Scanning the Headlines: Clinical Integration (Archive) 2013-2012

Updated on August 15, 2014

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McCammon, S.  Rural outreach a challenge for Iowa's ACA efforts.  Midwest Healthcare News.  Dec. 4, 2013.  http://payersandproviders.com/news-article.php?news_id=474&region=1

Outbound: the drive toward community-based care accelerates; and, Expanding challenges: facilities professionals are key to moving care into communities.  Health Facilities Management;26(12):14-15, Dec. 2013.

Adamopoulos, H.  Accountable care organizations and market share: could care coordination drive monopolization?  Becker’s Hospital Review;2013(12):24-25, Dec. 2013. 

Daly, R.  Putting physicians in the lead for cost containment.  HFM. Healthcare Financial Management;67(12):53-59, Dec. 2013. 

Daniel, D.M., Wagner, E.H., and others.  Assessing progress toward becoming a patient-centered medical home: an assessment tool for practice transformation.  Health Services Research;48(6, Part I):1879-1897, Dec. 2013. 

Eastman, A.B., MacKenzie, E.J., and Nathens, A.B.  Sustaining a coordinated, regional approach to trauma and emergency care is critical to patient health needs.  Health Affairs;32(12):2091-2098, Dec. 2013. 

Gosfield, A.G.  Clinical integration and the CFO.  HFM. Healthcare Financial Management;67(12):46-48, Dec. 2013. 

Lewis, V., and others.  Accountable care organizations in the United States: market and demographic factors associated with formation.  Health Services Research.  48(6, Part I):1840-1858, Dec. 2013. http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12102/abstract

Martinez, R., and Carr, B.  Creating integrated networks of emergency care: from vision to value.  Health Affairs;32(12):2082-2090, Dec. 2013. 

Rahman, M., Foster, A.D., and others.  Effect of hospital-SNF referral linkages on rehospitalization.  Health Services Research;48(6, Part I):1898-1919, Dec. 2013.

Muhlestein, D., and others. Geographic distribution of ACO covered lives. Leavitt Partners, Dec. 2013.  http://leavittpartners.com/aco-publications/

Trends in Hospital-based Population Health Infrastructure.  Chicago:  American Hospital Association, Dec. 2013.  http://www.hpoe.org/Reports-HPOE/ACHI_Survey_Report_December2013.pdf

DePuccio, M.J., and Hoff, T.J.  Medical home interventions and quality outcomes for older adults: a systematic review.  Quality Management in Health Care.  22(4):327-340, Oct.-Dec. 2013. 

Totten, M. When strategy informs structure: successful board oversight of physician integration at Mercy Health. Great Boards [American Hospital Association Center for Healthcare Governance], no. 3, Fall 2013.  fall 2013 issue of Great Boards

Fitzgerald, J., editor.  Strong hospital-SNF relationships reduce readmissions.  HIM-HIPAA Insider.  Nov. 11, 2013.  http://www.hcpro.com/HIM-298133-865/Strong-hospitalSNF-relationships-reduce-readmissions.html

MedPAC toys with asking ACOs to assume some risk. Washington Health Policy in Review [Commonwealth Fund], Nov. 11, 2013. http://www.commonwealthfund.org/Newsletters/Washington-Health-Policy-in-Review/2013/Nov/November-11-2013/MedPAC-Toys-With-Asking-ACOs-to-Assume-Some-Risk.aspx

Pioneer success doesn’t equal satisfaction for Fine.  Modern Healthcare;43(45):28-29, Nov. 11, 2013.

Goozner, M.  Pioneer success doesn't equal satisfaction for Fine.  Modern Healthcare.  Nov. 9, 2013.  http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0CCsQFjAA&url=http%3A%2F%2Fwww.modernhealthcare.com%2Farticle%2F20131109%2FMAGAZINE%2F311099948%2Fpioneer-success-doesnt-equal-satisfaction-for-fine%3Futm_source%3Dfrontpage%26utm_medium%3Dnewsitem309%26utm_campaign%3Dcarousel-traffic&ei=IjWBUpNV6sDIAeO3gLgO&usg=AFQjCNHHDl3NDSCJoM_Hz_rv7361s9i6YA&bvm=bv.56146854,d.aWc&cad=rja

Butcher, L.  Mountain states adds an insurance arm.  Health Financial Mangement Association (HFMA), Nov. 6, 2013.  http://www.hfma.org/Content.aspx?id=20157

Smith, M., Bates, D., and Bodenheimer, T.  Pharmacists belong in accountable care organizations and integrated care teams. Health Affairs.  32(11):1963-1970, Nov. 2013.  http://content.healthaffairs.org/content/32/11/1963.abstract

 

Lewis, V., Colla, C., and Fisher, E.  Predicting ACO formation:  Two studies with more in common than it might seem.  Health Affairs Blog.  Oct. 22, 2013.  http://healthaffairs.org/blog/2013/10/22/predicting-aco-formation-two-studies-with-more-in-common-than-it-might-seem/

Kutscher, B.  Shift to coordinated care: qualifying for ACOs a tough challenge for rurals; and, Helping hospital make it work: group fits pieces together to form a rural ACO.  Modern Healthcare;43(42):28-29, Oct. 21, 2013.

Robeznieks, A.  Finding their way home: despite mixed evidence, providers and payers are adopting patient-centered medical homes to improve health and cut costs.  Modern Healthcare;43(40):6-7, 18-19, Oct. 7, 2013. 

Toussaint, J., Milstein, A., and Shortell, S.  How the Pioneer ACO model needs to change: lessons from its best-performing ACO.  JAMA.  310(13):1341-1342, Oct. 2, 2013. http://jama.jamanetwork.com/article.aspx?articleid=1745687 

Porter, M., and Lee, T.  The strategy that will fix health care: providers must lead the way in making value the overarching goal.  Harvard Business Review.  91(10):50-64, 66, 68, 70, Oct. 2013. 

Auerbach, D., and others.  Accountable Care Organization Formation Is Associated With Integrated Systems But Not High Medical Spending.  Health Affairs.  32(10):1781-1788, Oct. 2013.  http://content.healthaffairs.org/cgi/content/abstract/32/10/1781?etoc

Anderson, D., and Hogan, N.  Emerging ‘super ACOs’ fill unique needs.  HFM. Healthcare Financial Management.  67(10):88-92, 94, Oct. 2013.  http://www.hfma.org/Content.aspx?id=19520

Schoenherr, K., and others.  Establishing a Coalition to Pursue Accountable Care in the Safety Net:  A Case Study of the FQHC Urban Health Network.  New York:  Commonwealth Fund, Oct. 2013.  http://www.commonwealthfund.org/~/media/Files/Publications/Case%20Study/2013/Oct/1710_Schoenherr_FQHC_case%20study_v2.pdf

Francis, T.  A long road home.  PEJ. Physician Executive;39(5):78-80, Sept.-Oct. 2013. 

Wilkinson, C., Champion, J.D., and Sabharwal, K.  Promoting preventive health screening through the use of a clinical reminder tool: an accountable care organization quality improvement initiative.  Journal for Healthcare Quality;35(5):7-19, Sept.-Oct. 2013.

Pioneer ACOs: Lessons Learned from Participants and Dropouts; briefing presensations and transcript.  Alliance for Health Reform, Sept. 23, 2013.  http://allhealth.org/briefing_detail.asp?bi=308

Osby, L.  Hospitals buying more doctors' practices.  USA Today.  Sept. 4, 2013.  http://www.usatoday.com/story/money/business/2013/09/04/hospitals-buying-doctors-offices/2762757/

Anderson, J., editor.  ACOs should beware of stark law in setting financial arrangements.  AISHealth.  4(9):1-3, Sept. 2013.  http://aishealth.com/archive/nabn0913-03

Landman, J.H.  Achieving value with physician employment.  HFM. Healthcare Financial Management.  67(9):126, 128, Sept. 2013. 

Betbeze, P.  At the heart of team-based care.  HealthLeaders;16(7):38, 40-41, Sept. 2013. 

LaPorte, M.  Data drive ACO involvement.  Provider;39(9):20-21, 23-24, 26, 28-31, Sept. 2013. 

Wehrwein, P.  Pioneer ACOs: and then there were 23.  Managed Care;22(9):33-35, Sept. 2013. 

Zeis, M.  The dynamics of physician alignment.  HealthLeaders;16(7):24-28, Sept. 2013. 

Punke, H., and Gamble, M.  100 accountable care organizations to know.  Becker’s Hospital Review;2013(9):21-27, Sept. 2013.

Reddy, J., and Kennedy, K.  From medical home to ACO: a physician group’s journey.  HFM. Healthcare Financial Management;67(9):38-42, Sept. 2013. 

Sanford, K.D.  Understanding the business of employed physician practices.  HFM. Healthcare Financial Management;67(9):44-46, 48, Sept. 2013. 

