Scanning the Headlines: Clinical Integration

Updated on November 16, 2017

Click here for Clinical Integration Archive Bibliography

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Links to full-text articles are provided where available.
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(2017, Nov. 13).  State Medicaid Integration Tracker©.  Washington:  National Association of States United for Aging and Disabilities.  Retrieved from:

Lewis, Ph.D., V., Fisher, M.D., E., and Colla, Ph.D., C.  (2017, Nov. 9).  Sluggish Savings Under Accountable Care Organizations.  Chicago:  Physicians for A National Health Program.  Retrieved from:

Gratale, D., and Chang, D.  (2017, Oct. 30).  Defining an Accountable Community for Health for Children Families.  Washington:  National Academy of Medicine.  Retrieved from:

Lisle, K., and others.  (2017, Oct. 4).  The 2017 ACO Survey:  What do current trends tell us about the future of accountable care?  Health Affairs Blog.  Retrieved from:

Hancock, J.  (2017, Sept. 5).  How below-the-radar mergers fuel health care monopolies.  Kaiser Health News.  Retrieved from:

Baker, L., Bundorf, K., and Kessler, D.  (2017, Sept.).  Does Multispecialty Practice Enhance Physician Market Power?  Cambridge, MA:  National Bureau of Economic Research.  Retrieved from:

Brown, G.  "Population Health Support Organization Serves as New Infrastructure for Today's Population Health Needs"  by Graham Brown, Accountable Care News, 8(9):1, 3, 4, Aug. 2017.

(2017, Aug.).  Medicare Shared Savings Program Accountable Care Organizations Have Shown Potential for Reducing Spending and Improving Quality.  Washington:  Department of Health and Human Services. Retrieved from:

Geva, A., and others.  (2017, July 8).  Provider Connectedness to Other Providers Reduces Risk of Readmission After Hospitalization for Heart Failure.  Thousand Oaks, CA:  Sage Publishers.  Retrieved from:

(2017, June).  Analysis of Integrated Delivery Systems and New Provider-Sponsored Health Plans.  Princeton, NJ:  Robert Wood Johnson Foundation.  Retrieved from:

McClellan, M., and others.  (2017, May, 11).  Accountable care around the world:  Lessons and policy implications for the U.S.  To the Point.  Retrieved from:

(2017, May 2).  Post-Acute Care (PAC) Optimization in a Value-Based Economy:  Bridging the Gap Between Hospital and Home.  Chicago:  Leavitt Partners. Retrieved from:

Hsu, J., and others. (2017, May).  Bending the spending curve by altering care delivery patterns:  The role of care management within a pioneer ACO.  Health Affairs.  36(5):876-884.  Retrieved from:

Phillips, G., and Abrams, M.  (2017, Apr. 13).  3 best practices for partnering with post-acute providers for better care.  H&HN.  Retrieved from:

(2016, Apr. 6).  CMS' Accountable Health Communities Model Selects 32 Participants to Serve as Local 'Hubs' Linking Clinical and Community Services.  Baltimore, MD:  Centers for Medicare & Medicaid Services. Retrieved from:

Hsu, J., and others.  (2017, Apr.).  Substantial physician turnover and beneficiary 'churn' in a large Medicare pioneer ACO.  Health Affairs.  36(4):640-648.  Retrieved from:

Schur, C., and Sutton, J.  (2017, Apr.).  Physicians in Medicare ACOs offer mixed views of model for health care cost and quality.  Health Affairs.  36(4):649-654.  Retrieved from:

McAlearney, A., Hilligoss, B., and Song, P.  (2017, Mar. 17).  Private sector accountable care organization development:  A qualitative study.  American Journal of Managed Care.  Retrieved from:

Betbeze, P.  (2017, Feb. 16).  4 success factors for clinically integrated networks.  HealthLeaders Media.  Retrieved from:

Cheney, C.  (2017, Feb. 13).  How to succeed in a Medicare ACO.  HealthLeaders Media. Retrieved from:

(2017, Feb. 2).  UnitedHealth, Aetna, Anthem Near 50% Value-Based Care Spending.  Bhubaneswar:  Medtel.  Retrieved from:

