Scanning the Headlines: Clinical Integration

Updated on November 14, 2016

Click here for Clinical Integration Archive Bibliography

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Links to full-text articles are provided where available.
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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:  http://www.ajmc.com/journals/ajac/2016/2016-vol4-n3/using-a-modified-next-generation-aco-benchmark-can-improve-the-mssp

(2016, Sept.).  Physician Practice Acquisition Study:  National and Regional Employment Changes.  Physicians Advocacy Institute.  Retrieved from:  http://www.physiciansadvocacyinstitute.org/Portals/0/PAI-Physician-Employment-Study.pdf

Budryk, Z.  (2016, July 20).  3 Next Generation ACOs bow out of shared savings program.  FierceHealthcare.  Retrieved from:  http://www.fiercehealthcare.com/healthcare/3-next-generation-acos-bow-out-program

Abrams, M., and Phillips, G.  (2016, July 13).  Why post-acute care partners are critical to hospitals' future.  H&HN.  Retrieved from:  http://www.hhnmag.com/articles/7421-why-post-acute-care-partners-are-critical-to-hospitals-future

Stempniak, M.  (2016, July 7).  7 outdated legal barriers keeping docs, hospitals from transforming health careH&HN.  Retrieved from:  http://www.hhnmag.com/articles/7433-outdated-legal-barriers-keeping-docs-hospitals-from-transforming-health-care

(2016, July 5).  Legal (Fraud and Abuse) Barriers to Care Transformation and How to Address Them.  Chicago:  American Hospital Association.  Retrieved from:  http://www.aha.org/content/16/barrierstocare-full.pdf

Weaver, D.  (2016, June 29).  M&A Not Your Thing?  Here's the Deal on Alternative Network Models.  Washington:  Advisory Board.  Retrieved from:  https://www.advisory.com/research/health-care-advisory-board/blogs/at-the-helm/2016/06/sw-alternative-network-models

Lee, P.  (2016, June 9).  Who makes sure hospital mergers do no harm?  Almost nobody.  Pro Publica.  Retrieved from:  https://www.propublica.org/article/who-makes-sure-hospital-mergers-do-no-harm-almost-nobody

Dickson, V.  (2016, June 6).  CMS finalizes changes to ACO cost targets.  Modern Healthcare.  Retrieved from:  http://www.modernhealthcare.com/article/20160606/NEWS/160609943/cms-finalizes-changes-to-aco-cost-targets

Keckley, P.  (2016, June 1).  The ACO curveball:  What the IRS ruling means.  H&HN.  Retrieved from:  http://www.hhnmag.com/articles/7316-the-aco-curveball-what-the-irs-ruling-means

(2016, June).  Accountable Care Financial Arrangements:  Options and Considerations.  Health Care Transformation Task Force.  Retrieved from:  http://static1.squarespace.com/static/548b623fe4b0991231a05ff0/t/5759cde420c6479e68bb5059/1465503204766/HCTTF_ACO+Financial+Arrangements+White+Paper.pdf

Anderson, J.  (2016, June).  ACOs add telehealth, despite regulatory, reimbursement barriers to implementation.  AISHealth.  Retrieved from:  https://aishealth.com/archive/nvbc0616-02?utm_source=Real%20Magnet&utm_medium=Email&utm_campaign=97479176

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:  http://www.nashp.org/wp-content/uploads/2016/05/ACH-Brief-with-Appendix.pdf

(2016, May).  ACO Cost and MACRA Implementation Survey.  Princeton Junction, NJ:  National Association o9f ACOs (NAACOS).  Retrieved from:  https://www.naacos.com/news/NAACOS-CostandMACRA-Survey-5.24.2016_Final.pdf

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:  http://archinte.jamanetwork.com/article.aspx?articleid=2516764

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:  http://healthaffairs.org/blog/2016/04/21/accountable-care-organizations-in-2016-private-and-public-sector-growth-and-dispersion/