Hajek, A.M.  Breaking down clinical silos in healthcare.  Frontiers in Health Services Management;29(4):45-50, Summer 2013. 

Leaver, W.B.  Volume to value.  Frontiers in Health Services Management;29(4):17-27, Summer 2013. 

Mohler, M.J.  Collaboration across clinic silos.  Frontiers in Health Services Management;29(4):36-44, Summer 2013. 

Molden, M.M., Brown, C.L., and Griffith, B.E.  At the heart of integration: aligning physicians and administrators to create new value.  Frontiers in Health Services Management;29(4):3-16, Summer 2013. 

Wolter, N.  Physician-led models of accountability and value: observations on payment policy and culture.  Frontiers in Health Services Management;29(4):28-35, Summer 2013. 

Betbeze, P.  Texas health unveils center for population health.  HealthLeaders Media.  Aug. 27, 2013.  http://www.healthleadersmedia.com/page-1/LED-295687/Texas-Health-Unveils-Center-for-Population-Health

Gold, J.  ACO is the hottest three-letter word in health care.  KHN Kaiser Health News.  Aug. 23, 2013.  http://www.kaiserhealthnews.org/Stories/2011/January/13/ACO-accountable-care-organization-FAQ.aspx

Punke, H.  Building a Medicare ACO:  Mercy Health select's story.  Becker's Hospital Review.  Aug. 15, 2013.  http://www.beckershospitalreview.com/accountable-care-organizations/building-a-medicare-aco-mercy-health-select-s-story.html

Punke, H.  FTC official addresses physician-hospital mergers, ACO policies.  Becker's Hospital Review.  Aug. 14, 2013.  http://www.beckershospitalreview.com/hospital-physician-relationships/ftc-official-addresses-physician-hospital-mergers-aco-policies.html

Roberts, S., and Wright, D.  Federal trade commission (FTC) addresses tension between the affordable care act (ACA), accountable care organizations (ACOs) and anitrust law.  National Law Review.  Aug. 13, 2013.  http://www.natlawreview.com/article/federal-trade-commission-ftc-addresses-tension-between-affordable-care-act-aca-accou

Gamble, M.  10 signs of troubled physician alignment.  Becker's Hospital Review.  Aug. 7, 2013.  http://www.beckershospitalreview.com/hospital-physician-relationships/10-signs-of-troubled-physician-alignment.html

Damore, J., and others. The Many Journeys to Accountable Care.  New York:  Commonwealth Fund, Aug. 6, 2013.  http://www.commonwealthfund.org/Blog/2013/Aug/Many-Journeys-to-Accountable-Care.aspx

Feder, J.  Bundle with care --rethinking Medicare incentives for post--acute care services.  New England Journal of Medicine.  369:400-401, Aug. 1, 2013.  http://www.nejm.org/doi/full/10.1056/NEJMp1302730?query=TOC&

McWilliams, J.M., and others.  Post-acute care and ACOs: who will be accountable?  Health Services Research;48(4):1526-1538, Aug. 2013. 

Bacher, G., and others.  Regulatory neutrality is essential to establishing a level playing field for accountable care organizations.  Health Affairs.  32(8):1426-1432, Aug. 2013.  http://content.healthaffairs.org/content/32/8/1426.abstract?etoc

Gamble, M.  ACOs and shared savings agreements: 16 statistics.  Becker’s Hospital Review;2013(8):21, Aug. 2013. 

Hoffman, J.  Improving financial margins with clinical integration.  Spectrum, July-Aug. 2013. 

Dilwali, P.K.  From acute care to home care: the evolution of hospital responsibility and rationale for increased vertical integration.  Journal of Healthcare Management;58(4):267-276, July-Aug. 2013. 

Ewing, M.  The patient-centered medical home solution to the cost-quality conundrum.  Journal of Healthcare Management;58(4):258-266, July-Aug. 2013.

Delisle, D.  Big things come in bundled packages.  Implications of bundled payment systems in health care reimbursement reform.  American Journal of Medical Quality.  28(4):339-344, July/Aug. 2013.  http://ajm.sagepub.com/content/28/4/339.abstract?etoc

Fiegl, C.  Medicare pioneer ACOs save money but lose physicians.  amednews.com.  July 29, 2013.  http://www.amednews.com/article/20130729/government/130729933/1/?utm_source=nwltr&utm_medium=heds-htm&utm_campaign=20130729

Betbeze, P.  Can Medicaid be a model for ACO innovation?  HealthLeaders Media.  July 26, 2013.  http://www.healthleadersmedia.com/content/LED-294621/Can-Medicaid-be-a-Model-for-ACO-Innovation

Thorpe, K.  Medicare integrate:  A new benefit option for Medicare beneficiaries.  Health Affairs.  July 23, 2013.  http://healthaffairs.org/blog/2013/07/23/medicare-integrate-a-new-benefit-option-for-medicare-beneficiaries/

Evans, M.  Still finding their way: pioneer ACOs see modest savings in first year, with nearly one-third dropping out.  Modern Healthcare;43(29):6, 14, July 22, 2013. 

Kliff, S.  Hospitals are quitting a key Obamacare cost-control program.  The Washington Post.  July 22, 2013.  http://www.washingtonpost.com/blogs/wonkblog/wp/2013/07/22/hospitals-are-quitting-a-key-obamacare-cost-control-program/

Bea, J.  Keys to success as an ACO:  Model physician relations maintaining entrepreneurial incentive and self-direction.  Becker's Hospital Review.  July 19, 2013.  http://www.beckershospitalreview.com/accountable-care-organizations/keys-to-success-as-an-aco-model-physician-relations-maintaining-entrepreneurial-incentive-and-self-direction.html

Herman, B.  Moody's:  Hospitals will see "eroding profits" in move to new payment models.  Becker's Hospital Review.  July 18, 2013.  http://www.beckershospitalreview.com/racs-/-icd-9-/-icd-10/moody-s-hospitals-will-see-eroding-profits-in-move-to-new-payment-models.html

Pioneer Accountable Care Organizations Succeed in Improving Care, Lowering Costs.  Baltimore, MD:  Centers for Medicare & Medicaid Services, July 16, 2013.  http://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-Releases/2013-Press-Releases-Items/2013-07-16.html

Caffarini, K.  Hospitals see alignment with doctors as boon to patient care.  amednews.com.  July 15, 2013.  http://www.amednews.com/article/20130715/business/130719990/1

Letourneau, R.  Is physician integration driving up the cost of care?  HealthLeaders Media.  July 15, 2013.  http://www.healthleadersmedia.com/page-1/FIN-294158/Is-Physician-Integration-Driving-Up-the-Cost-of-Care

Betbeze, P.  Physician integration failures are avoidable.  HealthLeaders Media.  July 12, 2013.  http://www.healthleadersmedia.com/content/LED-294135/Physician-Integration-Failures-Are-Avoidable

Harvey, H., and Cohen, I. The Looming Threat of Liability for Accountable Care Organizations and What to Do About It. JAMA. 310(2):141-142. July 10, 2013. http://jama.jamanetwork.com/article.aspx?articleid=1697985

Evans, M.  Pioneers no more?  A number of ACOs are still weighing whether to switch to another model.  Modern Healthcare;43(27):8-9, July 8, 2013. 

McLaughlin, J.  U.S. rep calls for looser safe harbor laws for hospitals exploring ACOs, bundles.  Becker's Hospital Review.  July 2, 2013.  http://www.beckershospitalreview.com/racs-/-icd-9-/-icd-10/u-s-rep-calls-for-looser-safe-harbor-laws-for-hospitals-exploring-acos-bundles.html

Terry, K.  9 pioneer ACOs expected to leave Medicare program.  InformationWeek Healthcare.  July 2, 2013.  http://www.informationweek.com/healthcare/interoperability/9-pioneer-acos-expected-to-leave-medicar/240157704

Value-Based ContractingKaufmanHalll.  Chicago:  Health Research and Educational Trust (HRET), July 2013.  http://www.hpoe.org/Reports-HPOE/Value-Based_Contracting_KaufHall_2013.pdf

Lieberman, S.M.  Reforming Medicare through ‘version 2.0’ of accountable care.  Health Affairs;32(7):1258-1264, July 2013. 

Lund, K.  The essentials of hospital negotiating.  Provider.  39(7):37-39, July 2013.  http://www.providermagazine.com/archives/2013_Archives/Pages/0713/Essentials-Of-Hospital-Negotiating.aspx

Evans, M.  Beyond ACOs: financial risk and capital hurdles are cited as reason many providers aren’t joining accountable care organizations, but some are finding other routes to payment reform.  Modern Healthcare;43(25):20-24, June 24, 2013. 

