Association, Oct. 5, 2010.  http://www.hfma.org/Templates/InteriorMaster.aspx?id=23135

Guerin-Calvert, M., and Israilevich, G.  A critique of recent publications on provider market power; a report commissioned by the American Hospital Association. Washington, DC: Compass Lexecon, Oct. 4, 2010. http://www.aha.org/aha/content/2010/pdf/100410-critique-report-exec-sum-combo.pdf

Health Reform and the Decline of Physician Private Practice.  Boston, MA:  The Physicians Foundation, Oct. 2010.  http://www.merritthawkins.com/uploadedFiles/MerrittHawkins/Pdf/mhafoundationwhitepapcondens.pdf

Nucci, C.  MA inches toward ACO model.  HealthLeaders Media.  Sept. 29, 2010 http://healthplans.hcpro.com/content.cfm?topic=HEP&content_id=257101

Flower, J.  Accountable for patient health.  HH&N.  Sept. 20, 2010.  http://www.hhnmag.com/hhnmag_app/jsp/articledisplay.jsp?dcrpath=HHNMAG/Article/data/09SEP2010/092010HHN_Weekly_Flower&domain=HHNMAG

Dunn, L.  5 Key Regulatory Concerns for Accountable Care Organizations.  Becker's Hospital Review.  Sept. 14, 2010.  http://www.beckershospitalreview.com/hospital-financial-and-business-news/5-key-regulatory-concerns-for-acos.html

Glasser, J., and Salzberg, C.  Information technology for accountable care organizations.  H&HN. Sept. 9, 2010. http://www.hhnmag.com/hhnmag_app/jsp/articledisplay.jsp?dcrpath=HHNMAG/Article/data/09SEP2010/090610HHN_Weekly_Glaser2&domain=HHNMAG

Page, L.  To run ACOs. hospitals need to change their business model.  Becker's Hospital Review.  Sept. 1, 2010. http://www.beckershospitalreview.com/hospital-physician-relationships/to-run-acos-hospitals-need-to-change-their-business-model.html

Patient-Centered Medical Home: AHA Research Synthesis Report.  American Hospital Association.  Sept. 2010. http://www.hret.org/patientcentered/resources/patient-centered-medical-home.pdf

Cantlupe, J.  Physician alignment in an era of change.  HealthLeaders Media.  Sept. 2010.  http://content.hcpro.com/pdf/content/256536.pdf

Dunn, L.  What makes or breaks a successful ACO:  Q&A with Dartmouth brookings pilot participant Monarch healthcare's COO Ray Chicoine.  Becker's Hospital Review.  Aug. 31, 2010.  http://www.beckershospitalreview.com/hospital-physician-relationships/what-makes-or-breaks-a-successful-aco-qaa-with-dartmouth-brookings-pilot-participant-monarch-healthcares-coo-ray-chicoine.html

Page, L.  Insights From Successful Model for ACOs: Marshfield Clinic's Role in the Medicare Physician Group Practice Demonstration.  Becker's Hospital Review.  Aug. 31, 2010.  http://www.beckershospitalreview.com/hospital-physician-relationships/insights-from-successful-model-for-acos-marshfield-clinics-role-in-the-medicare-physician-group-practice-demonstration.html

LeValley, C.  Physician Involvement Key to Successful Accountable Care Organizations.  Becker's Hospital Review.  Aug. 30, 2010.  http://www.beckershospitalreview.com/hospital-physician-relationships/physician-involvement-key-to-successful-accountable-care-organizations.html

Dunn, L.  Accountable Care & the Transfer of Financial Risk: 3 Tips for Providers.  Becker's Hospital Review.  Aug. 30, 2010.  http://www.beckershospitalreview.com/hospital-physician-relationships/accountable-care-a-the-transfer-of-financial-risk-3-tips-for-providers.html

Larson, J.  The hospital-based group practiceH&HN online.  Aug. 30, 2010. 

Page, L.  With home health buy, Catholic health initiatives moves toward ACOs.  Becker's Hospital Review.  Aug. 25, 2010.

Dunn, L.  Three ways to align hospitals and physicians in an accountable care organization without employmentBecker's Hospital Review.  Aug. 24, 2010.

