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Deanna Kyrimis, Director, Health Care Consulting Practice, Moss Adams

Medicare Shared Savings Program Changes Bring Incentives to Form Accountable Care Organizations

By Deanna Kyrimis
Director, Health Care Consulting Practice
Moss Adams

The Affordable Care Act of 2010 (ACA) brought many changes to the health care system along with the sanction of a wide variety of delivery reforms. One of the most prominent delivery models now recognized by the federal government is the formation of Accountable Care Organizations (ACOs). ACOs seek to provide a framework that allows providers to better coordinate care through incentives for quality over quantity. Even with these incentives, most organizations were hesitant to enter into these arrangements, and those that did struggled with the burden of maintaining the model. In 2012, 32 Pioneer Model ACOs formed, but only a handful remained just four years later.  Read article
Senior being comforted by nurse in bed

Short-Staffed Nursing Homes See Drop In Medicare Ratings

By Jordan Rau, Senior Correspondent, Kaiser Health News
By Elizabeth Lucas, Data Editor, Kaiser Health News

The federal government accelerated its crackdown on nursing homes that go days without a registered nurse by downgrading the rankings of a tenth of the nation’s homes on Medicare’s consumer website, new records show.  Read article
Nurse caring for elderly patient in hospital

Enlightened Healthcare Leadership: Creating an Environment of Trust and Compassion

By Danna Beal, M.Ed.
International Speaker, Author and Coach
Compassionate care is the mission of healthcare organizations and providers, but leaders and managers have many responsibilities. These include--guiding the strategic vision; meeting the organizational goals and metrics; developing procedures and initiatives; handling schedules and work flow; managing budgets, meeting safety and compliance objectives; and hiring and managing people.  Read article
Managed care executives meeting with physicians

California Expands Licensing Requirements for Risk-bearing Organizations

By Karl Rebay
Partner, Moss Adams

In the wake of recent notable closures of risk-bearing organizations (RBOs) and their management service providers, the California Department of Managed Health Care (DMHC) is expanding oversight of medical groups that take on multiple forms of risk regulated under California’s Knox-Keene Act. Your organization may need to determine if it requires a license to comply with the regulation. Read article