Tag Archives: Medicare

Using Gainsharing to Transition to an ACO at JFK Health: 6 Critical Success Factors

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Implementing an ACO is one of the most difficult strategic transformations that a health care system can attempt. The alignment of physicians and hospitals that comes from gainsharing helps to ensure a successful ACO launch.

Using Gainsharing to Transition to an ACO at JFK Health: 6 Critical Success Factors examines one organization’s experience with how a gainsharing program helped in its transition to an ACO.  The article was featured in the December 2014 issue of Accountable Care News, and is coauthored by myself and William Oser, MD, the Acting Executive Director, JFK Health ACO; Senior Vice President and Chief Medical Officer, JFK Health (Edison, NJ).

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Breaking Down Internal Silos

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As hospitals initiate new strategies to transition from fee-for- service to population health, many times the programs are established in a vacuum.  Managers in one are unaware of what the managers of another are working on – sound familiar.  That age old problem of “silo mentality”.  This may be due to a number of 
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Modern Healthcare report on the squeeze in hospital operating margins (June 23, 2014)

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Operating margin is the easiest way to determine a company’s pricing strategy and operating efficiency.   It is the simplest way to understand how much a company makes on each dollar of sales.  For non-profit hospitals, a positive operating margin means that there is money available to fund additional services; with
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The Revolution Continues

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The AMS Performance Based Incentive System® has now received 3 approvals by Medicare for use in large scale gainsharing demonstrations.  But the roots of our methodology date back to 1976, to the New Jersey demonstration that designed, developed and implemented “payment by the case”.  A recent article in the Annals of Internal Medicine lauded payment by DRG as “…arguably the most influential innovation in the history of health care financing”.  In this blog we fill in missing pieces, including the fact that the
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