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How Accountable Care Organizations Meet Quality Benchmarks
May 1, 2017
Accountable care organizations need to overcome some major challenges such as the lack of data sharing from hospitals.
Accountable care organizations (ACOs) are relatively new patient care models that can operate with either public or private health payers. Initially, the Centers for Medicare & Medicaid Services (CMS) created the first accountable care organizations under the Medicare Shared Savings Program. Today, ACOs have grown in popularity and private, commercial payers are now investing in partnering with these models of care. Read the full article.
Premium billing for Medicaid and other public program plans has become increasingly complex. Shifting eligibility rules, fluctuating member responsibility amounts, ...
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