Ciarametaro, M., and Dubois, R.  (2016, Apr. 20).  Designing successful bundled payment initiatives.  Health Affairs.  Retrieved from:  http://healthaffairs.org/blog/2016/04/20/designing-successful-bundled-payment-initiatives/

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:  http://healthaffairs.org/blog/2016/04/15/todays-most-attractive-national-aco-model-is-offered-bycms

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:  http://www.nejm.org/doi/pdf/10.1056/NEJMsa1414953

McWilliams, J., Hatfield, L., Chernew, M., and others.  (2016, Apr. 13).  Early performance of accountable care organizations in Medicare.  Retrieved from:  http://www.nejm.org/doi/pdf/10.1056/NEJMsa1600142

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:  http://catalyst.nejm.org/when-do-provider-sponsored-health-plans-make-sense-part-2

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:  http://mcr.sagepub.com/content/early/2016/04/05/1077558716643477.abstract

Gray, E., and Aronovich, R.  (2016, Apr.).  Producing an ROI with a patient-centered medical home.  Healthcare Financial Management.  Retrieved from:  https://www.hfma.org/Content.aspx?id=47225

Gruessner, V.  (2016, Mar. 15).  Value-Based Care Reimbursement Needs Greater Customization.  Danvers, MA:  Xtelligent Media, LLC.  Retrieved from:  http://revcycleintelligence.com/news/value-based-care-reimbursement-needs-greater-customization

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:  http://www.ajmc.com/journals/ajac/2016/2016-vol4-n1/health-plan-provider-accountable-care-partnerships-how-have-they-evolved

Perla, R., and Onie, R.  (2016, Mar. 2).  Accountable health communities and expanding our definition of health care.  Health Affairs Blog.  Retrieved from:  http://healthaffairs.org/blog/2016/03/02/accountable-health-communities-and-expanding-our-definition-of-health-care/

Harris, J.M., Elizondo, I, and Brown, A.M. (2016, Mar.).  Orchestrating ACO success.  Healthcare Financial Management. 70(3):43-50.  http://www.veralon.com/wp-content/uploads/2016/03/Orchestrating-ACO-Services-HFM-3-2016.pdf

Calandra, R.  (2016, Mar.).  Medicare advantage's influence felt in accountable care model.  Managed Care.  Retrieved from:  http://www.managedcaremag.com/archives/2016/3/medicare-advantage-s-influence-felt-accountable-care-model

(2016, Mar.).  Straddling and survifing two payments systems.  HealthLeaders.  Retrieved from:  http://www.healthleadersmedia.com/file/915/download?token=7IGCE1tS

(2016, Feb. 16).  Collabborative Group Outlines Multi-Payer Quality Measures.  Salt Lake City, UT:  Western Governor's University.  Retrieved from:  http://www.accountablecarelc.org/sites/default/files/CMS%20and%20AHIP%20Announce%20New%20Quality%20Measures.pdf

Dafny, L., and Chernew, M.  (2016, Feb. 12).  Who will succeed with new paymentmodels?  Part I.  NEJM Catalyst.  Retrieved from:  http://catalyst.nejm.org/who-will-succeed-with-new-payment-models-part-1

Hammer, S.  (2016, Feb. 11).  CMS plans to test effectiveness of clinical-community collaborations.  Salt Lake City, UT:  Leavitt Partners.  Retrieved from:  http://leavittpartners.com/2016/02/cms-plans-to-test-effectiveness-of-clinical-community-collaborations/

Hegwer, L.  (2016, Feb. 10).  Building Meaningful Incentives in Value-Based Contracts.  Healthcare Financial Management.  Retrieved from:  http://www.hfma.org/Leadership/Archives/2016/Winter/Building_Meaningful_Incentives_in_Value-Based_Contracts/

Ignagni, K.  (2016, Feb. 9).  Embracing the future of payment reform.  Healthcare Financial Management.  Retrieved from:  http://www.hfma.org/Leadership/Share_Your_Story_Blog/2016/February/Embracing_the_Future_of_Payment_Reform/