Cantlupe, J.  ACOs widespread, yet challenged.  HealthLeaders Media.  June 18, 2013.  http://www.healthleadersmedia.com/page-1/LED-293346/ACOs-Widespread-Yet-Challenged

Punke, H.  Tackling reporting challenges:  One ACOs approach.  Becker's Hospital Review.  June 14, 2013.  http://www.beckershospitalreview.com/accountable-care-organizations/tackling-reporting-challenges-one-aco-s-approach.html

Punke, H.  3 tips for MSSP ACO application success.  Becker's Hospital Review.  June 11, 2013.  http://www.beckershospitalreview.com/accountable-care-organizations/3-tips-for-mssp-aco-application-success.html

Landen, R.  Commercial payers offer few upside options.  Modern Healthcare;43(23):17, June 10, 2013. 

Evans, M.  ‘Too early to tell’: full impact of ACOs on quality unknown.  Modern Healthcare;43(22):15-16, June 3, 2013.

Bailit, M., Burns, M., and Houy, M.  Bundled Payments One Year Later:  An Update on the Status of Implementations and Operational Findings-May 30, 2013.  Newtown, CT:  Health Care Incentives Improvement Institute, June 2013.  http://www.hci3.org/sites/default/files/files/IB.BundledPayment-June2013-L3_0.pdf

Maloley, A.  Adding employed practices to your organization? 6 ways to getting buy-in from the practice.  Becker’s Hospital Review;2013(6):27, June 2013. 

McLaughlin, J.  Keeping employed physicians profitable.  Becker’s Hospital Review;2013(6):26, June 2013. 

Zeis, M.  Service lines, integration, and population health.  HealthLeaders;16(5):20-22, June 2013. 

Sanford, K. D.  Bringing the right players to the table.  hfm.  67(6):68-70, June 2013. 

Burton , D. A.  Driving out waste: a framework to enhance value in clinical care.  hfm.  67(6):94-99, June 2013.

Moore, K. D., and others.  ACOs: a wolf in sheep’s clothing?  hfm.  67(6):138-140, June 2013. 

Ullrich, F.A., MacKinney, A.C., and Mueller, K.J.  Are primary care practices ready to become patient-centered medical homes?  The Journal of Rural Health;29(2):180-187, Spr. 2013.

 Mack, K. E., and others.  The search for quality and outcomes.  Healthcare Executive.  28(3):86-88, May-June 2013. 

Redding, J.  Clinical registries: enabling success in an era of accountable care.  MGMA Connexion.  13(5):36-39, May-June 2013. 

URAC Accountable Care Accreditation Standards and Measures.  Washington, DC.  URAC.  May 17, 2013. https://www.urac.org/publiccomment/CIN_Preamble_2013Apr.html

Jacob, J.  Guiding elderly care: group calls for integrated care, communication.  Modern Healthcare;48(18):17, May 6, 2013.

Berwick, D.  Don Berwick, MD on transitioning to value-based health care.  HFM.  67(5):56-59, May 2013.

Jenkins, M., and Jarrett-Pulliam, C.  A comparative of magnet organizations and accountable care organizations.  JONA’s Healthcare Law, Ethics, and Regulation;14(2):55-63, Apr.-May 2013. 

Betbeze, P.  Incentives, motivations clash under ACOs.  Healthleaders Media.  Apr. 26, 2013.  http://www.healthleadersmedia.com/content/LED-291569/Incentives-Motivations-Clash-Under-ACOs

Punke, H.  CMS rejects pioneer ACO’s plea for pay-for-performance delay.  Becker’s Hospital Review.  Apr. 25, 2013.  http://www.beckershospitalreview.com/accountable-care-organizations/cms-rejects-pioneer-acos-plea-for-pay-for-performance-delay.html

Matt, S.  Hospitals are buying, but doctors don't have to sell.  amednews.com.  Apr. 22, 2013.  http://www.amednews.com/article/20130422/business/130429981/4/

Punke, H.  Cigna expands collaborative accountable care program to 58 members.  Becker’s Hospital Review.  Apr. 4, 2013. http://www.beckershospitalreview.com/accountable-care-organizations/cigna-expands-collaborative-accountable-care-program-to-58-members.html

Evans, M.  Push in the right direction: ACOs increasingly see insurance benefits as opportunities to offer incentives promoting value-based decisions.  Modern Healthcare;43(13):6-7, Apr. 1, 2013. 

Carlson, J.  Behind the scenes: although patients may not know it, ACOs are increasingly on their team, aiming to provide better care at lower costs.  Modern Healthcare;43(13):30-32, 35, Apr. 1, 2013. 

Burnett, S., and Hawkins, C.  Strategic physician onboarding: 7 tactics for minimizing losses on employed medical practices.  Becker’s Hospital Review.  2013(4):1, 12, 14, Apr. 2013. 

Rodak, S.  Is center of excellence investment the silver bullet healthcare has been looking for?  Becker’s Hospital Review;2013(4):1, 12, 14, Apr. 2013.

Reiboldt, J. M., and Greeter, A.  Leveraging nonemployment to achieve hospital-physician alignment.  Healthcare Financial Management.  67(4):98-104, 106, Apr. 2013. 

Burns, J.  Bundled payment.  H&HN. Hospitals & Health Networks;84(4):26-31, Apr. 2013. http://www.hhnmag.com/hhnmag/jsp/articledisplay.jsp?dcrpath=HHNMAG/Article/data/04APR2013/0413HHN_coverstory&domain=HHNMAG 

Tocknell, M.D.  Risk and reward in collaborative care.  HealthLeaders;16(3):22-24, Apr. 2013. 

Anderson, J.  Pioneer ACOs threaten to quit program over switch to pay for performance.  AISHealth. 4(4), Apr. 2013.  http://aishealth.com/archive/nabn0413-01

Faber, M., and others.  Survey of 5 European countries suggests that more elements of patient –centered medical homes could improve primary care.  Health Affairs.  32(4):797-808, Apr. 2013.

Morrissey, J.  Filling the gaps in primary care.  Trustee.  66(4):8-12, Apr. 2013.

Carlson, J.  Behind the scenes although patients may not know it, ACOs are increasingly on their team, aiming to provide better care at lower costs.  ModernHealthcare.  Mar. 29, 2013.   http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&sqi=2&ved=0CC8QFjAA&url=http%3A%2F%2Fwww.modernhealthcare.com%2Farticle%2F20130329%2FMAGAZINE%2F303309973%2Fbehind-the-scenes&ei=CghWUeOmN4KEygH_poDIAg&usg=AFQjCNEITmO8jpZ8uxS6Xf6fe7cl8wA03A&bvm=bv.44442042,d.aWc

Daly, R.  Redesigning healthcare: new delivery initiatives include ACOs, walk-in clinics, medical homes.  Modern Healthcare;43(12):6-7, 16, Mar. 25, 2013. 

Gamble, M.  Medicare ACO results expected this summer.  Becker’s Hospital Review.  Mar. 21, 2013.  http://www.beckershospitalreview.com/accountable-care-organizations/medicare-aco-results-expected-this-summer.html

Carlson, J.  Beyond ACOs: FTC approves another patient to coordinated care.  Modern Healthcare;43(10):14-15, Mar. 11, 2013. 

Gallegos, A.  Clinical integration model gets FTC green light.  American Medical News.  Mar. 11, 2013.  http://amednews.com/article/20130311/government/130319976/6/

Reinhardt, U.  Uwe Reinhardt Questions Bundled Payment Savings Prospects. Washington:  Alliance for Health Reform.  Mar. 11, 2013.  http://www.allhealth.org/spotlight.asp?wt=&si=124

Herman, B.  Which providers and employers have commercial bundled payments?  Becker’s Hospital Review.  Mar. 8, 2013.  http://www.beckershospitalreview.com/racs-/-icd-9-/-icd-10/which-providers-and-employers-have-commercial-bundled-payments.html

Gamble, M.  19 Pioneer ACOs want CMS to delay pay-for-performance obligations.  Becker’s Hospital Review.  Mar. 7, 2013.  http://www.beckershospitalreview.com/hospital-physician-relationships/19-pioneer-acos-want-cms-to-delay-pay-for-performance-obligations.html

Kliff,S.  Hospital want to delay a key Obamacare program.  Washington Post.  Mar. 6, 2013. http://www.washingtonpost.com/blogs/wonkblog/wp/2013/03/06/hospitals-want-to-delay-a-key-obamacare-program/

Fellows, J.  Inside an ACO-like partnership.  HealthLeaders Media.  Mar. 4, 2013.  http://www.healthleadersmedia.com/content/HEP-289750/Inside-an-ACOLike-Partnership

Fisher,E., McClellan,M., and Shortell, S.  The real promise of accountable care.  Wall Street Journal.  Mar. 4, 2013. http://online.wsj.com/article/SB10001424127887323978104578332862835152872.html  Note:  Viewing this article may require a subscription.

