Hospice News September 14, 2023
Jim Parker

A pilot program by an Accountable Care Organization (ACO) reduced per capita health care expenditures at a rural hospital by 70% and admissions by 98%. A key component of the initiative was a “Four Questions” framework for goals-of-care conversations.

The Center for Medicare & Medicaid Innovation ran the project between 2011 and 2015 at 32 participating hospitals and health systems.

During that period, one participating hospital, the nation’s third largest nondenominational health system at the time, achieved substantial cost savings while improving the patient experience, according to Dr. Tim Ihrig, CEO of Ihrig M.D. and Associates.

“You can help people live, love and laugh and learn and grow, even in the context of horrible progressive, irreversible terminal diseases, because they’re...

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Topics: ACO (Accountable Care), CMS, Govt Agencies, Payment Models, Post-Acute Care, Provider, Value Based
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