Neprash, H., Chernew, M., and McWilliams, J.  (2017, Feb.).  Little evidence exists to support the expectation that providers would consolidate to enter new payment models.  Health Affairs.  36(2):346-354.  Retrieved from:

Valuck, T., and others.  (2017, Feb.).  Improving oncology quality measurement in accountable care:  Filling gaps with cross-cutting measures.  Journal of Managed Care & Specialty Pharmacy.  23(2):174-181.  Retrieved from:

(2017, Feb.).  Principles for Clinical Episode and Population-Based Payment Overlap.  Health Care Transformation Task Force.  Retrieved from:

Toyin, I.  (2017, Jan. 25).  Weaving whole-person health throughout an accountable care framework:  The social ACO.  Health Affairs Blog.  Retrieved from:

Perrin, J., and others.  (2017, Jan.).  Pediatric Accountable Care Organizations:  Insight From Early Adopters.  Elk Grove Village, IL:  American Academy of Pediatrics.  Retrieved from:

(2017, Jan.).  FACT SHEET:  New Accountable Care Organization Model Opportunity:  Medicare ACO Track 1+ Model.  Baltimore:  Department of Health & Human Services.  Retrieved from:

Short, M., Ho, V., and McCracken, A.  (2017, Jan.).  The Integration and De-Integration of Physicians and Hospitals Over Time.  Retrieved from:

(2017, Jan.).  Noether, M., and May, S.  Hospital Merger Benefits: Views from Hospital Leaders and Econometric Analysis.  [Charles River Associates]  Retrieved from:

(2017).  Hospital M&A:  When Done Well, M&A Can Achieve Valuable Outcomes.  Chicago:  Deloitte.  Retrieved from:

(2017).  Levers of Successful ACOs.  Washington: Health Care Transformation Task Force.  Retrieved from:

(2017).  Accelerating and Aligning Primary Care Payment Models.  Baltimore, MD:  HCP Lan (Health Care Payment Learning & Action Network).  Retrieved from:

(2016, Dec. 15).  Livingston, S.  CMS unveils Medicare-Medicaid ACO model.  Modern Healthcare.  Retrieved from:,d.amc

(2016, Dec.).  Report on Congress.  Washington:  Department of Health & Human Services. Retrieved from:

(2016, Nov. 30).  Accountable Care Organizations and Risk-Based Payment Arrangements:  Strong Preference for Upside-Only Contracts.  Chicago:  Leavitt Partners.  Retrieved from:

Fraze, T., and others.  (2016, Nov.).  Housing, transportation, and food:  How ACOs seek to improve population health by addressing nonmedical needs of patients.  Health Affairs.  35(11):2109-2115.  Retrieved from:

Morgan, A., and others.  (2016, Nov.).  Beyond books: Public libraries as partners for population health.  Health Affairs.  35(11):2030-2036.  Retrieved from:

Muchmore, S.  (2016, Oct. 26).  Vermont's all-payer ACO will begin in January.  Modern Healthcare.  Retrieved from:

Liu, L., Svoboda, R., and Zhang, Y.  (2016, Sept. 14).  Using a modified next generation ACO benchmark can improve the MSSP.  American Journal of Managed Care (AJMC).  Retrieved from:

Minemyer, P.  (2016, Sept. 12).  In wake of ACO exits, Dartmouth leaders explain decision to scrap model.  FierceHealthcare.  Retrieved from:

(2016, Sept.).  Physician Practice Acquisition Study:  National and Regional Employment Changes.  Physicians Advocacy Institute.  Retrieved from:

Pines, J., and others.  (2016, Aug. 18).  Aligning payment reform and delivery innovation in emergency care.  American Journal of Managed Care.  Retrieved from:

Budryk, Z.  (2016, July 20).  3 Next Generation ACOs bow out of shared savings program.  FierceHealthcare.  Retrieved from:

Abrams, M., and Phillips, G.  (2016, July 13).  Why post-acute care partners are critical to hospitals' future.  H&HN.  Retrieved from:

Stempniak, M.  (2016, July 7).  7 outdated legal barriers keeping docs, hospitals from transforming health careH&HN.  Retrieved from:

