CORDATA BLOG

Accountable Care for Oncology: Are You Going There?

Posted by Cam McClellan Teems

October 8, 2014 at 2:15 PM

   

The principal ideas underlying the ACO concept are (1) coordination of care through integrated services (can be virtually integrated); (2) financial incentives for clinicians and hospitals to efficiently manage patients; and (3) an underpinning IT infrastructure for data management and analytics, that supports saving money in the process. And, in the Accountable Care Act’s Medicare Shared Savings initiative, sharing those savings with the provider-partners in the ACO. The majority of ACOs have focused on primary care. The ACO concept is also easily applied to oncology, which may have the highest payoff in terms of cost savings through disease prevention and early diagnosis and management.   Examples of moves toward the oncology ACO model in the United States are:

  • United Healthcare  (5 episode payment pilot sites)
  • Texas Oncology/Innovent Oncology and Aetna
  • Oncology Physician Resource (OPR) and Michigan Blue Cross
  • Wilshire Oncology and Wellpoint, Southern California
  • CareFirst Blue Cross pathways and medical home initiative, Maryland
  • Priority Health oncology medical home initiative, Michigan
  • Florida Blue, Baptist Health South Florida and Advanced Medical Specialties Oncology ACO, Miami
Harvard Pilgrim Health Plan with oncology medical home demonstration pilot, Massachusetts;[i]

[i] The Rapidly Evolving ACO World, Ronald R. Barkley, MS, JD, OBR Green, September 2012 Edition. Vol. 6, Issue 5.

The Oncology ACO is coming and Cordata wants to assist its current and future clients in this evolution and be part of your ACO capable IT infrastructure

If you are interested in becoming an Oncology ACO…let our national oncology leader help make it happen with our oncology application as your ACO capable oncology information technology infrastructure. You can reach her at cam.teems@cordatahealth.com

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Topics: Accountable Care

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