Lewis, V., and others.  Attributing patients to accountable care organizations: performance year approach aligns stakeholder’s interests.  Health Affairs. 32 (3): 587-595, Mar. 2013.  http://content.healthaffairs.org/content/32/3/587.abstract 

Our Nation Cannot Control Runaway Medical Spending Without Fundamentally Changing How Physicians are Paid.  Washington, DC:  National Commission on Physician Payment Reform.  Mar. 2013.  http://physicianpaymentcommission.org/wp-content/uploads/2012/02/physician_payment_report.pdf

Aston, G.  Hospital wise up when adding physician practices.  H&HN. Hospitals & Health Networks;87(3):34-36, 38, Mar. 2013. 

Butts, D., and others.  The 7 components of a clinical integration network.  Becker’s Hospital Review;2013(3):30-32, Mar. 2013. 

Lewis, V.A., and others.  Attributing patients to accountable care organizations: performance year approach aligns stakeholders’ interests.  Health Affairs;32(3):587-595, Mar. 2013.

Sanford, K. D.  Integration requires new roles and responsibilities. hfm.  67(5):56-58, 60, Mar. 2013. 

Halley, M. D.  Avoid costly mistakes of the past.  hfm.  67(5):62-65, Mar. 2013.

Cantlupe, J.  Rethinking the service line.  HealthLeaders;16(2):10-12, 14-16, 19-20, Mar. 2013. 

Minich-Pourshadi, K.  The drive to hire docs.  HealthLeaders;16(2):46-51, Mar. 2013.

Stefanacci, R.G., and Guerin, S.  Calling something an ACO does not really make it so.  Managed Care;22(3):15-17, Mar. 2013.

Butcher, L.  Partners against penalties: hospitals strengthen bonds with post-acute providers to trim readmissions.  Trustee;66(3):24-26, Mar. 2013.

Overview of FTC Antitrust Actions in Health Care Services and Products.  Washington:  Federal Trade Commission, Mar. 2013.  http://www.ftc.gov/bc/healthcare/antitrust/hcupdate.pdf

Carroll, J.  Mixed performance by ACOs in Year 1.  Managed Care;23(3):15-16, Mar. 2013.

Gamble, M.  Number of ACOs in the United States-a quarterly breakdown.  Becker’s Hospital Review.  Feb. 28, 2013.  http://www.beckershospitalreview.com/hospital-physician-relationships/number-of-acos-in-the-united-states-a-quarterly-breakdown.html

Punke, H.  Employee ACOs: building a base for accountable care.  Becker’s Hospital Review.  Feb. 20, 2013.  http://www.beckershospitalreview.com/hospital-physician-relationships/employee-acos-building-a-base-for-accountable-care.html

Muhlestein, D.  Continued growth of public and private accountable care organizations.  Health Affairs.  Feb. 19, 2013.  http://healthaffairs.org/blog/2013/02/19/continued-growth-of-public-and-private-accountable-care-organizations/

Clark, C.  NCQA issues first ACO accreditations. HeathLeaders Media.  Feb. 19, 2013.  http://www.healthleadersmedia.com/content/QUA-289346/NCQA-Issues-First-ACO-Accreditations     
        

Connole, P.. editor.  Healthcare partners seeks limited insurer status with California application.  AISHealth. 23(6), Feb.18, 2013.  http://aishealth.com/archive/nhpw021813-02                                                   

Centers for Medicare & Medicaid Services. Shared Savings Program information. Accessed Feb. 14, 2013 at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/index.html

Betbeze, P.  Hospital consolidation gets a new playbook.  HealthLeaders Media.  Feb. 14, 2013.  http://www.healthleadersmedia.com/content/LED-289270/Hospital-Consolidation-Gets-a-New-Playbook

Flower, J.  Divided faces of change.  H&HN.  Feb. 14, 2013.  http://www.hhnmag.com/hhnmag/HHNDaily/HHNDailyDisplay.dhtml?id=9130006434

Weinstock, M.  Clinical integration:  The future is now.  H&HN.  Feb. 13, 2013.  http://www.hhnmag.com/hhnmag/HHNDaily/HHNDailyDisplay.dhtml?id=5210003939 [podcast]

FTC Staff Advises Oklahoma Physician Hospital Organization That it Will Not Recommend Antitrust Challenge to Proposed Formation of Clinically Integrated  Multi-provider Network.  Washington:  Federal Trade Commission.  Feb. 13, 2013.  http://www.ftc.gov/opa/2013/02/healthcare.shtm

Stempniak, M.  Medical home praticipation outpaces ACOs.  H&HN.  Feb. 8, 2013.  http://www.hhnmag.com/hhnmag/HHNDaily/HHNDailyDisplay.dhtml?id=8060005601

Clark, C.  CMS unveils 4 bundled payment models. HealthLeaders Media.  Feb. 4, 2013.  http://www.healthleadersmedia.com/content/HEP-288920/CMS-Unveils-4-Bundled-Payment-Models

Greenspun, H., and Bercik, W. Cost-outcomes focus is essential for ACO success. Healthcare Financial Management.  67(2):96-102, Feb. 2013. 

Silow-Carroll, S., Edwards, J., and Robin, D.  State Levers for Improving Managed Care for Vulnerable Populations Strategies with Medicaid MCOs and ACOs.  Atlanta, GA:  Health Management Associates.  Feb. 2013.  http://www.healthmanagement.com/assets/Publications/Medicaid-State-Levers-Synthesis-2-20-13.pdf

King, J., and Moulton, B.  Group Health’s participation in a shared decision-making demonstration yielded lessons, such as role of culture change.  Health Affairs;32(2):294-302, Feb. 2013.

Schmitt, J. P.  Who do you trust? Negotiating accountable-care contracts boils down to true alignment.  MGMA Connexion.  13(2):34-38, Feb. 2013. 

Birk, S.  The future of physician leadership: physician leaders and the changing healthcare landscape.  Healthcare Executive.  28(1):8-10, 12-14, 16, Jan./Feb. 2013.

May, E. L.  The business of hospital-physician integration: creating a shared strategic and operational focus.  Healthcare Executive.  28(1):18-20, 22-24, Jan./Feb. 2013. 

Barnhart, G., and O’Brien, M.  Overcoming physician leadership limbo: addressing the obstacles physicians face when transitioning from medicine to leadership.  Healthcare Executive.  28(1):88, 90, Jan./Feb. 2013. 

Elliott, V.  Disease-specific ACOs make their debut.  amednews.com.  Jan. 28, 2013.  http://www.ama-assn.org/amednews/2013/01/28/bisb0128.htm

Workforce Roles in a Redesigned Primary Care Role.  Chicago, American Hospital Association, Jan. 10, 2013. http://www.aha.org/content/13/13-0110-wf-primary-care.pdf

Building Clinical Integration: Scott & White’s physician-led delivery model – case study. HealthLeaders Media Rounds, Jan. 8, 2013.  http://www.pages05.net/hcpro/Jan8Rounds/Jan082013Rounds?vs=Y2VjYTdkNDQtNmUwMC00YTk0LThmMzctMjY1OGQzMzRjMzFiOzA6NTY0Njc0Mzo4OTQ0MzYy.NDk0OjY2Nzg0NTIwOjY2Nzg0NTIwOwS2 [free registration required to access summary; full report available for purchase]

Dowling, M.  The nuts and bolts of accountable care.  H&HN.  Jan. 7, 2013.  http://www.hhnmag.com/hhnmag/HHNDaily/HHNDailyDisplay.dhtml?id=1030006937

Robeznieks A. 'Medical neighborhood' project has $20 million in federal help. Modern Physician, Jan. 4, 2013. http://www.modernphysician.com/article/20130104/MODERNPHYSICIAN/301049974#ixzz2H2F68Mrz?trk=tynt  [free registration required to view]

Johnson, J.  The risks and rewards of setting physician compensation internally.  Healthcare Financial Management.  67(1):48-51, Jan. 2013. 

Franco, M.  Evaluating Medicare ACOs and bundled payment initiatives.  MGMA Connexion.  13(1):35-36, Jan. 2013.

Sanford, K.D.  Population health management: a “start small” strategy.  HFM. Healthcare Financial Management;67(1):44-47, Jan. 2013.

Advancing the Hospital and Physician Partnership:  Physician Engagement and Integration.  Chicago:  ASHHRA, Jan. 2013.  http://www.ashhra.org/about/governance/files/ASHHRA%20Thought%20Leader%20Forum%20-%20Physician%20Integration%20-%20FINAL.pdf

Center for Studying Health System Change. Los Angeles: Fragmented Health Care Market Shows Signs of Coalescing. California HealthCare Foundation, Jan. 2013. http://www.chcf.org/publications/2013/01/regional-market-los-angeles

Center for Studying Health System Change. San Diego: Health Care Providers Expand Capacity as Competition Increases for Well-Insured Patients. California HealthCare Foundation, Jan. 2013. http://www.chcf.org/publications/2013/01/regional-market-san-diego

Huff, C.  The rural advantage: challenges abound, but accountable care organizations move forward.  Trustee;66(1):8-12, Jan. 2013.

