predictive modeling ACOs

What Predictive Modeling Won’t Tell You

by Dr. Randall Williams, MD Predictive modeling is a hot topic. It’s also a topic fraught with misunderstanding. Many ACOs (and other like-minded organizations) focus on it, making dangerous assumptions about how much they can depend on predictive analytics as they develop care coordination strategies. I’d like to help set the record straight on this complex issue so your leadership …

Dr. Randall Williams, MDWhat Predictive Modeling Won’t Tell You

How behavioral interventions reduce utilization and improve patient outcomes

by Sara Aldworth “Nothing is stronger than a habit.” – Ovid Here on the Pharos blog, we’ve spilled a lot of digital ink on the need to reduce utilization in order to succeed with value-based care. From the PGP Demo results to CMS’ most recent report on the Pioneer ACOs, organizations that “win” financially (and clinically) show reductions in inpatient …

Sara AldworthHow behavioral interventions reduce utilization and improve patient outcomes

Why aren’t the Pioneer ACOs reducing readmissions?

by Dr. Randall Williams, MD Last week, CMS reported the Pioneer ACO results for Performance Years One and Two. The impressive findings reinforced my belief that we need to continue on this path to value-based care. But something’s been bothering me. Hopefully, you noticed it and it’s bothering you too. Despite the fact that ACOs significantly improved the timeliness of …

Dr. Randall Williams, MDWhy aren’t the Pioneer ACOs reducing readmissions?
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CMS’ Year 1 and 2 results are in: did Pioneer ACOs take the arrows?

by Dr. Randall Williams, MD This week, CMS published their program analysis of the first two years of the Pioneer ACO model. They reported $385 Million in total savings across the 32 Pioneer ACOs over the two year period. Reading the results, an old saying popped into my mind: “Pioneers take the arrows, settlers take the land.” It got me …

Dr. Randall Williams, MDCMS’ Year 1 and 2 results are in: did Pioneer ACOs take the arrows?