Scanning the Headlines: Clinical Integration (Archive) 2015

Updated on November 14, 2016

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Martsolf, G., Kandrack, R., and others.  (2015, Dec. 29).  Cost of Transformation Among Primary Care Practices Participating in a Medical Home Pilot.  Berlin, Germany:  Springer.  Retrieved from:

Stempniak, M.  (2015, Dec. 15).  Will Boeing change health care?  Trustee.  Retrieved from:

Higgins, A., and others.  (2015, Dec. 14).  Health plan-provider accountable care partnerships:  How have they evolved?  American Journal of Accountable Care.  Retrieved from:

Commins, J.  (2015, Dec. 10).  FTC rejects another health system M&A.  HealthLeaders Media.  Retrieved from:

Stempniak, M.  (2015, Dec. 9).  Hospitals find alternatives to direct contracting.  H&HN.  Retrieved from:

Stempniak, M.  (2015, Dec. 7).  Swedish-providence health alliance's six tips for contracting directly with an employer.  H&HN.  Retrieved from:

Chokshi, D.  (2015, Dec. 1).  JAMA forum:  A pulse check on primary care transformation.  Journal of American Medical Association.  Retrieved from:

Anderson, J.  (2015, Dec.).  Attorneys warn ACOs to guard against antitrust complacency.  AISHealth.  6(12).  Retrieved from:

Bresnick, J.  (2015, Nov. 30).  Big data, population health management make successful ACOs.  HealthIT Analytics.  Retrieved from:

(2015, Nov. 11).  Press Release:  New Study Shows Patient Centered Medical Homes Improve Health, Lower Costs.  Chicago:  Blue Cross Blue Shield.  Retrieved from:

McClellan, M., Kocot, S., and White, R.  (2015, Nov. 4).  Medicare ACOs continue to show care improvements ---- and more savings are possible.  Health Affairs Blog.  Retrieved from:

Commins, J.  (2015, Nov. 4).  Rural rivals team up to coordinate care.  HealthLeaders Media.  Retrieved from:

Budryk, Z.  (2015, Nov. 3).  St. Luke's/Saltzer deal cost millions, fractured organizations.  FierceHealthFinance.  Retrieved from:

Stewart, K.R., Stewart, G.L., and Lampman, M. (2015, Nov.). Implications of the patient-centered medical home for nursing practice. JONA. The Journal of Nursing Administration, 45(11), 569-574.

Schwartz, A., Chemew, M., Landon, B., McWilliams, M.  (2015, Nov.).  Changes in low-value services in year 1 of the Medicare pioneer accountable care oganization program.  Journal of the American Medical Association (JAMA).  175(11):1815-1825.  Retrieved from:

Shinkman, R.  (2015, Oct. 25).  ACOs are a success for Medicare, but not for many providers.  FierceHealthFinance.  Retrieve from:

Barasch, R.  (2015, Oct. 21).  Are Medicare ACOs working? Experts disagree.  Kaiser Health News.  Retrieve from:

U.S. Government Accountability Office.  (2015, Oct 1).  Hospital Value-Based Purchasing: Initial Results Show Modest Effects on Medicare Payments and No Apparent Change in Quality-of-Care Trends. GAO-16-9.  Retrieved from:; Highlights - 

Grabowski, D., Caudry, D., Dean, K., and Stevenson, D.  (2015, Oct.).  Integrated payment and delivery models offer opportunities and challenges for residential care facilities.  Health Affairs.  34(10):1650-1656.  Retrieved from:

(2015, Oct.).  Key Elements to Consider in ACO Agreements.  Health Care Transformation Task Force.  Retrieved from:

Cabral, L., and Johnson, C. (2015, Sept.-Oct.). Generating staff buy-in for the patient-centered medical home. PLJ. Physician Leadership Journal, 2(5), 64-67.

