Accountable Care Organizations

Spike in Radiologist Accountable Care Organization Participation

by Jill McKeon

Radiologist involvement in Medicare Shared Savings Program (MSSP) accountable care organizations (ACOs) has increased significantly in recent years, showing promise for increased specialist...

No Extension for Next Generation ACO Model After This Year

by Jacqueline LaPointe

The Next Generation Accountable Care Organization (ACO) Model will come to an end at the end of this year as planned despite several calls for an extension, according to an email to model...

Medical Groups Ask for More Time Before ACO Quality Reporting Changes

by Jacqueline LaPointe

According to nearly a dozen leading medical groups, changes to accountable care organization (ACO) quality reporting are rushed, unclear, and potentially harmful to patient care. In a letter to HHS...

Industry Groups Seek Next Gen Extension, Full-Risk ACO Options

by Jacqueline LaPointe

A group of leading healthcare industry groups are calling on HHS to provide more full-risk accountable care organization (ACO) model options, including an extension of the popular Next Generation ACO...

CMS Stops Accepting New Direct Contracting Applications

by Jacqueline LaPointe

CMS has announced that it will not be soliciting any more applications for the Global and Professional Direct Contracting Models slated to launch on January 1, 2022. Organizations that had already...

CMS Delays CHART Model’s ACO Transformation Track

by Jacqueline LaPointe

CMS has pushed back the application cycle by a year for a new rural-focused accountable care organization (ACO) model. In an email sent yesterday, CMS said it has delayed the request for applications...

Solving the ACO’s Out-of-Network Utilization Problem

by Jacqueline LaPointe

Physician networks are key to the success of accountable care organizations. Leaders of these organizations, otherwise known as ACOs, lean on their networks of high-quality, cost-efficient providers to...

NAACOS Calls For Renewed HHS Focus, Funding on Value-Based Care

by Hannah Nelson

In a letter to HHS, the National Association of Accountable Care Organizations (NAACOS) recommended that the agency promote significant ACO growth after several years of policies have hampered...

Preparing Physician Practices for Direct Contracting, Risk Models

by Jacqueline LaPointe

Physicians want three things, according to Anthony Valdés, President of Collaborative Health Systems, and those are to deliver great clinical outcomes, get paid fairly for that...

ACO Participation Hits New Low as Biden Administration Takes Over

by Jacqueline LaPointe

Accountable care organization (ACO) participation in the Medicare Shared Savings Program has hit a new low in 2021, according to new data from CMS. The data dropped by CMS this week showed that 477...

Next Generation ACOs Saved Medicare $558M in 2019

by Jacqueline LaPointe

Accountable care organizations (ACOs) taking on the greatest financial risk in Medicare through the Next Generation ACO Model saved the public payer over $558 million in 2019, according to partial data...

ACOs Fear Direct Contracting Options Stray Too Far From Providers

by Jacqueline LaPointe

Value-based providers, like accountable care organizations (ACOs), may be at a disadvantage under new direct contracting options in Medicare that allow for a broad range of healthcare organizations to...

ACOs, Population-Based APMs Most Effective at Lowering Costs

by Jacqueline LaPointe

If CMS aims to lower healthcare costs and improve quality, then the agency should use more population-based alternative payment models, like accountable care organizations (ACOs), according to a new...

51 Organizations Join New Direct Contracting Opportunity from CMS

by Jacqueline LaPointe

CMS recently announced that 51 organizations will take part in a new directing contracting opportunity that will test what the agency calls the “next evolution of risk-sharing...

Top 10 Accountable Care Organizations by Shared Savings in 2019

by Jacqueline LaPointe

Accountable care organizations (ACOs) in the Medicare Shared Savings Program collectively saved $2.6 billion in 2019, netting Medicare $1.19 billion, according to the latest program performance...

How Top Accountable Care Organizations Save Year After Year

by Jacqueline LaPointe

Accountable care organizations had a record year, according to the latest performance data for the Medicare Shared Savings Program. CMS recently announced that organizations participating in the program – which are otherwise known...

Most ACOs Worried About Rising Advanced APM Thresholds Next Year

by Jacqueline LaPointe

A new survey confirms a growing concern among accountable care organizations (ACOs) – most ACOs are unlikely to meet rising participation thresholds for MACRA’s Advanced Alternative Payment...

Medicare Shared Savings Program Saved a Record $1.19B in 2019

by Jacqueline LaPointe

Medicare Shared Savings Program (MSSP) generated $1.19 billion in total net savings to Medicare in 2019, representing the third consecutive year for net program savings and the largest annual savings...

CMS Unveils New Value-Based Care, ACO Options for Rural Providers

by Jacqueline LaPointe

A new rural health model recently unveiled by CMS will offer rural providers and their communities new funding opportunities to bolster value-based care through capitated payments and accountable care...

Lawmakers Propose Changes to MACRA to Boost ACO, APM Participation

by Jacqueline LaPointe

A bipartisan bill introduced late last week aims to increase alternative payment model (APM) participation by making “commonsense changes” to the Medicare Access and CHIP Reauthorization...