Page, L.  Private payors' plans for ACO's causing anxiety among hospitals, physiciansBecker's Hospital Review.  Aug. 23, 2010.

Robeznieks, A. N.Y. IPA struggles to land clients [Greater Rochester, NY Independent Practice Association]. Modern Physician online, Aug. 23, 2010.  [free registration required].

Page, L.  Proposed ACO rules expected in December, with Dr. Berwick's personal inputBecker's Hospital Review.  Aug. 20, 2010.

Page, L.  Insights from the most successful model for ACOs: Q&A with Barbara Walters of the Dartmouth-Hitchcock Clinic on the Medicare physician group practice demonstrationBecker's Hospital Review.  Aug. 19, 2010.

Fitch, K., Murphy-Barron, C., and Mirkin, D.  Nuts and bolts of ACO financial and operational success: calculating and managing to actuarial utilization targetsBecker's Hospital Review.  Aug. 13, 2010.

Moore, K., and Coddington, D.  Accountable care: the journey begins.  Healthcare Financial Management.  64(8):56-63, Aug. 2010.

Ronning, P.  ACOs: preparing for Medicare's shared savings program. Healthcare Financial Management.  64(8):46-51. Aug. 2010.  

Edwards, R.  Clinical integration fast forward. Trustee. 63(7):12-14, 19, July/Aug. 2010.

Accountable Care Organizations. Under the health reform law, Medicare will be able to contract with these to provide care to enrollees. What are they and how will they work? Health Policy Brief [Health Affairs], July 27, 2010.

Bruno, C. ACOs, meaningful use and saving lives [podcast]. Health Forum Leadership Center, July 26, 2010.

Page, L.  Five reasons why group practices, not hospitals, will run ACOsBecker's Hospital Review.  July 23, 2010.

Peregrine, M., and Rich, J., and McDermott Will and Emery, LLP.  The Potential Risk to Successful Hospital Integration Strategies Under the PPACA Posed by Physician Board Members' Conflicts of Interest.  San Deigo, CA:  The Governance Institute, July 2010.

Bohlmann, R.C.  The pain points of integration: 7 areas that contribute to the problem.  MGMA Connexion.  10(6):23-24, July 2010.

Accountable Care Organizations Provisions in the Patient Protection and Affordable Care Act.  Oakland, CA:  Integrated Healthcare Association.  June 9, 2010.  http://www.iha.org/pdfs_documents/home/IHA_PPACAACOSummary.pdf

AHA Research Synthesis Report.  Chicago:  American Hospital Association, June 2010.

Zablocki, E.  The board's role in compensation oversight for employed physicians: An interview with Dan Grauman, President and CEO, DGA PartnersGreat Boards.  10(1):1-6, Spring 2010.

Clark, C.  City of hope rift with physicians threatens both-and scares patientsHealthLeaders Media.  May 26, 2010.

Ledue, C.  AAFP subsidiary hopes to accelerate medical home adoption.  Healthcare Finance News.  May 24, 2010.  http://www.healthcarefinancenews.com/news/aafp-subsidiary-hopes-accelerate-medical-home-adoption

Gutman, James. Private public sector programs illustrate what to expect in rules for medicare’s pilot on accountable care organizations.    AIS’s Health Business Daily.  May 10, 2010.

Committee on Research. Bundled Payment: AHA Research Synthesis Report.  Chicago: American Hospital Association, May 2010.

Edwards, R. Clinical integration fast forward. Hospitals & Health Networks, 84(5):20-23, May 2010.

Joint MD-RN team drives results for an orthopedic service line model.  OR Manager.  26(5):1, 17-20, May 2010.

Mack, C., and Pederson, C.D.  Physician-hospital integration without hospital employment.  HFM. Healthcare Financial Management. 64(5):86-90, May 2010.

Evans, M.  Physicians on board: co-management arrangements between hospitals and doctors grow as an alternative to joint ventures, but questions remain over whether the deals can deliver on their promises.  Modern Healthcare.  40(17):24-26, Apr. 26, 2010.

Becker, S., and Dunn, L. A review of oig self referral and antikickback cases: 6 categories of non-compliant physician relationships and 8 recent cases.  Becker’s Hospital Review.  Apr. 22, 2010.