Steckler, L., Feldman, S., and Watts, C.  (2015, Sept. 24).  A physician-led accountable care organization:  from award to implementation.  American Journal of Managed Care.  Retrieved from:

Betbeze, P.  (2015, Sept. 8).  Beyond the hospital, another 'right' place for care.  HealthLeaders Media.  Retrieved from:

Budryk, Z.  (2015, Aug. 27).  Observation status, ED visits create illusion of fewer readmissions, quality gains.  FierceHealthcare.  Retrieved from:

(2015, Aug. 25).  Medicare ACOs Provide Improved Care While Slowing Cost Growth in 2014.  Baltimore:  Centers for Medicare & Medicaid Services. Retrieved from:

Commins, J.  (2015, Aug. 19).  Experts warn of 'Too-big-fail' hospital mergers.  HealthLeaders Media.  Retrieved from:

Freeman, G.  (2015, Aug. 18).  Health plan mega-mergers' fate shrouded in uncertainty.  HealthLeaders Media.  Retrieved from:

Shinkman, R.  (2015, Aug. 9).  St. Luke's used tough tactics to keep patients within system.  FierceHealthFinanace.  Retrieved from:

Medicare Shared Savings Program Accountable Care Organizations Performance Year 2014.  (2015, Aug.).  Washington:  Centers for Medicare and Medicaid Services.  Retrieved from: 

Betbeze, P. (2015, July-Aug.). Finding the right place for care. HealthLeaders, 18(6), 40-42. 

Davis, R., Levi, J., and Mays, A. (2015, July-Aug.). Ten principles for collaboration: health and education systems. Health Progress, 96(4), 75-77. 

Zeis, M. (2015, July-Aug.). Care coordination considerations. HealthLeaders, 18(6), 28-30.

Evans, M. (2015, July 20). Ready or not, hospitals face mandatory bundling for joint replacement. Modern Healthcare, 45(29), 8-9. 

(2015, July).  Information Exchange in Integrated Care Models:  Final Report.  Washington:  U.S. Department of Health and Human Services.  Retrieved from:

Pizzo, J.J., Sullivan, L., and Ryan, D.L. (2015, July). Building the right physician platform. HFM. Healthcare Financial Management, 69(7), 54-61. 

Ellison, A.  (2015, June 25).  DOJ sues Michigan hospitals for alleged anitrust violations.  Becker's Hospital Review.  Retrieved from:

Joshi, M.  (2015, June 23).  Positioning hospitals to advance health; Stephen Shortell interview. H&HN Daily.  Retrieved from: 

Introcaso, D., and Gaus, C.  (2015, June 19).  4 Responses to "Medicare's Rush to Risk:  Confounding Theory and Practice, Leaving ACOs Vulnerable"  Health Affairs Blog.  Retrieved from:

Betbeze, P.  (2015, June 19).  Why you need both a pre-acute and post-acute presence.  HealthLeaders Media.  Retrieved from:

Budryk, Z.  (2015, June 18).  Regulators hit Idaho health system for not unwinding physician practice acquisition.  FierceHealthcare.  Retrieved from:

(2015, June).  Oral Health:  An Essential Component of Primary Care.  Seattle. WA:  Qualis Health.  Retrieved from:

Anderson, J., editor.  (2015, June).  Product-based ACOs are poised for growth as consumers learn to shop for value.  AISHealth.  Retrieved from:

Calandra, R. (2015, June). The ACO gamble. Managed Care, 24(6), 20-25. 

Kizer, K.W. (2015, May-June). Clinical integration: a cornerstone for population health management. Journal of Healthcare Management, 60(3), 164-168.

Meyer, R. (2015, May 25). Phoenix rolls out accountable care network to improve pediatric care quality. Modern Healthcare, 45(21), 43. 

Butcher, L. (2015, May). Building bonds with nursing homes. H&HN. Hospitals & Health Networks, 89(5), 40-43. 0000

Perez, K. (2015, May). ACOs: From unicorns to pacesetters in four years. HFM. Healthcare Financial Management, 69(5), 108-109. 

Tersigni, A. (2015, May). Patient-centered care isn’t good enough. H&HN. Hospitals & Health Networks, 89(5), 30-31.

Chukmaitov, A., Harless, D.W., and others. (2015, March-June). Delivery system characteristics and their association with quality and costs of care: implications for accountable care organizations. Health Care Management Review, 40(2), 92-103.

(2015, May 22).  Medicare:  Results from the First Two Years of the Pioneer Accountable Care Organization Model.   Washington:  Government Accountability Office (GAO).  Retrieved from:

Evans, M.  (2015, May 7).  Successful pioneer ACO journey leaves faint trail for followers.  Modern Healthcare.  Retrieved from:,d.cWc

Pines, J., and others.  (2015, May 5).  Successful acute care payment reform requires working with the emergency department.  Health Affairs Blog.  Retrieved from:

Nyweide, D., Lee, W., Cuerdon, T., Pham, H., Cox, M., Rajkumar, R., and Conway, P.  (2015, May 4).  Association of pioneer accountable care organizations vs traditional Medicare fee for service with spending, utilization, and patient experience.  Journal of the American Medical Association.  Retrieved from:

