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Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Hand hygiene01:23

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Accountability in nursing is a fundamental principle that underscores the obligation of nurses to take responsibility for their actions and answer for any errors or omissions in patient care. This principle is grounded in the professional, legal, and ethical frameworks that shape nursing practice. For instance, nurses must adhere to all relevant laws, regulations, and practice standards, including guidelines set forth by nursing boards and professional bodies, to ensure their actions comply...
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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
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Hand Surgeons and Accountable Care Organizations: Increasing Reimbursement Through Value.

Claudius D Jarrett1, Jeffry James2, David Ring3

  • 1Hand and Upper Extremity Surgery, Wilmington Health, Orthopaedic Surgery and Sports Medicine, Partner, Physician Healthcare Collaborative, Wilmington, NC.

The Journal of Hand Surgery
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PubMed
Summary

Alternative payment models are reshaping healthcare reimbursement. Accountable care organizations (ACOs) offer hand surgeons a way to improve care quality, reduce costs, and gain financial rewards through collaboration.

Keywords:
Accountable care organizationalternative payment modelsvalue-based specialty health care

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Area of Science:

  • Health Economics
  • Healthcare Reimbursement
  • Value-Based Care

Background:

  • Traditional fee-for-service models present financial challenges due to misaligned incentives.
  • The Center for Medicare and Medicaid Services is driving reform away from fee-for-service.
  • Alternative payment models are crucial for sustainable healthcare delivery.

Purpose of the Study:

  • To explore the role of accountable care organizations (ACOs) in alternative payment models.
  • To assess the potential benefits of ACO participation for hand and upper-extremity practices.
  • To highlight opportunities for hand surgeons within evolving reimbursement landscapes.

Main Methods:

  • Analysis of current healthcare reimbursement trends.
  • Review of accountable care organization (ACO) frameworks and their impact.
  • Examination of financial implications for specialized surgical practices.

Main Results:

  • Accountable care organizations (ACOs) demonstrate potential for improving healthcare quality and reducing costs.
  • ACO participation can lead to higher net profits for healthcare practices.
  • Growth in ACOs signifies a shift in financial responsibility and reimbursement strategies.

Conclusions:

  • Hand and upper-extremity practices face financial risks with traditional reimbursement.
  • Collaboration with ACOs enables participation in alternative payment models.
  • Engaging with ACOs allows hand surgeons to demonstrate high-quality care and share in cost savings.