News Releases

The article in Accountable Care News in February 2018 by Dr. Reisman details his ideas on why the savings for high risk complex patients were less than anticipated2. He postulates that the savings are less than expected because the high-risk patients do not benefit from the evidence-based interventions that should keep them as healthy as possible. He maintains that there are additional activities that an ACO could undertake to ensure adherence to treatment pathways that maintain optimal health, such as “ensuring and reinforcing diagnostic and therapeutic strategies that are in line with guideline-directed medical therapy”. There is good evidence that patients receive guideline-based treatment only half the time,3 so the question he poses is: “should we be surprised that the savings we see in value-based care models from care coordination of low-risk patients does not extend to high-risk patients with chronic diseases? In order for care coordination to be successf ...