Budryk, Z.  (2015, May 1).  Pioneer ACO spending growth lower than other Medicare beneficiaries.  FierceHealthcare.  Retrieved from:

Yegian, J.  (2015, May).  A Large Community Health Center Adapts to a Changing Insurance Market.  Oakland, CA:  Integrated Healthcare Association.  Retrieved from:

Robinson, J., Schaeffer, L.  (2015, May).  Referral Management and Disease Management in California's Accountable Care Organizations.  Oakland, CA:  Integrated Healthcare Association.  Retrieved from:

Robinson, J., and Schaeffer, L.  (2015, May).  Accountable Care in California:  Imperatives and Challenges of Physician-Hospital Alignment.  Oakland, CA:  Integrated Healthcare Association.  Retrieved from:

Williams, T.  (2015, May).  ACO Contractual Arrangements in California's Commercial PPO Market.  Oakland, CA:  Integrated Healthcare Association.  Retrieved from:

(2015, May).  2014 Natonal Healthcare Quality and Disparities Report.  Chartbook on Care Coordination.  Rockville, MD:  Agency for Healthcare Research and Quality.  Retrieved from:

(2015, May).  The Impact of Accountable Care: Hospital Involvement with Accountable Care Organizations.  Retrieved from: 

Hancock, J.  (2015, Apr. 30).  An Obamacare payment reform success story - one health system, two procedures.  Kaiser Health News.  Retrieved from:

(2015, Apr. 22).  New: Integrated Care Certification program. Oakbrook Terrace, IL:  The Joint Commission.  Retrieved from:

Bacher, G., Zina, A., and Fendrick, M.  (2015, Apr. 22).  Beyond SGR aligning the peanut butter of payment reform with the jelly of consumer engagement.  Health Affairs.  Retrieved from:

Commins, J. (2015, Apr. 21).  Pioneer ACOs Saved Medicare $118 Million in Year One. Retrieved from:

McWilliams, J., and others. (2015, Apr. 15).  Performance Differences in Year 1 of Pioneer Accountable Care Organizations.  New England Journal of Medicine, online.  Retrieved from:

(2015, Apr. 10).  Certification of Pioneer Model Savings. Baltimore, MD:  Centers for Medicare & Medicaid Services.  Retrieved from:

Keckley, P.  (2015, Apr. 6).  The SGR fix:  What does it mean for hospitals and health systems?  H&HN Daily.  Retrieved from:

Bo Williams, K.  (2015, Apr. 2).  TC  delays advocate, NorthShore merger.  Healthcare Dive News.  Retrieved from:

Maeng, D.D., Khan, N., and others. (2015, April). Reduced acute inpatient care was largest savings component of Geisinger Health System’s patient-centered medical home. Health Affairs, 34(4), 636-644. 

Moore, K.D., and Coddington, D.C. (2015, April). It’s all about relationships. Healthcare Financial Management, 69(4), 100-101.

Takach, M., Townley, C., and others. (2015, April). Making multipayer reform work: what can be learned from medical home initiatives. Health Affairs, 34(4), 662-672. 

David, G., Cunnarsson, C., and others. (2015, April). Do patient-centered medical homes reduce emergency department visits. Health Services Research, 50(2), 418-439.

Miller, J.E., Nugent, C.N., and Russell, L.B. (2015, April). Which components of medical homes reduce the time burden on families of children with special health care needs? Health Services Research, 50(2), 440-461.

(2015, Apr.).  A failure to communicate:  A qualitative exploration of care coordination between hospitalists and primary care providers around patient hospitalizations.  Journal of General Internal Medicine.  30(4):417-424.  Retrieved from: 

Beckham, J.D., Berry, L.L., and others. (2015, March-April). Strategic teamwork in health care: the essential role of physicians. Physician Leadership Journal, 2(2), 34-38. 

Bauer, J.  (2015, Mar. 31).  Why vertical integration partnerships matter.  H&HN Daily.  Retrieved from:

Eastwood, B.  (2015, Mar. 31).  How payers, providers make bundled payments work [special report].  FierceHealthPayer.  Retrieved from:

Fisher, E., Gregg, J., and Weinstein, J. (2015, March 30). Two ways to make ACOs work better. Modern Healthcare, 45(13), 25.