Bader, B.  Advent of “Care Systems” Means Governance Must Also Transform.  Chicago, IL:  American Hospital Association.  2013.  http://www.greatboards.org/newsletter/2013/greatboards-newsletter-spring-2013.pdf

ACOs and other options: A “How to” Manual for Physicians Navigating a Post-Health Reform World.  4th edition American Medical Association, 2012-2013. 

A Common Language, a Common Vision and No More Walls: Becoming a Neighborhood.  Grand Junction, CO:  Colorado Beacon Consortium.  Vol 2, Issue 2.  2013.  http://origin.library.constantcontact.com/download/get/file/1101292888704-1397/CBC-v2%232-edits3.pdf

Lewis, V., and others.  Attributing patients to accountable care organizations: performance year approach aligns stakeholder’s interests.  Health Affairs, 2013.

SCIO Health Analytics Eye health and accountable care: the right eye care in the right place at the right time. American Optometric Association, 2013.  http://www.worldcongress.com/events/HH14002/pdf/AOA_WP_Eye_Healt_and_Accountable%20Care.pdf

Horwitz, T., and Walsh, J.  Building sector-wide bridges to improve patient flow and care.  Healthcare Quarterly;16(2):31-35, 2013.

Chan, J.  Avoiding “culture rejection” in healthcare mergers and acquisitions: how New Heights Community Health Centres and York Community Services minimized the culture risk when forming Unison Health and Community Services.  Healthcare Quarterly;16(1):87-92, 2013. 

Muhlestein, D., and others. The accountable care paradigm: more than just managed care 2.0. Leavitt Partners, 2013.  http://leavittpartners.com/aco-publications/ 

Protti, D.  Integrated care, information management and information technology in Canada: have we made any progress in the past 12 years?  Healthcare Quarterly;16(1):54-59, 2013.

Issue Brief: Moving Towards Bundled Payment.  Chicago:  American Hospital Association, 2013.  http://www.aha.org/content/13/13jan-bundlingissbrief.pdf

Primary Care in an Era of Health Care Reform Strategies for Reorienting the Health Care Delivery System Toward Primary Care.  Philadelphia, PA:  Health Strategies & Solutions Inc.  2013.  http://www.hss-inc.com/healthcare-report/primary-care-in-an-era-of-health-care-reform-strategies-for-reorienting-the-health-care-delivery-system-toward-primary-care.pdf

Kroch, E., and others.  Measuring Progress Toward Accountable Care.  New York:  The Commonwealth Fund, Dec. 14, 2012.  http://www.commonwealthfund.org/Publications/Fund-Reports/2012/Dec/Measuring-Accountable-Care.aspx?omnicid=20

Elliot, V.  4 essentials to physician-hospital alignment (MGMA-ACMPE meeting), Dec. 10, 2012.    amednews.comhttp://www.ama-assn.org/amednews/2012/12/10/bisa1210.htm?utm_source=nwltr&utm_medium=heds-htm&utm_campaign=20121210 

Krieger, N.  Who and what is a “population”?  Historical debates, current controversies, and implications for understanding “population health” and rectifying health inequities.  The Milbank Quarterly;90(4):634-681, Dec. 2012.

Shugarman, L.  The SCAN foundation's framework for advancing integrated person-centered care.  Health Affairs.  31(12):2821-2825, Dec. 2012.  http://content.healthaffairs.org/content/31/12/2821.abstract?etoc

Halley, M.D.  Working together toward a shared vision for care.  HFM;66(12):46-48, Dec. 2012.

Burns, L., and Pauly, M.  Accountable care organizations:  Back to the future?  LDI Issue Brief.  18(2);1-4, Nov./Dec. 2012.  http://ldi.upenn.edu/uploads/media_items/accountable-care-organizations-back-to-the-future.original.pdf

Redding, J.  A pressing matter.  What drives ACO success? Here’s what the final regulations don’t tell you.  MGMA Connexion.  12(10):26-29, Nov./Dec. 2012.

Rodak, S.  7 strategies to develop a clinical integration network.  Beckers Hospital Review.  Nov. 27, 2012.  http://www.beckershospitalreview.com/hospital-key-specialties/7-strategies-to-develop-a-clinical-integration-network.html

Delbanco, S.  From volume to value, by 2020?  H&HN.  Nov. 26, 2012.  http://www.hhnmag.com/hhnmag/HHNDaily/HHNDailyDisplay.dhtml?id=1250006506

Gandhi, N. and Weil, R. The ACO surprise. Oliver Wyman, Nov. 26, 2012. http://www.oliverwyman.com/media/OW_ENG_HLS_PUBL_The_ACO_Surprise.pdf

URAC seeks public comment on accreditation for clinically integrated networks-a critical stepon the path to becoming an accountable care organization.  Washington:  U.S. Department of Justice and the Federal Trade Commission, Nov. 13, 2012.  https://www.urac.org/publiccomment/CIN_Preamble_2012Nov13.html

Brunkow, J.  Hospital Operators on ACOs: Lay the Groundwork, or Wait and See?  VMG Health.  Nov. 9, 2012.  http://www.beckershospitalreview.com/hospital-physician-relationships/hospital-operators-on-acos-lay-the-groundwork-or-wait-and-see.html

Larson, B., and others.  Insights from transformations under way at four Brookings-Dartmouth accountable care organization pilot sites.  Health Affairs.  31(11):2395-2406, Nov. 6, 2012.  http://www.commonwealthfund.org/Publications/In-the-Literature/2012/Nov/Transformations-Under-Way-at-Four-ACO-Pilot-Sites.aspx?omnicid=20

Takach, M.  About half of the states are implementing patient-centered medical homes for their Medicaid populations.  Health Affairs.  31(11):2432-2440, Nov. 5, 2012.  http://www.commonwealthfund.org/Publications/In-the-Literature/2012/Nov/States-Are-Implementing-Patient-Centered-Medical-Homes.aspx?omnicid=20

Fisher, E., and others.  A framework for evaluating the formation, implementation and performance of accountable care organizations.  Health Affairs.  31(11):2368-2378, Nov. 5, 2012.  http://www.commonwealthfund.org/Publications/In-Brief/2012/Nov/Accountable-Care-Organizations.aspx?omnicid=20 

Pizzo, J. J., and Fitz, T.  Are your physician-integration strategies sustainable?  hfm.  66(11):66-72, 74. Nov. 2012. 

Redding, J.  4 pitfalls to clinical integration.  hfm.  66(11):104-106, 108, 110, Nov. 2012.  

Data Ownership Is Key Issue For ACOs, Partners to Decide.  ACO Business News.  3(11):, Nov. 2012.  http://aishealth.com/archive/nabn1112-04  [free registration required to view at Health Business Daily, Nov. 2, 2012.]

Maricich Healthcare Communications. Transitioning Into accountable care: implications for healthcare communicators.  A report based on a 2012 survey of SHSMD members. Society for Healthcare Strategy and Market Development, Nov. 2012. http://www.shsmd.org/shsmd/resources/acocommunications/index.html

Medicare Shaved Savings Program and Rural Providers.  Washington:  Department of Health and Human Services, Nov. 2012.  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/ACO_Rural_Factsheet_ICN907408.pdf

Transitioning into Accountable Care Implications for Healthcare Communicators.  Irvine, CA:  Maricich Healthcare Communications, Nov. 2012.   https://www.amga.org/wcm/Advocacy/ACO/transitionToAC.pdf

Neudorf, C.  Integrating a population health approach into healthcare service delivery and decision making.  Healthcare Management Forum;25(3):155-159, Fall 2012.

Elliott, V.  Hospitals seeking to hire doctors who "play well with others".  amednews.com.  Oct. 23, 2012.  http://www.ama-assn.org/amednews/2012/10/22/bisd1023.htm

Punke, H.  A pioneer ACO one year later:  Q & A with Presbyterian Pioneer ACOs Tracy Brewer.  Becker's Hospital Review, Oct. 9, 2012.  http://www.beckershospitalreview.com/hospital-physician-relationships/a-pioneer-aco-one-year-later-q-a-a-with-presbyterian-pioneer-acos-tracy-brewer.html

Tocknell, M.  Q & A: Aetna’s Charles Kennedy on developing ACOs.  Danvers, MA:  HealthLeaders Media.  Oct. 3, 2012.  http://www.healthleadersmedia.com/page-1/HEP-285044/QA-Aetnas-Charles-Kennedy-on-Developing-ACOs

Arredondo, C.  When physicians align: practical steps improve clinical quality, patient outcomes, physician satisfaction.  MGMA Connexion.  12(9 suppl):2-3, Oct. 2012. 

Bokur, D.  A matter of merging: myriad considerations affect the decision to integrate.  MGMA Connexion.  12(9 suppl):4-6, Oct. 2012. 

Fabrizio, N.  Hospital-physician integration: why are you getting together?  MGMA Connexion.  12(9 suppl):15-16, Oct. 2012.

Aligning capital planning strategies with physician integration.  HFM. Healthcare Financial Management;66(10):HFMA roundtable insert 1-4, Oct. 2012.