Getting More Reform from Health Reform: 5 Barriers to Clinical Integration in Hospitals (and what to do about them).  Chicago:  American Hospital Association,  Apr. 2010.

Burke, T., and Rosenbaum, S.   Accountable care organizations: implications for antitrust policy.  Aligning Forces for Quality.  Mar. 2010.

Clinical Integration - The Key to Real Reform.  [TrendWatch], Feb. 2010.

Chart of legal barriers to clinical integration and proposed solutions.  [TrendWatch], Feb. 2010.

Atkinson, J.G., and others.  Provider-initiated pay-for-performance in a clinical integrated hospital network.  Journal for Healthcare Quality.  32(1):42-50, Jan./Feb. 2010.

Petasnick, B.  The key to real health care reform is tackling barriers standing in way of clinical integration.  AHA News. 46(2):4-5., Jan. 25, 2010.

The clinical integration spectrumAHA News. 46(2):4-5., Jan. 25, 2010.

Gainsharing: Aligning Incentives for Physicians and Hospitals.  Manasquan, NJ:  Managed Care Information Center, Jan. 5, 2010.

Hatton, M.  Tackling barriersHH&N.  Jan. 1, 2010.

Grant, J.  What does it take to make integrated care work? McKinsey Quarterly, Jan. 2010.  [free registration may be required to view].

Robinson, J., and Dolan, E.  Accountable Care Organizations in California.  Oakland, CA:  Integrated Healthcare Association, 2010.  http://www.iha.org/pdfs_documents/home/ACO_whitepaper_final.pdf

Getting More Reform from Health Reform:   Five Barriers to Clinical Integration in Hospitals.  Chicago: American Hospital Association.  2010.  http://www.aha.org/aha/content/2010/pdf/5barrierstoclininteg.pdf

Clinically integrated physician-hospital organizationsGreat Boards.  9(4):1-12, Winter 2009.

            Website Bonus: Hospital Physician Alignment Case Studies

Aurora Health Care

Guthrie Health

Providence Regional Medical Center Everett

St. John's Health System

Summa Health System

Witten, J.  Will Congress fix the stark law disclosure dilemma?  Health Care Fraud Report.  Dec. 2, 2009.

Kohl, H., and others.  US Senate, Letter re: hospital and physician clinical integration and antitrust enforcement, to C. Varney and J Leibowitz, US Federal Trade Commission, Nov. 3, 2009.

All together now: a conceptual exploration of integrated careHealthcare Quarterly.  13(Sp):6-15, Nov. 2009.

Suter, E., and others.  Ten key principles for successful health systems integrationHealthcare Quarterly.  13(Sp):16-23, Nov. 2009.

Protti, D.  Integrated care needs integrated informaticHealthcare Quarterly.  13(Sp):24-29, Nov. 2009.

Scott, C., and others.  Integrated health systems and integrated knowledge: creating space for putting knowledge into action.  Healthcare Quarterly.  13(Sp):30-36, Nov. 2009.

Murray, M.  Process improvement and supply and demar elements that underlie integrationHealthcare Quarterly.  13(Sp):37-42, Nov. 2009.

Smyth, L.  Making integration work requires more than goodwillHealthcare Quarterly.  13(Sp):43-48, Nov. 2009.

Galewitz, P. An Experiment in Reducing Costs, Improving Care at Hillcrest Medical Center [Medicare bundled payment]. Kaiser Health News, Oct. 26, 2009. [Video].

Taylor, M.  Gainsharing pilot tests if hospitals, physicians can reduce costsH&HN.  Oct. 10, 2009.

Bakhtiari, E.  Is stark too restrictive? HealthLeaders Media. Oct.1, 2009.

Clark, F. Creating the clinical IT model. Healthcare Informatics. 26(10):48, 50,  Oct. 2009.

Sorrel, A.  Stricter self-referral rules may end some physician contracts with hospitalsAmerican Medical News, posted online Sept. 28, 2009.

Pavia, L.  Achieving virtual integrationHH&N.  Sept. 2, 2009.