Cheney, C.  (2015, Mar. 30).  Providers feel pressure to launch payer initiatives.  HealthLeaders Media.  Retrieved from:

Ellison, A.  (2015, Mar. 19).  Antitrust concerns surrounding cross-market mergers:  3 things to know.  Becker's Hospital Review.  Retrieved from:

MacDonald, I.  (2015, Mar. 11).  'Nest generation' ACOs:  How they differ from pioneer, MSSP models.  FierceHealthcare.  Retrieved from:

Shaw, G.  (2015, Mar. 10).  CMS announces 'Next Generation' accountable care organization model.  FierceHealthcare.  Retrieved from:

Williams, K.  (2015, Feb. 19).  Can physician-led ACOs keep physicians independent?  Healthcare Dive.  Retrieved from:

Fellows, J.  (2015, Feb. 12).  More health systems bet on clinical integration.  HealthLeaders Media.  Retrieved from:

Rappleye, E.  (2015, Feb. 9).  AHA:  Medicare ACO program is too much risk, not enough reward.  Becker's Hospital Review.  Retrieved from:

Blaney, R., and O'Conner, C.  (2015, Feb. 9).  ProMedica and the AHA seek guidance from SCOTUS on hospital consolidations and mergers.  JDSupra Business Advisor.  Retreived from:

Evans, M.  (2015, Feb. 8).  Eased ACO rules aren't enough to lure more takers, healthcare groups stay.  Modern Healthcare.  Retrieved from:

Van Hasselt, M., McCall, N., and others. (2015, Feb.). Total cost of care lower among Medicare fee-for-service beneficiaries receiving care from patient-centered medical homes. Health Services Research, 50(1), 253-272.

Mahadevan, R., and Houston, R.  (2015, Feb.).  Supporting Social Service Delivery through Medicaid Accountable Care Organizations:  Early State Efforts.  New York:  Commonwealth Fund.  Retrieved from:

May, E.L. (2015, Jan.-Feb.). Achieving physician-led clinical integration. Healthcare Executive, 30(1), 11-12, 14-16. 

Slater, A.  (2015, Jan. 28).  Improving Commercial, Medicaid and Medicare Accountable Care Organizations.  Health Transformation Task Force.  Retrieved from:

Jagoda, N.  (2015, Jan. 27).  Groups:  IRS Guidance on ACOs is too Narrow.  New York:  Source Media.  Retrieved from:

DeCamp, M., and Lehmann, L.  (2015, Jan. 15).  Guiding choice - ethically influencing referrals in ACOs.  New England Journal of Medicine.  372:202-207.  Retrieved from:

Morrissey, J.  (2015, Jan. 13).  Finding a path to clinical integration.  H&HN.  Retrieved from:

Cole, E.S., Campbell, C., and others. (2015, Jan.). Patient-centered medical homes in Louisiana had minimal impact on Medicaid population’s use of acute care and costs. Health Affairs, 34(1), 87-94. 

Wiley, J.A., Rittenhouse, D.R., and others. (2015, Jan.). Managing chronic illness: physician practices increased the use of care management and medical home processes. Health Affairs, 34(1), 78-86.

Gowrisankaran, G., Nevo, A., and Town, R.  (2015, Jan.).  Mergers when prices are negotiated:  Evidence from the hospital industry.  American Economic Review.  105(1):172-203.  Retrieved from:

Fitzgerald, K.  (2015, Jan.).  10 years since ACOs were implemented:  How far have they come?  Managed Care.  Retrieved from:

Friedberg, M., Chen, P., White, C, Jung, O., Raaen, L., and others.  (2015).  Effects of Health Care Payment Models on Physician Practice in the United States.  Santa Monica, CA:  Rand Corporation.  Retrieved from:

(2015).  Integrated Leadership for Hospitals and Health Systems: Principles for Success.  Chicago:  American Hospital Association.  Retrieved from:

McCann, R.  (2015).  Something Old, Something New: Accounting for Accountable Care in Antitrust Analysis.  Chapter 4 in: Health Law Handbook.  27(1):158-180.  Thomson Reuters, 2015.  Retrieved from:

(2015).  Accountable Care Organizations.  Washington:  Federal Trade Commission.  Retrieved from:

(2015).  Pharmacy Trends in Accountable Care Organizations. Plano, TX:  Pharmacy Benefit Management Institute.  Retrieved from:

(2015).  PBMI 2015 Trends in Accountable Care Organizations Report.  Plano, TX:  Pharmacy Benefit Management Institute.  Retrieved from:


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