Berarducci, J., Langheim, R., and Vars, A.  New partnership opportunities for payers and providers.  HFM. Healthcare Financial Management;66(10):58-61, Oct. 2012.

Nugent, M.E.  Implementing clinical and financial collaboration between payers and providers.  HFM. Healthcare Financial Management;66(10):62-66, 68, Oct. 2012.

Otto, J.M.  Changing the game: what CFOs should know about physician compensation.  HFM. Healthcare Financial Management;66(10):70-74, 76, Oct. 2012.

Perez, K.  The inexorable march toward accountable care.  HFM. Healthcare Financial Management;66(10):42-44, Oct. 2012. 

Levy, R., Jr.  Back to the future: implications of recent developments in physician payment methodologies.  Journal of Health Care Compliance;14(5):55-58, Sept.-Oct. 2012.

Colla, C., and others.  "Spending Differences Associated with the Medicare Physician Group Practice Demonstration." Journal of the American Medical Association, 308(10):1015–1023, Sept. 12, 2012.  http://jama.jamanetwork.com/article.aspx?articleid=1357260

Alphabet soup of care delivery transformation.  Alliance for Health Reform.  Sept. 10, 2012.  http://www.allhealth.org/briefing_detail.asp?bi=259

Thorpe, J., and Cascio, T.  Update:  Medicare quality measurement and reporting programs.  HealthReform GPS.  Sept. 2012.  http://www.healthreformgps.org/resources/update-medicare-quality-measurement-and-reporting-programs/

Collins, H.  How fair is fair-market value when it comes to physician compensation?  MGMA Connexion;12(8):Sept. 2012.

Gamble, M.  The new competitive edge for hospitals and ACOs:  Employee health.  Becker's Hospital Review.  Aug. 20, 2012.  http://www.beckershospitalreview.com/hospital-physician-relationships/the-new-competitive-edge-for-hospitals-and-acos-employee-health.html

Audet, A., and others.  Hospitals on the path to accountable care:  Highlights from a 2011 national survey of hospital readiness to participate in an accountable care organization.  New York:  Commonwealth Fund, Aug. 17, 2012.  http://www.commonwealthfund.org/Publications/Issue-Briefs/2012/Aug/Hospitals-on-the-Path-to-Accountable-Care.aspx

Stempniak, M.  Big-name insurer looks to spread the ACO wildfire.  H&HN.  Aug. 1, 2012.  http://www.hhnmag.com/hhnmag/HHNDaily/HHNDailyDisplay.dhtml?id=1610004736

'Talking Health':  Patient-Centered Medical Homes.  Commonwealth Fund, Aug. 1, 2012.  http://www.commonwealthfund.org/Multimedia/Videos/2012/Talking-Health-Patient-Centered-Medical-Homes.aspx?omnicid=20

Dinger, J.  Building an ACO from the ground up.  H&HN.  Aug. 1, 2012.  http://www.hhnmag.com/hhnmag/HHNDaily/HHNDailyDisplay.dhtml?id=7740002660

Cunningham, P., Felland, L., and Stark, L.  Safety-net providers in some US communities have increasingly embraced coordinated care models.  Health Affairs;31(8):1698-1707, Aug. 2012.

Lewis, V.A., and others.  The promise and peril of accountable care for vulnerable populations: a framework for overcoming obstacles.  Health Affairs;31(8):1777-1785, Aug. 2012.

Neuhausen, K., and others.  Integrating community health centers into organized delivery systems can improve access to subspecialty care.  Health Affairs;31(8):1708-1716, Aug. 2012.

Pourst, N., and others.  In ten California counties, notable progress in system integration within the safety net, although challenges remain.  Health Affairs;31(8):1717-1728, Aug. 2012.

Rittenhouse, D.R., and others.  The post-Katrina conversion of clinics in New Orleans to medical homes shows change is possible, but hard to sustain.  Health Affairs;31(8):1729-1738, Aug. 2012.

Bennett, A.R.  Accountable care organizations: principles and implications for hospital administrators.  Journal of Healthcare Management;57(4):244-254, July/Aug. 2012. 

Shelton, D.  Reshaping Relationships Between Hospitals and Physicians.  Alexandria, VA:  Children’s Hospital Association, Summer 2012.  http://www.childrenshospitals.net/AM/Template.cfm?Section=Current_Issue_Summer_2012&Template=/CM/HTMLDisplay.cfm&ContentID=63322

Evans, M.  What works for an accountable care organization?  Modern Healthcare.  July 31, 2012.  http://www.modernhealthcare.com/article/20120731/BLOGS01/307319982/what-works-for-an-accountable-care-organization

Spoerl, B.  Advancing accountable care:  5 hospital ACO leaders share insight.  Beckers Hospital Review.  July 26, 2012.  http://www.beckershospitalreview.com/hospital-physician-relationships/advancing-accountable-care-5-hospital-aco-leaders-share-insight.html

ACOs' real test will come with two-sided risk.  HealthLeaders Media.  July 13, 2012.  http://www.healthleadersmedia.com/content/LED-282312/ACOs-Real-Test-Will-Come-with-TwoSided-Risk

Kliff, S. In Massachusetts, an Accountable Care Organization that’s actually working. Washington Post Wonk Blog, July 12, 2012. http://www.washingtonpost.com/blogs/wonkblog/wp/2012/07/12/in-massachusetts-an-accountable-care-organization-thats-actually-working/

Commins, J.  89 ACOs open for business. HealthLeaders Media.  July 10, 2012.  http://www.healthleadersmedia.com/content/TEC-282117/89-ACOs-Open-for-Business

Cantlupe, J.  How bundled payments pay off in joint-replacement.  HealthLeaders Media.  July 9, 2012. http://www.healthleadersmedia.com/content/FIN-282049/How-Bundled-Payments-Pay-Off-in-Jointreplacement

Patient-Centered Medical Home Closing the Quality Gap: Revisiting the State of the Science Executive Summary.  Rockville, MD:  Agency for Healthcare Research and Quality. Number 208. July 03, 2012.  http://effectivehealthcare.ahrq.gov/ehc/products/391/1177/EvidenceReport208_ClosingTheQualityGap-Patient-Centered-Medical-Home_ExecutiveSummary_20120703.pdf

Song, Z., and others.  The 'alternative quality contract', based on a global budget, lowered medical spending and improved quality.  Health Affairs, July 2012.  http://content.healthaffairs.org/content/early/2012/07/09/hlthaff.2012.0327.full

Lubell, J.  Are ACOs the answer for Medicaid?  amednews.com.  July 2, 2012.  http://www.ama-assn.org/amednews/2012/07/02/gvsa0702.htm

Study: ED-based care coordination interventions need to fit unique needs of ED settings, providers.  ED Management;24(7):73-77, July 2012.

With aligned incentives, effective care coordination across multiple settings is easier to achieve.  ED Management;24(7):77-78, July 2012. 

Reid, R., and Larson, E. Financial implications of the patient-centered medical home.  Journal of American Medical Association.  1-2, June 24, 2012.  http://jama.jamanetwork.com/article.aspx?articleid=1197016

Nocon, R., and others.  Association between patient-centered medical home rating and operating cost at federally funded health centers.  Journal of American Medical Association.  1-7, June 24, 2012.  http://jama.jamanetwork.com/article.aspx?articleid=1197012

Spoerl, B.  5 trends in ACO development.  Becker's Hospital Review.  June 22, 2012.  http://www.beckershospitalreview.com/hospital-physician-relationships/5-trends-in-aco-development.html

Spoerl, B.  An oncology ACO from the hospital's perspective:  Q&A with Baptist Health CFO Ralph Lawson.  Becker's Hospital Review.  June 18, 2012. http://www.beckershospitalreview.com/hospital-physician-relationships/an-oncology-aco-from-the-hospitals-perspective-qaa-with-baptist-health-cfo-ralph-lawson.html

For ACO adoption success, leave cost out of it.  HealthLeaders Media.  June 18, 2012.  http://www.healthleadersmedia.com/content/FIN-281394/For-ACO-Adoption-Success-Leave-Cost-Out-of-It

Spoerl, B.  3 biggest obstacles for ACO structures:  Capital, engagement & leadership.  Becker's Hospital Review.  June 13, 2012.  http://www.beckershospitalreview.com/hospital-physician-relationships/3-biggest-obstacles-for-aco-structures-capital-engagement-a-leadership.html

Carlson J. Picking up the scent: wave of practice acquisitions by hospitals has antitrust regulators on notice. Modern Healthcare.  42(24): 6-7, June 11, 2012. 

