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Accountable Care Organizations



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Provider Consolidation Issue Brief
Provider consolidation has flown under the radar compared to national health plan and pharmacy benefit mergers, but they're having a large impact on health care costs and network contracting in many markets. Employers can take steps to mitigate cost increases and increase value for their employees.
Jan 10, 2019
Employer Tools for Assessing ACO Programs
This presentation provides an update on ACO resources from NBGH and new tools developed by Catalyst for Payment Reform to help employers standardize ACO contracting and evaluation approaches.
May 24, 2018
Key Insights from the 2018 Employers' Summit on Health Care Cost and Solutions
The Employers' Summit on Health Care Costs and Solutions is an annual, employer-only meeting hosted by the National Business Group on Health focused on key trends in health care, policy and leadership in human resources. This resource summarizes the key insights and lessons from the meeting on health care costs, employee engagement, delivery system strategies, specialty pharmaceuticals, mental health and more.
Mar 13, 2018
ACOs Driving a Better Health Care Experience: New Innovations and Promising Practices
Accountable care organizations (ACOs) across the country are making strides to improve patient experience, while tackling costs and improving quality. These efforts are benefiting both patients and providers through highly integrated programs, better access to data and health records, improved communication practices, new provider incentives, and other promising strategies aimed at improving the health care experience.
Nov 8, 2017
Employer Plan Design and Network Strategies for ACO Engagement
As employers increasingly engage with accountable care organizations (ACOs), they must make several strategic decisions about how to steer employees to providers within that ACO using plan design and benefit communications. In this presentation, Aetna explores different options for employers to engage ACOs, and CVS Health details how they implemented two ACO pilots and redesigned benefits to promote employee engagement in their ACOs.
Oct 12, 2017
ACO Physician-Patient Selection and Attribution
How patients are assigned to ACO providers can have a significant impact on the ACO's ability to improve health and reduce costs. Self-insured employers must decide if and how they want to facilitate or require this assignment, commonly referred to as "patient attribution." This resource outlines several strategies for patient attribution employers should consider.
Oct 5, 2017
Eight Employer Plan Design and Engagement Strategies for High-Performing ACOs
If an employer buys into the ability of an ACO partner to improve care coordination, health and reduce costs, they should consider using the tools they have available to keep their employees going to that ACO. This fact sheet explores why an employer may want to use financial and communication levers to steer employees to ACO providers, and several potential implementation strategies.
Oct 5, 2017
Employers' Current Strategy Around ACOs
This Numbers You Need chart highlights data on whether employers' current strategies include ACOs. For more information on this chart, please see the National Business Group on Health's 2019 Large Employers' Health Care Strategy and Plan Design Survey.
Sep 12, 2017
ACO Performance Considerations Guide
The ACO Performance Considerations Guide is a tool to help employers better understand an ACO's performance. It should be used in combination with the ACO Journey Map, performance measures found in the ACO contract, and any additional analysis available from the health plan and ACO providers.
Aug 16, 2017
The ABCs of ACOs: Tools to Help Employers Get Started
This webinar shared an overview of ACOs including current market penetration and early results; a tutorial for using the Business Group's ACO Journey Map; and additional Business Group resources currently available to help employers build their own approach to implementing an ACO strategy.
Aug 9, 2017
Large Employers' 2018 Health Care Strategy and Plan Design Survey
Results from this survey indicate that employers are looking to new methods of controlling health care costs, improving outcomes and increasing satisfaction for their employees, both through demand-side (e.g., implementing CDHPs, modifying plan design and cost-sharing strategies, adding price transparency tools) and supply-side initiatives (e.g., telehealth, on-site clinics, Centers of Excellence, Accountable Care Organizations, etc.).
Aug 7, 2017
Large Employers' 2018 Health Care Strategy and Plan Design Survey: Chart Pack
Results from this survey indicate that employers are looking to new methods of controlling health care costs, improving outcomes and increasing satisfaction for their employees, both through demand-side (e.g., implementing CDHPs, modifying plan design and cost-sharing strategies, adding price transparency tools) and supply-side initiatives (e.g., telehealth, on-site clinics, Centers of Excellence, Accountable Care Organizations, etc.).
Aug 7, 2017
ACO Journey Map - Interactive Fields
This version of the ACO Journey Map enables users to save data entered into the form. Please refer to the ACO Journey Map Scoring Guide for complete instructions.
Aug 3, 2017
14th Helen Darling Award for Excellence and Innovation in Value Purchasing, presented to The Boeing Company
The award profile summarizes the The Boeing Company's efforts to win the 14th Helen Darling Award for Excellence and Innovation in Value Purchasing. This document highlights Boeing's, outstanding commitment to increasing value in health care purchasing, and its leadership role in helping to change the face of employer-sponsored health care benefits.
Apr 18, 2017
ACO Journey Map
The ACO Journey Map is a tool to help employers assess an accountable care organization's (ACO) competencies along a maturity path. It provides employers with a framework to prompt conversations with health plans and ACO providers, and to inform decision-making about an ACO strategy.
Mar 24, 2017
Studies Suggest That ACOs Could Save Money
Two recent studies suggested that Medicare and Medicaid ACOs could save government funds compared to fee-for-service but they need more time to demonstrate value.
Feb 16, 2017
National Business Group on Health's Position Statement on Accountable Care Organizations (ACOs)
The National Business Group on Health believes that effective Accountable Care Organizations (ACOs) must improve the quality and efficiency of care while not unduly raising prices for any patients or payers in their communities.
Oct 7, 2016
How Employers Can Accelerate Paying for Value in Health Care
The Health Care Payment Learning and Action Network (HCPLAN) is an unprecedented collaboration of private, public, and non-profit sectors whose goal is to transform the nation’s health system by supporting health care value over volume. Both employers and their employees can benefit from improved care and reduced costs, but are more likely to see improvements if they join this initiative and play an active role in shaping the journey toward value-based care.
Oct 6, 2016
CMS Bows to Provider Pressure to Delay Performance Penalties
Recently, CMS, facing pressure from the provider community, proposed to allow providers to choose the extent to which they report quality performance data in 2017 to comply with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Sep 22, 2016
8 Tips for Communicating with Employees about ACOs, PCMHs and Other Delivery System Changes
Employers, by using effective communication strategies, are well-positioned to educate and motivate their employee members to take advantage of delivery system improvements, and also direct them to more efficient health care providers. This Employer Guide provides recommendations for communicating payment and delivery reforms to employees.
Apr 13, 2016
Primary Care Physicians' (PCP) Embrace of Alternative Payment Models
This Numbers You Need chart contains data on primary care physicians' current adoption of alternative payment models, as well as their willingness to participate in the future.
Mar 8, 2016
Employer Perspectives On Accountable Care: ACO Definitions, Key Considerations, and Recommendations
This issue brief lays out definitions of accountable care organizations (ACOs), key questions employers should consider when looking at investing in an ACO strategy, and an overview of employer perspectives and concerns related to ACOs. This publication was created in collaboration with Leavitt Partners and the Robert Wood Johnson Foundation. More info at leavittpartners.com/impact-of-accountable-care
May 12, 2015
Summary of Health Care Provider Payment Reform Models
This document provides an overview of six provider payment reforms, including non-payment for adverse outcomes, pay-for-performance, accountable care organizations (ACOs), bundled payments, capitated payments, and reference-based pricing.
Feb 2, 2015

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