Accountable Care Organization

Marriage Material: Independent Practices Find Success in Commitment to Accountable Care Organizations - 01/02/2019

TMA PracticeEdge joins together independent physician practices in accountable care organizations. Their commitment to pool resources and to improve patient care is paying off in the Medicare Shared Savings Program and other value-based care contracts.


This Month in Texas Medicine - 12/03/2018

The December edition of Texas Medicine looks at accountable care organizations in Texas. Plus, see what's new in the TMA Education Center.


MACRA Penalties Reprieve Makes Accountable Care Program Essential - 09/26/2018

TMA has some good news for physicians feeling apprehensive about future success under the Medicare Access and CHIP Reauthorization Act (MACRA). The Centers for Medicare & Medicaid Services (CMS) basically halted penalties for 2019, which means you still have time. If you're looking to make an informed, methodical shift to value-based care but don't know where to start, the 2017 Accountable Care Leadership Program is your one-stop solution.


Celebrating MDs Ahead of the Curve: TMA's 2016 Accountable Care Leaders - 09/26/2018

Accountable care is making big strides this year, most recently last month with the release of the final Medicare Access and CHIP Reauthorization Act (MACRA) rule. A collective of TMA physicians are eagerly matching pace. This month, 27 will graduate from TMA's 2016 Accountable Care Leadership Program.


The Edge of Success - 05/03/2018

Make it through the challenges of forming an accountable care organization (ACO) for just a couple of years, and the money your groups save can be spectacular — into the millions under the right circumstances.


ACOs, Texas-Style - 04/24/2018

Burdensome federal regulations and antitrust rules and hefty overhead costs are oft-cited stumbling blocks to physician involvement in accountable care organizations (ACOs). So perhaps it came as little surprise when the Texas Legislature, less than enamored with the federal health reform legislation that authorized the coordinated care models, came up with its own rendition. In 2011, state lawmakers passed Senate Bill 7, which created a Texas-style ACO, known as a health care collaborative, to encourage physicians, hospitals, and payers to collaborate on more coordinated, cost-effective health care delivery. Now that the Texas Department of Insurance has adopted rules laying out a path to licensure as a collaborative, Texas physicians have a more flexible option that overcomes many of the barriers preventing them from stepping into integrated care models.


TMA PracticeEdge Is Looking to Grow - 11/14/2016

TMA PracticeEdge will expand to Dallas-Fort Worth and West Texas next year and is looking for primary care physicians and internal medicine specialists to anchor several new physician-led accountable care organizations (ACOs) there. Establishing a new physician-owned ACO from scratch typically requires a significant capital expenditure. The TMA PracticeEdge turnkey solution, however, includes the majority of the upfront financial outlay.


TMA, California, Florida Form Joint Venture - 10/11/2016

TMA and the medical associations of California and Florida have formed PSO Services, LLC, a physician services organization with a national scope. The new company will offer a suite of market-based services to support physicians who want to remain independent during this time of increasing government regulation and changing payment models. Working to leverage the trust that physicians place in their state associations, PSO Services will focus initially on developing physician-owned networks to enter into value-based care contracts and manage population health.


TMA PracticeEdge-Built ACOs Open for Business - 06/23/2016

Congratulations to East Texas Regional Accountable Care Collaborative (Nacogdoches), UPSA ACO (San Antonio), Alliance ACO (rural central Texas and Kerrville), and Houston Regional ACO, all of whom kicked off their new value-based contracts on Jan. 1. Combined, these physician-led accountable care organizations (ACOs) working with TMA PracticeEdge represent more than 250 physicians and approximately 40,000 patient lives. All of these groups are accepting new physician members, and the TMA PracticeEdge team is recruiting physicians who want to set up commercial ACOs for a July 1, 2016, start date or the 2017 Medicare Shared Savings Program.


HHS Approves Two Texas ACOs - 06/23/2016

Physician groups in Austin and Fort Worth are among 32 organizations the U.S. Department of Health and Human Services has selected to be pioneer accountable care organizations.


Physicians Graduate From Accountable Care Leadership Course - 06/17/2016

The first capstone event of the Texas Medical Association’s (TMA’s) Accountable Care Leadership Development program concluded Saturday, during which 14 physicians from across Texas fully completed and graduated from the course. TMA presents the program under the oversight of The University of Texas at Dallas (UT-Dallas) to help physicians learn about being leaders in medicine, and about accountable care organizations (ACOs) and how their practice might interact with — or help launch — one.


TMA PracticeEdge Signs Innovista Health Solutions - 06/17/2016

TMA PracticeEdge today announced a multi-year partnership with Innovista Health Solutions to provide an end-to-end suite of services to power TMA PracticeEdge’s accountable care organization (ACO) services solution. This agreement allows TMA PracticeEdge to immediately provide its ACO customers with market-leading tools to manage value-based contracts.


Group Reaches ACO Pact With TMA PracticeEdge, BCBSTX - 05/18/2016

TMA PracticeEdge signed an agreement to provide accountable care organization (ACO) services to UPSA ACO, LLC, a group of San Antonio physicians, in conjunction with a Blue Cross and Blue Shield of Texas (BCBSTX) value-based agreement beginning Jan. 1, 2016.


ACOs: Now Is Time to Learn and Strategize - 05/18/2016

Some hospitals and physicians are rushing to form accountable care organizations (ACOs), a new breed of health care delivery system that the federal health care reform law creates. Loosely defined, an ACO is a collaboration of physicians and health care


Your New Neighbor - 05/13/2016

Accountable care organizations (ACOs) are popping up in Texas as physicians and hospitals join the latest effort to control costs and ensure quality health care. Health system reform's focus on accountable care, coupled with employers' and payers' desire for value-based care, could mean more ACOs are in store.


Most Valuable Players - 05/13/2016

The pressures of today's health care system often force physicians to undervalue their practices in a fire sale to cope with mounting regulatory and administrative burdens and diminishing fee-for-service payments. The movement toward accountable care puts physicians in a unique position to meet increasing demands for high-quality and low-cost care. Hospitals haven't been able to do it, and payers can't do it alone. That makes physician practices more valuable than ever, which means they may want to reconsider selling or, if they do sell, reconsider their worth for the crucial role they are poised to play in new value-based models. Whether those models are hospital-, payer-, or physician-driven, the patient-physician relationship remains at the heart of the health care delivery system, and collaborative, accountable care entities rely on physicians as those with the most influence on health care decisions, costs, and quality outcomes. Enter the Texas Medical Association's Physician Serv...


Winter Conference Explores Medicaid, ACOs - 05/04/2016

The future of the state's Medicaid program and how the changing face of Texas will impact health care highlight the agenda for the 2013 TMA Winter Conference, Feb. 1-2, at the AT&T Conference Center in Austin.