Spoerl, B.  JAMA:  Health plans, not hospitals, may be best positioned to build ACOs.  Becker's Hospital Review.  June 7, 2012.  http://www.beckershospitalreview.com/hospital-physician-relationships/jama-health-plans-not-hospitals-may-be-best-positioned-to-build-acos.html

Boutros, A.  Total cost of care contracting:  A proven clinical transformation catalyst.  Becker's Hospital Review.  June 7, 2012.  http://www.beckershospitalreview.com/hospital-physician-relationships/total-cost-of-care-contracting-a-proven-clinical-transformation-catalyst.html

Bush, H.  Population health's tipping point.  HH&N.  June 6, 2012.  http://www.hhnmag.com/hhnmag_app/jsp/articledisplay.jsp?dcrpath=HHNMAG/Article/data/06JUN2012/0612HHN_FEA_interview&domain=HHNMAG

Spoerl, B.  A closer look at Iowa health's ACOs:  5 ways Medicare, commercial agreements differ. Becker's Hospital Review.  June 6, 2012.  http://www.beckershospitalreview.com/hospital-physician-relationships/a-closer-look-at-iowa-healths-acos-5-ways-medicare-commercial-agreements-differ.html

H&H Daily. H&HN.  June 4, 2012.  http://www.hhnmag.com/hhnmag/HHNDaily/HHNDailyDisplay.dhtml?id=0070003339

Painter, M. Bundled payment across the U.S. today: status of implementations and operational findings. Health Care Incentives Improvement Institute Issue Brief, June 1, 2012. http://www.hci3.org/sites/default/files/files/HCI-IssueBrief-4-2012.pdf

Bird, S.R., and others.  Integrated care facilitatino model reduces use of hospital resources by patients with pediatric asthma.  Journal for Healthcare Quality;34(3):25-33, June 2012.

Muhlestein, D., and others. Growth and Dispersion of Accountable Care Organizations:  June 2012 Update, June 2012.  http://leavittpartners.com/wp-content/uploads/2012/06/Growth-and-Dispersion-of-ACOs-June-2012-Update2.pdf

Tocknell, M.  How rivals built an ACO.  HealthLeaders Media.  May 23, 2012.  http://www.healthleadersmedia.com/content/LED-280461/How-Rivals-Built-an-ACO

Hearing on Health Care Consolidation and Competition after PPACA. US House Committee on the Judiciary, Subcommittee on Intellectual Property, Competition and the Internet, May 18, 2012. http://judiciary.house.gov/hearings/Hearings%202012/hear_05182012.html

Dunn, L.  Payor-provider integration: Anatomy of the highmark-West Penn deal.  Chicago:  VMG Health, May 17, 2012.  http://www.beckershospitalreview.com/hospital-transactions-and-valuation/payor-provider-integration-anatomy-of-the-highmark-west-penn-deal.html

Rosenthal, M., and others.  Recommended Core Measures for Evaluating the Patient-Centered Medical Home:  Cost, Utilization, and Clinical Quality.  New York:  Commonwealth Fund, May 16, 2012.  http://www.commonwealthfund.org/Publications/Data-Briefs/2012/May/Measures-Medical-Home.aspx?omnicid=20

Melnick, G., and Green, L.  Early lessons from a shared risk, integrated care organization serving a commercial population.  Health Affairs.  May 15, 2012.  http://healthaffairs.org/blog/2012/05/15/early-lessons-from-a-shared-risk-integrated-care-organization-serving-a-commercial-population/

Florida Blue launches oncology ACO.  HealthLeaders Media, May 14, 2012.  http://www.healthleadersmedia.com/page-2/LED-280059/Florida-Blue-Launches-Oncology-ACO 

Tocknell, M.  ACO blueprints:  Options in accountability.  HealthLeaders Media.  May 14, 2012.  http://www.healthleadersmedia.com/content/LED-279707/ACO-Blueprints-Options-in-Accountability.html

Levinson, M., Diesenhaus, J., and Murdron, M.  Seeking safe harbor.  Trustee.  May 5, 2012.  http://www.trusteemag.com/trusteemag/dhtml/article-display.dhtml?dcrpath=TRUSTEEMAG/Article/data/05MAY2012/1205TRU_FEA_SeekingSafeHarbor&domain=TRUSTEEMAG

Millenson, M.  Analysis:  ACOs could have the Medicare muscle to transform.  May 2, 2012.  http://www.kaiserhealthnews.org/Stories/2012/May/02/millenson-ACOs-muscle-to-transform-system.aspx

Emerging Medicaid Accountable Care Organizations: The Role of Managed Care.  Washington, DC:  Henry J. Kaiser Family Foundation.  May, 2012.  http://www.kff.org/medicaid/upload/8319.pdf

Hospital Readiness for Population-based Accountable Care.  Chicago:  Health Research and Educational Trust, May 2012.  http://www.hpoe.org/resources-and-tools/resources/Accountable_Care.pdf

Stefanacci, R.  ‘New’ health care organizations will truly manage care.  Managed Care;21(5):38-42, May 2012.

Hegwer, L. R.  Cultivating physician leaders at Iowa Health System.  Healthcare Financial Management.  May 2012.  http://www.hfma.org/Publications/Leadership-Publication/Archives/E-Bulletins/2012/May/Cultivating-Physician-Leaders-at-Iowa-Health-System/

Emerging Medicaid Accountable Care Organizations:  The Role of Managed Care.  Washington: Henry J. Kaiser Family Foundation, May 2012.   http://www.kff.org/medicaid/upload/8319.pdf

Hospital Readiness for Population-based Accountable Care.  Chicago:  HRET, May 2012.  http://www.hpoe.org/resources-and-tools/resources/Accountable_Care.pdf

Managing Population Health: The Role of the Hospital.  Chicago:  American Hospital Association, Apr. 30, 2012.  http://www.hpoe.org/resources-and-tools/1610009735

Betbeze, P.  What physician practice ownership really means.  HealthLeaders Media.  Apr. 27, 2012.  http://www.healthleadersmedia.com/page-1/LED-279445/What-Physician-Practice-Ownership-Really-Means

Fiegl, C.  More physicians calling the shots in latest round of ACOs.  amednews.com.  Apr. 23, 2012.  http://www.ama-assn.org/amednews/2012/04/23/gvl10423.htm

Graf, M., and Schachter, M.  Four pillars of successful ACO clinical integration.  H&HN.  Apr. 19, 2012.  http://www.hhnmag.com/hhnmag/HHNDaily/HHNDailyDisplay.dhtml?id=9880008411

Crosson, F., and Combes, J.  We'll need a bigger boat:  Reimagining the hospital-physician partnership.  Health Affairs

Fisher, E., and Shortell, S. ACOs: Making Sure We Learn from Experience. Commonwealth Fund Blog : Commentary on Health Policy, Apr. 12, 2012.   http://www.commonwealthfund.org/Publications/Blog.aspx?omnicid=20

Clark, C.  CMS taps 27 ACOs to start shared savings.  HealthLeaders Media.  Apr. 11, 2012.  http://www.healthleadersmedia.com/content/HEP-278815/CMS-Taps-27-ACOs-to-Start-Shared-Savings-Program##

Hastings, D.  Medicare ACOs:  The integration of financial and clinical integration.  Health Affairs.  Apr. 11, 2012.  http://healthaffairs.org/blog/2012/04/11/medicare-acos-the-integration-of-financial-and-clinical-integration/#more-18618

Fact Sheets:  First Accountable Care Organizations Under the Medicare Shared Savings Program.  Baltimore, MD:  CMS.gov.  Apr. 10, 2012.  http://www.cms.gov/apps/media/press/factsheet.asp?Counter=4334&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=6&intPage=&showAll=&pYear=&year=&desc=&cboOrder=date

Advance Payment ACO Model.  Baltimore, MD:  CMS.gov.  Apr. 10, 2012.  http://innovations.cms.gov/initiatives/ACO/Advance-Payment/index.html

Shared Savings Program.  Baltimore, MD:  CMS.gov.  Apr. 6, 2012.  http://www.cms.hhs.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/index.html?redirect=/sharedsavingsprogram/

Accountable Care Organizations (ACO).  Baltimore, MD:  CMS.gov.  Apr. 5, 2012.  http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/index.html?redirect=/aco

Peck, C.  Better hospital-physician partnerships.  H&HN.  Apr. 5, 2012.  http://www.hhnmag.com/hhnmag/HHNDaily/HHNDailyDisplay.dhtml?id=9270008713

Betbeze, P.  Return of the PHO?  HealthLeaders Media.  Apr. 4, 2012.  http://www.healthleadersmedia.com/content/PHY-278519/Return-of-the-PHO

Hoppszallern, S.  Physician integration strategies in a rural network.  H&HN.  Apr. 4, 2012.  http://www.hhnmag.com/hhnmag/HHNDaily/HHNDailyDisplay.dhtml?id=6000006981

Expect to see the trend accelerate in their sector.  Modern Healthcare;42(14):28-30, Apr. 2, 2012.

