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?

8 important questions (and answers) that will help your ACO win with value-based contracts.

by Dr. Randall Williams, MD Winning with value-based contracts and care models requires everyone in healthcare to “think differently”. Unfortunately, we humans are no more immune to running in herds than any other group of mammals. Despite our best intentions, we slide easily into old patterns of thinking and acquiesce to the common viewpoints held by our peers. Even the …

Dr. Randall Williams, MD8 important questions (and answers) that will help your ACO win with value-based contracts.

Succeeding with value-based care: lessons from the CMS Physician Group Practice Demonstration

by Dr. Randall Williams, MD In 2005, we at Pharos Innovations were presented with a unique opportunity: Park Nicollet Health System (now part of HealthPartners) asked for our help. As one of the 10 CMS Physician Group Practice Demonstration organizations, they had a goal to achieve shared savings through improving the coordination of care for their assigned beneficiaries living with …

Dr. Randall Williams, MDSucceeding with value-based care: lessons from the CMS Physician Group Practice Demonstration
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Value based care: what we can learn from those who succeeded (and failed) in Year 1 of the Medicare Shared Savings Program.

by Dr. Randall Williams, MD “The definition of insanity is doing the same thing over and over again and expecting different results.” — Albert Einstein If you want to lead your organization to success with value based care, I’d like to help you avoid the mistake of committing organizational insanity. As I’ve written before, all value based contracting will require …

Dr. Randall Williams, MDValue based care: what we can learn from those who succeeded (and failed) in Year 1 of the Medicare Shared Savings Program.
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Want to win with value based purchasing? Start with the fundamental challenge.

by Dr. Randall Williams, MD So you want to thrive (or even just survive) under value based contracting? Here’s a little advice: get your organization focused on cost. Definition of value Ask any economist what value means and they’ll tell you this: Value = Quality ÷ Cost In the era of value based purchasing in healthcare, we’d do well to …

Dr. Randall Williams, MDWant to win with value based purchasing? Start with the fundamental challenge.