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Care Coordination/Care Management

Care coordination facilitates the appropriate delivery of health care services by integrating care activities across multiple providers who are dependent upon each other to carry out disparate activities in a single patient’s care. Every participant requires adequate knowledge about his/her own and others’ roles, as well as about available resources, and must rely on the exchange of information to acquire this knowledge.  Care coordination involves entities such as Accountable Care Organizations (ACOs) and Medical/Health Homes; communication and sharing of information between and among providers; treatment, discharge, and transfer planning; and disease management.

The American Recovery and Reinvestment Act of 2009: Part I – Health Information Technology Provisions

Publication: Legal Notes: Aligning Forces for Quality
The American Recovery and Reinvestment Act of 2009 provided billions of dollars in new health and health care spending. The Act contains numerous health information technology-related provisions, and this brief examines the provisions that create a new federal infrastructure for setting HIT policy and standards and that encourage adoption and meaningful use of HIT.

Current View

The Antitrust Aspects of Health Information Sharing by Public and Private Health Insurers

Publication: BNA Health Law Reporter
The application of antitrust law to the health care market is a complex undertaking, given the privacy concerns inherent in the relationship between patients and health care providers and the unique nature of the health care market. This policy brief examines antitrust considerations that arise in health system transformation aimed at producing greater clinical integration and greater levels of information about the quality and cost of care.

Current View

Medicare Quality Measurement and Reporting Programs: Opportunities for Alliances Under Health Reform

Publication: Legal Notes: Aligning Forces for Quality
This Legal Notes examines opportunities presented by the recently enacted American Recovery and Reinvestment Act and the Patient Protection and Affordable Care Act to use Medicare and private payer claims data for provider quality measurement and public reporting on those measures. New payment structures, such as value based purchasing, have created new opportunities to improve health care quality while lowering costs.

Current View

Release of Medicare Data for Performance Measurement

Publication: Legal Notes: Aligning Forces for Quality
This Legal Notes examines the release of Medicare data for performance measurement. Access to Medicare claims data would allow greater reporting of and measurement of provider performance. Medicare data, combined with data from other public and private payers would be more accurate and increase the quality of public reporting to empower consumers and improve health care quality.

Current View

Easing the Pathway to Accountable Care Organizations: Final Administration Policy.

Publication: BNA Health Care Policy Report
This paper examines the series of regulations issued by the Departments of Health and Human Services and Treasury, the Department of Justice and the Federal Trade Commission on the implementation of the Medicare Shared Savings Program. The purpose of the Medicare Shared Savings Program is to improve health care quality and efficiency through the formation of Accountable Care Organizations(ACOs).

Current View

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