Accountable Care Organizations

MSSP ACOs Improve Care Quality, Struggle to Realize Savings

by Jacqueline LaPointe

Medicare accountable care organizations (ACOs) found overwhelming success with care quality improvements in 2016, but the organizations were still working on reducing costs, according to a recent...

Accountable Care Organizations Cut Medicare Spending by $836M

by Jacqueline LaPointe

Accountable care organizations (ACOs) decreased Medicare spending by $836 million in 2016, new data from CMS revealed. As a result, the organizations from four Medicare ACO programs returned about...

AMGA to Reps: Pass CHRONIC Care Act to Aid ACOs, Team-Based Care

by Jacqueline LaPointe

AMGA recently pushed House Representatives to pass the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017, which would particularly support accountable...

61% of Next Generation ACOs Earned Shared Savings in 2016

by Jacqueline LaPointe

The majority of Next Generation Accountable Care Organizations (ACOs) earned shared savings in the first year of the model, recent data from CMS revealed. Eleven of 18 total Next Generation ACOs will...

ACOs Plan to Move to Downside Financial Risk, Capitation Contracts

by Jacqueline LaPointe

Accountable care organizations (ACOs) are planning to enter downside financial risk arrangements, with 47 percent planning on entering a shared savings and losses contract and 38 percent pursuing...

MSSP ACOs Decreased Spending by $1B, Improved Care Quality

by Jacqueline LaPointe

Accountable care organizations (ACOs) participating in the first three years of the Medicare Shared Savings Program (MSSP) reduced Medicare spending, with a net reduction of almost $1 billion,...

Cost Savings Unclear for Medicaid Alternative Payment Models

by Jacqueline LaPointe

Alongside Medicare and private payers, states are making the switch to value-based reimbursement, but states and independent researchers have yet to demonstrate the impact of Medicaid alternative...

Accountable Care Organization Saves $4.8M With Nutrition Aid

by Jacqueline LaPointe

A case study in American Health & Drug Benefits showed that Advocate Health Care, an accountable care organization in the Chicago area, reduced healthcare costs by $3,800 per patient, or $4.8...

Accountable Care Organizations Grow, But Face New Challenges

by Jacqueline LaPointe

Since the Affordable Care Act paved the way for accountable care organizations (ACOs) in 2010, healthcare providers have increasingly turned to the alternative payment model as a way to engage in...

MSSP ACOs Missed $886M in Potential Revenue By Avoiding Risk

by Jacqueline LaPointe

Accountable care organizations (ACOs) in Track 1 of the Medicare Shared Savings Program (MSSP) could have received an additional $886 million in net payments in 2015 if the organizations took on...

Understanding the Top 10 Terms of Value-Based Purchasing

by Jacqueline LaPointe

Whether providers favor it or not, the healthcare industry is inevitability moving to value-based purchasing. CMS reported in 2016 that Medicare already linked 30 percent of traditional...

Core Competencies for Accountable Care Organization Development

by Jacqueline LaPointe

The National Business Group on Health (NBGH) recently identified the core competencies accountable care organizations (ACOs) should have at each stage of its development. The two resources from NBGH...

Accountable Care Organizations Continue to Grow With 11% Boost

by Jacqueline LaPointe

The number of accountable care organizations (ACOs) increased with 92 more organizations operating since the first quarter of 2016, reaching a total of 923 ACOs nationwide by the start of 2017, a...

Do Financial Benchmarks Truly Measure ACO Savings, Spending?

by Jacqueline LaPointe

Healthcare stakeholders should not use financial benchmarks developed by CMS to evaluate actual accountable care organization (ACO) savings, three Harvard Medical School experts in a recent Health...

ACOs Restructure Healthcare Staffing for High-Risk Patients

by Jacqueline LaPointe

To successfully lower healthcare costs while improving care quality, accountable care organizations (ACOs) have restructured their healthcare staffing models to provide additional support to high-risk...

Targeting Skilled Nursing Facility, ESRD Care Saves ACO $15M

by Jacqueline LaPointe

A Medicare Shared Savings Program (MSSP) accountable care organization (ACO) realized over $15 million in healthcare savings between 2014 and 2015 by improving skilled nursing facility utilization and...

AHA to IRS: Foster Hospital Participation in Commercial ACOs

by Jacqueline LaPointe

The American Hospital Association (AHA) recently called on leaders from the Department of Treasury and IRS to issue formal guidance that would permit non-profit hospitals to participate in commercial...

Incorporating Population Health in Next Gen of Bundled Payments

by Jacqueline LaPointe

The next generation of bundled payments should focus on population health management, researchers recently argued in a Journal of the American Medical Association report. Bundled payment models can...

NAACOS: Mandatory Bundled Payments Impede ACO Financial Success

by Jacqueline LaPointe

The National Association of ACOs (NAACOS) recently urged CMS to indefinitely suspend upcoming mandatory Medicare bundled payment models until the federal agency resolves financial conflicts between the...

CMS Reopens Next Generation ACO Application Request Portal

by Jacqueline LaPointe

Providers interested in joining the Next Generation Accountable Care Organization (ACO) model in 2018 can now access the Request for Applications and Letter of Intent on the program’s portal,...