|By PR Newswire||
|January 7, 2014 09:19 AM EST||
Savings calculator ensures payers reward ACOs for achieving desired quality and savings goals
WASHINGTON, Jan. 7, 2014 /PRNewswire/ -- To help payers and providers better estimate the likelihood of success for Accountable Care Organizations (ACOs), the Health Care Incentives Improvement Institute (HCI3), a not for profit that develops and tests payment innovation models, and IMPAQ International, a research, evaluation, survey and technical assistance firm, have teamed up to develop an online calculator. The Accountable Care Organization Savings Calculator (ASC) is an online tool designed to help providers and payers understand how chance affects the likelihood that an ACO will be rewarded for savings under an ACO contract.
"Recent research has shown a potential for misclassifying ACOs as 'winners' or 'losers' given the underlying variability of total costs of care in a patient population," said Francois de Brantes, executive director for HCI3. "Since ACOs have the ability to transform the U.S. health care landscape and with the stakes high for everyone, it's important to have confidence in the outcomes. That's why we worked with IMPAQ to developed this tool and remove some of the uncertainty that exists for payers and providers."
Established through the Affordable Care Act, ACOs are groups of doctors, hospitals, and other health care providers, who jointly offer coordinated care to their Medicare patients. The goal is to ensure patients get the right care at the right time, while avoiding duplication of services and medical errors. When an ACO delivers high-quality care in a more cost-effective way, it may share in the savings it achieves for the Medicare program. Private sector payers are also implementing this payment model and most of the national health plans have a version with providers in their network.
Jointly developed by HCI3 and IMPAQ, the ASC draws on statistical models published in Medicare & Medicaid Research Review to allow payers and providers to assess the probability that an ACO will be rewarded if it achieves a specific trend rate target (depending on the size of the patient group under management and other terms of the financial contract between the payer and the ACO). The estimates take into consideration the underlying variability of the payer population's historical total costs of care per member.
"As ACOs continue to evolve and grow, so will the types of contractual relationships between payers and providers," said Dr. Ines Vigil, managing director of IMPAQ's Consulting Services team, which developed the calculator as part of the IMPAQ Analytics suite of tools aimed at helping businesses successfully navigate the regulatory and policy landscape. "We are dedicated to helping provide analytic tools like the savings calculator to those interested in understanding the role that chance plays in realizing a shared savings payment – managing and reducing risk in a way that maximizes the reward."
Some of the issues associated with the different types of ACO contracts between payers and providers were recently addressed in an article published in the inaugural issue of The American Journal of Accountable Care. In that article, entitled "Is the Deal Any Good?," de Brantes offers advice to each party as they decide how to distribute the financial risk inherent in such contracts.
About Health Care Incentives Improvement Institute™, Inc.
The Health Care Incentives Improvement Institute, Inc. (HCI3®) is a not-for-profit multi-stakeholder umbrella organization for Bridges to Excellence® and PROMETHEUS Payment®. The mission of the organization is to create significant improvements in the quality and affordability of health care by developing and implementing programs that recognize and reward physicians, hospitals and other health care providers that deliver safe, timely, effective, efficient, equitable and patient-centered care. HCI3 offers a comprehensive package of solutions to employers, health plans and coalitions to improve the flawed incentives that currently permeate the U.S. health care system. www.HCI3.org
About IMPAQ International
IMPAQ International is a public policy research firm specializing in designing and implementing rigorous research studies and evaluations of government programs and demonstrations. IMPAQ's mission is to provide exemplary research and consulting services to its domestic and international clients through the use of impact evaluation studies, applied research, policy analysis, quantitative and qualitative data analysis, and technical assistance.
Available Topic Expert(s): For information on the listed expert(s), click appropriate link.
Francois de Brantes
SOURCE Health Care Incentives Improvement Institute and IMPAQ International
So, you bought into the current machine learning craze and went on to collect millions/billions of records from this promising new data source. Now, what do you do with them? Too often, the abundance of data quickly turns into an abundance of problems. How do you extract that "magic essence" from your data without falling into the common pitfalls? In her session at @ThingsExpo, Natalia Ponomareva, Software Engineer at Google, provided tips on how to be successful in large scale machine learning...
Sep. 30, 2016 02:45 AM EDT Reads: 2,422
In his session at @ThingsExpo, Kausik Sridharabalan, founder and CTO of Pulzze Systems, Inc., will focus on key challenges in building an Internet of Things solution infrastructure. He will shed light on efficient ways of defining interactions within IoT solutions, leading to cost and time reduction. He will also introduce ways to handle data and how one can develop IoT solutions that are lean, flexible and configurable, thus making IoT infrastructure agile and scalable.
Sep. 30, 2016 02:15 AM EDT Reads: 1,635
DevOps and microservices are permeating software engineering teams broadly, whether these teams are in pure software shops but happen to run a business, such Uber and Airbnb, or in companies that rely heavily on software to run more traditional business, such as financial firms or high-end manufacturers. Microservices and DevOps have created software development and therefore business speed and agility benefits, but they have also created problems; specifically, they have created software sec...