(2016, July 5).  Legal (Fraud and Abuse) Barriers to Care Transformation and How to Address Them.  Chicago:  American Hospital Association.  Retrieved from:

Weaver, D.  (2016, June 29).  M&A Not Your Thing?  Here's the Deal on Alternative Network Models.  Washington:  Advisory Board.  Retrieved from:

Lee, P.  (2016, June 9).  Who makes sure hospital mergers do no harm?  Almost nobody.  Pro Publica.  Retrieved from:

Dickson, V.  (2016, June 6).  CMS finalizes changes to ACO cost targets.  Modern Healthcare.  Retrieved from:

Keckley, P.  (2016, June 1).  The ACO curveball:  What the IRS ruling means.  H&HN.  Retrieved from:

(2016, June).  Accountable Care Financial Arrangements:  Options and Considerations.  Health Care Transformation Task Force.  Retrieved from:

Konetzka, T., and others.  (2016, June).  The Effect Integration of Hospitals and Post-Acute Care Providers on Medicare Payment and Patient Outcomes.  Chicago:  University of Chicago.  Retrieved from:

Anderson, J.  (2016, June).  ACOs add telehealth, despite regulatory, reimbursement barriers to implementation.  AISHealth.  Retrieved from:

Heider, F., Kniffin, T., and Rosenthal, J.  (2016, May).  State Levels to Advance Accountable Communities for Health.  Washington:  National Academy for State Health Policy.  Retrieved from:

(2016, May).  ACO Cost and MACRA Implementation Survey.  Princeton Junction, NJ:  National Association o9f ACOs (NAACOS).  Retrieved from:

Horrocks, D., Kinzer, D., and others.  (2016, Apr. 25).  The adequacy of individual hospital data to identify high utilizers and assess community health.  Journal of the American Medical Association.  Retrieved from:

Muhlestein, D., and McClellan, M. (2016, Apr. 21).  Accountable care organizations in 2016:  Private and public-sector growth and dispersion.  Health Affairs Blog.  Retrieved from:

Ciarametaro, M., and Dubois, R.  (2016, Apr. 20).  Designing successful bundled payment initiatives.  Health Affairs.  Retrieved from:

Dawe, C., Lewine, N., and Miesen, M.  (2016, Apr. 15).  Today's most attrative national ACO model is offered by...CMS.  Health Affairs Blog.  Retrieved from:

Dale, S., Ghosh, A., Peikes, D., and others.  (2016, Apr. 13).  Two-year costs and quality in the comprehensive primary care initiative.  New England Journal of Medicine.  Retrieved from:

McWilliams, J., Hatfield, L., Chernew, M., and others.  (2016, Apr. 13).  Early performance of accountable care organizations in Medicare.  Retrieved from:

Steele, G., and Dafny, L.  (2016, Apr. 5).  When do provider-sponsored health plans make sense? Part 2.  New England Journal of Medicine.  Retrieved from:

Shortell, S.  (2016, Apr. 5).  Applying organization theory to understanding the adoption and implementation of accountable care organizations. Medical Care Research and Review.  Retrieved from:

Gray, E., and Aronovich, R.  (2016, Apr.).  Producing an ROI with a patient-centered medical home.  Healthcare Financial Management.  Retrieved from:

Gruessner, V.  (2016, Mar. 15).  Value-Based Care Reimbursement Needs Greater Customization.  Danvers, MA:  Xtelligent Media, LLC.  Retrieved from:

Higgins, A., Stewart, K., Picarillo, G., and others.  (2016, Mar. 14).  Health plan-provider accountable care partnerships:  How have they evolved?  American Journal of Managed Care.  Retrieved from:

Perla, R., and Onie, R.  (2016, Mar. 2).  Accountable health communities and expanding our definition of health care.  Health Affairs Blog.  Retrieved from:

Harris, J.M., Elizondo, I, and Brown, A.M. (2016, Mar.).  Orchestrating ACO success.  Healthcare Financial Management. 70(3):43-50.