Harrington, B.  (2016, Feb. 2).  Strategies for sucess in risk-based payment models.  The Hospitalist.  Retrieved from:  http://www.the-hospitalist.org/article/strategies-for-success-in-risk-based-payment-models/

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:  https://kaiserfamilyfoundation.files.wordpress.com/2016/02/8837-payment-and-delivery-system-reform-in-medicare1.pdf

(2016, Feb.).  Confidential Physician Feedback Reports:  Designing for Optimal Impact on Performance.  Rockville, MD:  Agency for Healthcare Research and Quality.  Retrieved from:  http://www.ahrq.gov/professionals/clinicians-providers/resources/confidreportguide/index.html?utm_source=AHRQ&utm_medium=EN&utm_content=1&utm_term=4&utm_campaign=AHRQ_ConfReports.

Rosin, T.  (2016, Jan 29).  How the CCJR model will impact 8 key stakeholders.  Becker's Hospital CFO.  Retrieved from:  http://www.beckershospitalreview.com/finance/how-the-ccjr-model-will-impact-8-key-stakeholders.html

Stempniak, M.  (2016, Jan. 26).  Florida nonprofit hospital snags first ever honors for integration.  H&HN.  Retrieved from:  http://www.hhnmag.com/articles/6890-florida-health-system-snags-first-ever-honors-for-integration

DiChiara, J.  (2016, Jan. 20).  Do Accountable Care Organizations Save Claims Reimbursement?  Danvers, MA:  Xtelligent Media, LLC.  Retrieved from: http://revcycleintelligence.com/news/do-accountable-care-organizations-save-claims-reimbursement

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:  http://revcycleintelligence.com/news/accountable-care-organizations-renew-hospital-reimbursement

Korenda, L., and Thomas, S.  (2016, Jan. 19).  Integrating specialty care into accountable care organizations:  Perspectives from the field.  Health Affairs Blog.  Retrieved from:  http://healthaffairs.org/blog/2016/01/19/integrating-specialty-care-into-accountable-care-organizations-perspectives-from-the-field/

(2016, Jan. 19).  Medicare's Bundled Payment Initiatives: Considerations for Providers.  Washington:  American Hospital Association.  Retrieved from:  http://www.aha.org/content/16/issbrief-bundledpmt.pdf

Betbeze, P.  (2016, Jan. 15).  Are these the ACOs for a new generation?  HealthLeaders Media.  Retrieved from:  http://healthleadersmedia.com/content.cfm?topic=LED&content_id=324570

Commins, J.  (2016, Jan. 13).  CMS to fund 'accountable health communities' models.  HealthLeaders Media.  Retrieved from:  http://healthleadersmedia.com/content.cfm?topic=COM&content_id=324498

DiChiara, J.  (2016, Jan. 12).  CMS Says 121 New Medicare ACO Participants Advance Quality.  Danvers, MA:  Xtelligent Media, LLC.  Retrieved from:  http://revcycleintelligence.com/news/cms-says-121-new-medicare-aco-participants-advance-quality

(2016, Jan. 11).  Significant Costs Involved with Converting Primary Care Medical Practices to 'Medical Homes'.  Santa Monica, CA:  Rand Corp.  Retrieved from:  http://www.rand.org/news/press/2016/01/11.html

Alonso-Zaldivar, R.  (2016, Jan. 4).  Medicare is changing:  What's new for beneficiaries.  Washington Post.  Retrieved from:  https://www.washingtonpost.com/politics/federal_government/whats-new-for-beneficiaries-in-a-changing-medicare/2016/01/04/13ca3bfc-b304-11e5-8abc-d09392edc612_story.html

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:  http://content.healthaffairs.org/content/35/1/141.abstract?sid=f6734447-a6c3-4aff-b970-83416d0f5c83

Floyd, P.  (2016, Jan.).  Integrating physical and behaviroal health.  Healthcare Financial Management Association.  Retrieved from: http://www.bdcadvisors.com/wp-content/uploads/2016/01/0116_HFM_Floyd.pdf

(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:  https://www.naacos.com/news/RevisedSummaryACO-ComparisonChart.htm

 

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