Sep. 30, 2016 02:00 AM EDT Reads: 1,378
SYS-CON Events announced today that Numerex Corp, a leading provider of managed enterprise solutions enabling the Internet of Things (IoT), will exhibit at the 19th International Cloud Expo | @ThingsExpo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Numerex Corp. (NASDAQ:NMRX) is a leading provider of managed enterprise solutions enabling the Internet of Things (IoT). The Company's solutions produce new revenue streams or create operating...
Sep. 30, 2016 02:00 AM EDT Reads: 2,077
To leverage Continuous Delivery, enterprises must consider impacts that span functional silos, as well as applications that touch older, slower moving components. Managing the many dependencies can cause slowdowns. See how to achieve continuous delivery in the enterprise.
Sep. 30, 2016 01:45 AM EDT Reads: 2,185
SYS-CON Events announced today that Tintri Inc., a leading producer of VM-aware storage (VAS) for virtualization and cloud environments, will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Tintri VM-aware storage is the simplest for virtualized applications and cloud. Organizations including GE, Toyota, United Healthcare, NASA and 6 of the Fortune 15 have said “No to LUNs.” With Tintri they mana...
Sep. 30, 2016 01:15 AM EDT Reads: 2,961
In his general session at 18th Cloud Expo, Lee Atchison, Principal Cloud Architect and Advocate at New Relic, discussed cloud as a ‘better data center’ and how it adds new capacity (faster) and improves application availability (redundancy). The cloud is a ‘Dynamic Tool for Dynamic Apps’ and resource allocation is an integral part of your application architecture, so use only the resources you need and allocate /de-allocate resources on the fly.
Sep. 30, 2016 12:45 AM EDT Reads: 2,976
IoT is fundamentally transforming the auto industry, turning the vehicle into a hub for connected services, including safety, infotainment and usage-based insurance. Auto manufacturers – and businesses across all verticals – have built an entire ecosystem around the Connected Car, creating new customer touch points and revenue streams. In his session at @ThingsExpo, Macario Namie, Head of IoT Strategy at Cisco Jasper, will share real-world examples of how IoT transforms the car from a static p...
Sep. 30, 2016 12:00 AM EDT Reads: 1,677
Fifty billion connected devices and still no winning protocols standards. HTTP, WebSockets, MQTT, and CoAP seem to be leading in the IoT protocol race at the moment but many more protocols are getting introduced on a regular basis. Each protocol has its pros and cons depending on the nature of the communications. Does there really need to be only one protocol to rule them all? Of course not. In his session at @ThingsExpo, Chris Matthieu, co-founder and CTO of Octoblu, walk you through how Oct...
Sep. 30, 2016 12:00 AM EDT Reads: 2,378
Web Real-Time Communication APIs have quickly revolutionized what browsers are capable of. In addition to video and audio streams, we can now bi-directionally send arbitrary data over WebRTC's PeerConnection Data Channels. With the advent of Progressive Web Apps and new hardware APIs such as WebBluetooh and WebUSB, we can finally enable users to stitch together the Internet of Things directly from their browsers while communicating privately and securely in a decentralized way.
Sep. 29, 2016 11:30 PM EDT Reads: 1,213
"My role is working with customers, helping them go through this digital transformation. I spend a lot of time talking to banks, big industries, manufacturers working through how they are integrating and transforming their IT platforms and moving them forward," explained William Morrish, General Manager Product Sales at Interoute, in this SYS-CON.tv interview at 18th Cloud Expo, held June 7-9, 2016, at the Javits Center in New York City, NY.
Sep. 29, 2016 10:30 PM EDT Reads: 4,058
More and more companies are looking to microservices as an architectural pattern for breaking apart applications into more manageable pieces so that agile teams can deliver new features quicker and more effectively. What this pattern has done more than anything to date is spark organizational transformations, setting the foundation for future application development. In practice, however, there are a number of considerations to make that go beyond simply “build, ship, and run,” which changes ho...
Sep. 29, 2016 10:15 PM EDT Reads: 2,801
The Internet of Things can drive efficiency for airlines and airports. In their session at @ThingsExpo, Shyam Varan Nath, Principal Architect with GE, and Sudip Majumder, senior director of development at Oracle, will discuss the technical details of the connected airline baggage and related social media solutions. These IoT applications will enhance travelers' journey experience and drive efficiency for the airlines and the airports. The session will include a working demo and a technical d...
Sep. 29, 2016 10:00 PM EDT Reads: 1,814
Kubernetes is a new and revolutionary open-sourced system for managing containers across multiple hosts in a cluster. Ansible is a simple IT automation tool for just about any requirement for reproducible environments. In his session at @DevOpsSummit at 18th Cloud Expo, Patrick Galbraith, a principal engineer at HPE, discussed how to build a fully functional Kubernetes cluster on a number of virtual machines or bare-metal hosts. Also included will be a brief demonstration of running a Galera M...
Sep. 29, 2016 09:45 PM EDT Reads: 3,143
Why do your mobile transformations need to happen today? Mobile is the strategy that enterprise transformation centers on to drive customer engagement. In his general session at @ThingsExpo, Roger Woods, Director, Mobile Product & Strategy – Adobe Marketing Cloud, covered key IoT and mobile trends that are forcing mobile transformation, key components of a solid mobile strategy and explored how brands are effectively driving mobile change throughout the enterprise.
Sep. 29, 2016 08:45 PM EDT Reads: 2,225