Tocknell, M.  The unsettled state of the ACO.  HealthLeaders Media.  Apr. 2012.  http://content.hcpro.com/pdf/content/278624.pdf

MacKinney, A., Mueller, K., and Lillios, N.  Anticipating the Rural Impact of Medicare Value Based Purchasing.   Columbia, MO.  RUPRI Rural Health Panel.  Apr., 2012. http://www.rupri.org/Forms/HealthPanel_VBP_April2012.pdf

Burtley, C., Jacobs, L., and others.  Physician-Hospital Integraton 2012.  Oakland, CA:  California Healthcare Foundation.  Apr. 2012.  http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/P/PDF%20PhysicianHospIntegration.pdf

Tocknell, M.  The unsettled state of the ACO.  HealthLeaders Media.  Apr. 2012.  http://content.hcpro.com/pdf/content/278624.pdf

Herzlinger predicts ACOs, PCMHs will fail.  Managed Care.  Apr. 2012. http://www.managedcaremag.com/archives/1204/1204.healthplan2020_herzlinger.html

Belde, D.M.  Physician employment in an era of health reform.  Health Progress;93(2):62-71, Mar.-Apr. 2012.  http://www.chausa.org/subjectindex.aspx?year=2012

Kaplan, A., and Guest, B.  Clinically integrated networks: vision, purpose and development.  PEJ. Physician Executive;38(2):60-62, 64, 66, Mar.-Apr. 2012. 

Scrine, G.  Five reasons to start building an integrated care organization.  H&HN.  Mar. 22, 2012.  http://www.hhnmag.com/hhnmag/HHNDaily/HHNDailyDisplay.dhtml?id=74700063

Cosgrove, J.  Stakeholders' Perspectives Differed on the Adequacy of Guidance for Collaboration among Health Care Providers.  Washington:  U. S. Government Accountability Office, Mar. 16, 2012.  http://www.gao.gov/products/GAO-12-291R

Halley, M.D.  The drive to survive: independent medical practice.  HFM. Healthcare Financial Management;66(3):62-65, Mar. 2012. 

Lubell, J.  Outdated regulations are barriers to provider alignment, AHA says.  Health Business Daily.  3(3):1-2, Mar. 2012.  http://aishealth.com/archive/nabn0312-08

Peck, C., and Melvin, D.  Emerging Trends in Hospital/Physician Affiliations and Their Impact on ASCs.  Boston:  McDermott Will and Emery, Feb. 24, 2012. http://www.mwe.com/info/ASC/2012materials/ASC-Health%20System/EmergingTrends.pdf

Landon, B.  Keeping score under a global payment system.  New England Journal of Medicine.  366:393-395, Feb. 2, 2012.  http://www.nejm.org/doi/full/10.1056/NEJMp1112637

Patterson, P.  What trends are driving hospital-MD alignment?  OR Manager;28(2):6-8, Feb. 2012.

Early Evidence on the Patient-Centered Medical Home.  Rockville, MD:  Agency for Healthcare and Quality, Feb. 2012.  http://pcmh.ahrq.gov/portal/server.pt/gateway/PTARGS_0_11787_957210_0_0_18/Early%20Evidence%20on%20the%20PCMH%202%2028%2012.pdf

Kelly, B.  White Paper.  Will Your Accountable Care Organization Pilot Succeed?  Predict Success With Just Four Numbers.  New York:  Thomson Reuters, Feb. 2012.  http://img.en25.com/Web/ThomsonReuters/WillYourACOPilotSucceed_whitepaper_021312.pdf

Gray, B.M., Weng, W., and Holmboe, E.S.  An assessment of patient-based practice infrastructure-based measures of the patient-centered medical home: do we need to ask the patient?  Health Services Research.  47(1, Part 1):4-21, Feb. 2012.

Thygeson, N.M., and others.  Using fuzzy set qualitative analysis (fs/QCA) to explore the relationship between medical “homelessness” and quality.  Health Services Research;47(1, Part 1):22-45, Feb. 2012.

Hollingsworth, J.M., and others.  Physician practices and readiness for medical home reforms: policy, pitfalls, and possibilities.  Health Services Research;47(1, Part 2):486-508, Feb. 2012.

Rich, E., and others.  Organizing care for complex patients in the patient-centered medical home.  Annals of Family Medicine.  10(1):60-62, Jan./Feb. 2012.  http://www.annfammed.org/content/10/1/60.full.pdf#page=1&view=FitH

Birk, S.  Writing the script: integrated partnership are the new medicine for hospital-physician relations.  Healthcare Executive;27(1):8-12, 14, 16, Jan.-Feb. 2012.

Pursell, D.B.  Fair market value and the “volume or value” limitation: impact on hospital/physician acquisition transactions.  Journal of Health Care Compliance;14(1):59-62, 72, Jan.-Feb. 2012.

Next steps for ACOs.  Health Affairs.  Jan. 31, 2012.  http://healthaffairs.org/healthpolicybriefs/brief_pdfs/healthpolicybrief_61.pdf

Emanuel, E.  The end of health insurance companies.  New York Times.  Jan. 30, 2012.  http://opinionator.blogs.nytimes.com/2012/01/30/the-end-of-health-insurance-companies/

Zigmond, J.  Avoiding the penalty box: new rules on readmissions push hospitals, post-acute providers into closer collaboration.  Modern Healthcare;42(5):38-39, Jan. 30, 2012.

Betbeze, P.  Physician independence not incompatible with reform.  HealthLeaders Media.  Jan. 27, 2012.  http://www.healthleadersmedia.com/content/LED-275867/Physician-Independence-Not-Incompatible-With-Reform

Herman, B.  Physicians Pioneering the ACO: 5 Thoughts From Dr. Gene Lindsey of Atrius Health.  Becker's Hospital Review.  Jan. 25, 2012.  http://www.beckershospitalreview.com/hospital-physician-relationships/physicians-pioneering-the-aco-5-thoughts-from-dr-gene-lindsey-of-atrius-health.html 

Mathews, A.  Can accountable-care organizations improve health care while reducing costs?  Wall Street Journal. Jan. 23, 2012.  http://online.wsj.com/article/SB10001424052970204720204577128901714576054.html

Nelson, L.  Lessons From Medicare's Demonstration Projects on Disease Management, Care Coordination, and Value-Based Payment.  Washington:  Congressional Budget Office, Jan. 18, 2012.  http://www.cbo.gov/doc.cfm?index=12663

Lewis, S., and others.  Patient-centered medical home characteristics and staff morale in safety net clinics.  Archives of Internal Medicine.  172(1):23-31, Jan. 9, 2012.  http://archinte.ama-assn.org/cgi/content/abstract/172/1/23

Putting the Accountability in Accountable Care Organizations: Payment and Quality Measurements. Families USA.  Jan. 2012.  http://familiesusa2.org/assets/pdfs/health-reform/ACOs-Payment-and-Quality-Measurements.pdf

Fink, J.N.  Focused factories: meeting the challenges of payment reform.  HFM. Healthcare Financial Management;66(1):94-98, 100, Jan. 2012.

Nelson, L.  Working Paper 2012-02:  Lessons From Medicare's Demonstration Projects on Value-Based Payment.  Washington:  Congressional Budget Office, Jan. 2012.  http://www.cbo.gov/doc.cfm?index=12665

ACOs—Promise, Not Panacea.  Journal of the American Medical Association. 308(10):1038-1039, 2012.  http://jama.jamanetwork.com/article.aspx?articleid=1357248

Why Accountable Care Organizations Are Not 1990s Managed Care Redux.  Journal of the American Medical Association 307(21):2263-2264, 2012.  http://jama.jamanetwork.com/article.aspx?articleid=1172051

Accountable care directory 2012.  HealthQuest Publishers, 2012. https://www.managedcarestore.com/yhlthqst/hqaco.htm

The Healthcare Executive's Guide to ACO Strategy.  Lancaster, PA:  HCPro, 2012.  http://www.hcmarketplace.com/prod-9464-EZINEADH/The-Healthcare-Executives-Guide-to-ACO-Strategy.html 

Impact analysis value-based purchasing facing the HCAHPS hurdle.  Healthleaders Media.  2012.  http://www.healthleadersmedia.com/sponsor/get-pdf.cfm?pdf=275699

Impact analysis.  Align physicians and hospitals in a non-aligned world.  HealthLeaders Media.  2012.  http://www.healthleadersmedia.com/sponsor/get-pdf.cfm?pdf=277977

Transitioning Into Accountable Care:  Implications the Healthcare Communicators.  Chicago:  Society for Healthcare Strategy and Market Development, 2012.  http://www.shsmd.org/shsmd/resources/acocommunications/index.html

Accountable Care Directory.  Modesto, CA:  HealthQuest Publishers, 2012.  (Ref W 84.6 AA1 A172 2012).

Biosimilars:  Overview of the European Medicines Agency (EMA) experience.  American Journal of Managed Care.  18(11):e398-e404, 2012. 

Cantlupe, J.  Engaging the chronic care patient.  HealthLeaders;16(9):53-56, 58-59, Nov. 2013.

 

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