Calandra, R.  (2016, Mar.).  Medicare advantage's influence felt in accountable care model.  Managed Care.  Retrieved from:

(2016, Mar.).  Straddling and survifing two payments systems.  HealthLeaders.  Retrieved from:

(2016, Feb. 16).  Collabborative Group Outlines Multi-Payer Quality Measures.  Salt Lake City, UT:  Western Governor's University.  Retrieved from:

Dafny, L., and Chernew, M.  (2016, Feb. 12).  Who will succeed with new paymentmodels?  Part I.  NEJM Catalyst.  Retrieved from:

Hammer, S.  (2016, Feb. 11).  CMS plans to test effectiveness of clinical-community collaborations.  Salt Lake City, UT:  Leavitt Partners.  Retrieved from:

Hegwer, L.  (2016, Feb. 10).  Building Meaningful Incentives in Value-Based Contracts.  Healthcare Financial Management.  Retrieved from:

Ignagni, K.  (2016, Feb. 9).  Embracing the future of payment reform.  Healthcare Financial Management.  Retrieved from:

Harrington, B.  (2016, Feb. 2).  Strategies for sucess in risk-based payment models.  The Hospitalist.  Retrieved from:

Basement, S., and others. (2016, Feb.).  Payment and delivery system reform in Medicare: a primer on medical homes, accountable care organizations, and bundled payments.  Oakland, CA:  Kaiser Family Foundation.  Retrieved from:

(2016, Feb.).  Confidential Physician Feedback Reports:  Designing for Optimal Impact on Performance.  Rockville, MD:  Agency for Healthcare Research and Quality.  Retrieved from:

Rosin, T.  (2016, Jan 29).  How the CCJR model will impact 8 key stakeholders.  Becker's Hospital CFO.  Retrieved from:

Stempniak, M.  (2016, Jan. 26).  Florida nonprofit hospital snags first ever honors for integration.  H&HN.  Retrieved from:

DiChiara, J.  (2016, Jan. 20).  Do Accountable Care Organizations Save Claims Reimbursement?  Danvers, MA:  Xtelligent Media, LLC.  Retrieved from:

DiChiara, J.  (2016, Jan. 19).  Accountable Care Organizations Renew Hospital Reimbursement; Accountable care organizations may benefit revenue cycle management, especially for the rural hospital community. Critical access hospitals may even become profit centers.  Danvers, MA:  Xtelligent Media, LLC.  Retrieved from:

Korenda, L., and Thomas, S.  (2016, Jan. 19).  Integrating specialty care into accountable care organizations:  Perspectives from the field.  Health Affairs Blog.  Retrieved from:

(2016, Jan. 19).  Medicare's Bundled Payment Initiatives: Considerations for Providers.  Washington:  American Hospital Association.  Retrieved from:

Betbeze, P.  (2016, Jan. 15).  Are these the ACOs for a new generation?  HealthLeaders Media.  Retrieved from:

Commins, J.  (2016, Jan. 13).  CMS to fund 'accountable health communities' models.  HealthLeaders Media.  Retrieved from:

DiChiara, J.  (2016, Jan. 12).  CMS Says 121 New Medicare ACO Participants Advance Quality.  Danvers, MA:  Xtelligent Media, LLC.  Retrieved from:

(2016, Jan. 11).  Significant Costs Involved with Converting Primary Care Medical Practices to 'Medical Homes'.  Santa Monica, CA:  Rand Corp.  Retrieved from:

Alonso-Zaldivar, R.  (2016, Jan. 4).  Medicare is changing:  What's new for beneficiaries.  Washington Post.  Retrieved from:

McHugh, M., Shi, Y., Ramsay, P.P., and others. (2016, Jan.). Patient-centered medical home adoption: Results from aligning forces for quality. Health Affairs, 35(1), 141-149.  Retrieved from:

Floyd, P.  (2016, Jan.).  Integrating physical and behaviroal health.  Healthcare Financial Management Association.  Retrieved from:

(2016).  This NAACOS ACO comparison chart details the main elements of the three tracks in the Medicare Shared Savings Program and the Next Generation ACO model.  Washington:  NAACOS National Association of ACOs.  Retrieved from:

(2016).  Measuring Progress.  Baltimore, MD:  Centers for Medicare & Medicaid Services.  Retrieved from:

Morris, M., and others.  (2016).  Practicing Value-Based Care:  What do Doctors Need?  Deloitte University Press.  Retrieved from:


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