Pawlson G. The Patient Centered Medical Home: An Opportunity to Improve Patient Care Delivery.  AHRQ Health Care Innovations Exchange, Expert Commentary, Sept. 2, 2009.

Miller, H.  How to Create Accountable Care Organizations.  Pittsburgh, PA:  Center for Healthcare Quality and Payment Reform, Sept. 7, 2009.  http://www.chqpr.org/downloads/HowtoCreateAccountableCareOrganizations.pdf

Solovy A. Connecting all your docs; hospitals subsidize physicians—employed and independent—to make electronic medical records more dynamic. Hospitals & Health Networks.  83(9):28, 30, Sept. 2009.

Arvantes, J.  New Jersey prepares to launch accountable care organization; model links providers, enables them to deliver integrated care.  AAFP [American Association of Family Physicians] News Now, Aug. 26, 2009.

Surge in Hospital Employment of Physicians Means Greater Compliance Risks.  AIS Health.com.  Aug. 12, 2009.

Mack, C., and Pederson, C. Together . . . yet separate. How your medical group can achieve integration with a hospital—without hospital employment.  MGMA Connexion.  9(7):48-51, Aug. 2009.

Beckham, D.  A strategic plan for the physician enterpriseHospitals and Health Networks.  July 14, 2009.

Strode, R., and Beith, C.  Something old is something new again: structuring physician practice acquisitions.  Healthcare Financial Management.  July 2009.

Enrado, P.  Challenges persist with Stark Law relaxation subsidiesHealthcare IT News.  June 10, 2009.

Blesch, G., and Carlson, J.  Are physician group and hospital business ties risky?  Modern Physician.  June 8, 2009.  [Free registration required].

Healthcare payment reform. A call to action.  Healthcare Financial Management.  June 2009.

Aston, G.  Pumping new life into cardiovascular:  Hospitals and their physicians merge service lines, and the benefits are many.  Hospitals and Health Networks.  May 13, 2009.

Carbine, M., editor. The $20 Billion Question: How to Create an Integrated 'Electronic Health Environment'.  Health Plan Week, May 1, 2009.

Blesch, G.  FTC offers clearer guidance on clinical integration agreements.  [TriState Health Partners].  Modern Physician.  Apr. 27, 2009.  [free registration required].

Commins, J.  TriState Clears Antitrust HurdleHealthLeaders Media.  Apr. 15, 2009.

Blesch, G.  FTC lets clinical-integration plan continueModern Physician.  Apr. 14, 2009.  [Free registration required for access].

US Federal Trade Commission.  TriState Health Partners, Inc. Advisory Opinion  Washington, DC: FTC, Apr. 13, 2009.

Beckman, D.  Integration versus independenceHospitals and Health Networks Online.  Mar. 24, 2009.

Pham, H. H., and others. Primary care physicians' links to other physicians through Medicare patients: the scope of care coordinationAnnals of Internal Medicine.  150(4):236-242, Feb. 17, 2009.

Sorrel, A. L. Court issues rare Stark ruling on physician-hospital agreementAmerican Medical News.  Feb. 16, 2009.

Strandberg-Larsen, M., and Krasnik, A.  Measurement of integrated healthcare delivery: a systematic review of methods and future research directionsInternational Journal of Integrated Care.  Feb. 4, 2009.

Simon, D., Brooks, H., and Rossman, C.  Clinical integration: a guide to working with the federal trade commission to enhance care through pro-patient, pro-innovation, pro-efficiency provider networks.  Health Lawyers Weekly.  7(4), Jan. 30, 2009.

Kling, A., and Cannon, M.  Does the Doctor Need a Boss?  Washington:  Cato Institute, Jan. 13, 2009.

FTC keeps wary eye on network arrangements.  Modern Physician.  13(1):1-2, Jan. 12, 2009.

Blesch, G.  FTC's not done yet:  Calif., Colo. doc partnerships latest to be scrutinized.  Modern Healthcare.  39(1):10, Jan. 5, 2009.

Suter, E., and others.  Ten key principles for successful health systems integrationHealthcare Quarterly.  13(Sp)16-23, 2009.

Murray, M.  Process improvement and supply and demand: the elements that underlie integrationHealthcare Quarterly.  13(Sp)37-42, 2009.

 

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