Accountable Care Organizations

FFS, Risk-Based Medicaid ACO Programs Similarly Reduce Costs

by Jacqueline LaPointe

In a comparison of two state Medicaid Accountable Care Organization (ACO) programs, researchers in a JAMA Internal Medicine study found that Oregon’s global capitation ACO model produced similar...

2012 MSSP ACOs Decreased Post-Acute Care Spending by 9%

by Jacqueline LaPointe

A new JAMA Internal Medicine study showed that Medicare Shared Savings Program (MSSP) accountable care organizations (ACOs) established in 2012 decreased post-acute care spending by a 9 percent...

CMS Reopens 2018 Next Generation ACO Model Applications

by Jacqueline LaPointe

Providers interested in participating in the Next Generation Accountable Care Organization (ACO) model in 2018 can now submit a letter of intent to CMS, according to the alternative payment...

CMS Releases MSSP Track 1+ Model Risk Structures, Eligibility

by Jacqueline LaPointe

In a new Medicare Shared Savings Program (MSSP) Track 1+ fact sheet, CMS clarified model details for 2018 to 2020 participation, including maximum shared savings and losses rates, risk assignments, and...

NAACOS Reveals 2017 Accountable Care Organization Priorities

by Jacqueline LaPointe

As part of its 2017 advocacy agenda, the National Association of Accountable Care Organizations (NAACOS) released policy recommendations for ACO improvement. The recommendations included Medicare Shared...

ACO Incentives, Coordination Improve Complex Pediatric Care

by Jacqueline LaPointe

Children with medical complexities, or children who require the highest level of service and support, are one of the most expensive pediatric patient populations. But provider collaboration and...

What is the Medicare Shared Savings Program Track 1+ Model?

by Jacqueline LaPointe

As the Quality Payment Program links more Medicare payments to value-based reimbursement, a new Medicare Shared Savings Program (MSSP) track will allow eligible clinicians to qualify for additional...

CMS Reveals Medicare-Medicaid Accountable Care Organization

by Jacqueline LaPointe

CMS recently unveiled a Medicare-Medicaid accountable care organization (ACO) model that will allow participating providers in the Medicare Shared Savings Program to take on accountability for Medicaid...

61% of ACO Contracts Only Include Upside Financial Risk

by Jacqueline LaPointe

A recent Leavitt Partners study showed that 61 percent of accountable care organization (ACO) contracts are upside risk-only, indicating that ACOs may be risk-adverse or are still in the experimental...

Premier Medicare ACOs Outperform Peers in Cost, Quality By 2:1

by Jacqueline LaPointe

Medicare accountable care organizations (ACOs) that are part of Premier Inc.’s Population Health Management Collaborative (PHMC) outperformed other Medicare Shared Savings Program (MSSP) and...

CMS Grants $1.8B to MA Value-Based ACO Implementation Program

by Jacqueline LaPointe

The MassHealth program in Massachusetts will received about $1.8 billion over the next five years to implement value-based reimbursement structures in the statewide accountable care organization (ACO)...

CMS Launches VT All-Payer Accountable Care Organization Model

by Jacqueline LaPointe

Starting in January 2017, Vermont will implement the first voluntary all-payer accountable care organization (ACO) model that will align ACO design across Medicare, Medicaid, and commercial payers,...

Provider Engagement Key to Accountable Care Organization Success

by Jacqueline LaPointe

Accountable care organizations (ACOs) leaders may need to boost healthcare provider engagement to foster value-based care success, a recent study in the American Journal of Accountable Care...

House Reps Introduce Medicare ACO Improvement Legislation

by Jacqueline LaPointe

House representatives Diane Black (R-TN) and Peter Welch (D-VT) introduced a bill last week that would change the rules for Medicare accountable care organizations (ACOs). The ACO Improvement Act of...

Challenges, Successes of First-Year Shared Savings ACOs

by Jacqueline LaPointe

Participants in the Medicare Shared Savings Program (MSSP) already familiar with physician practice transformation were more likely to earn shared savings payments, which should lead the Centers for...

How Pioneer ACOs Earn Shared Savings, Improve Care Quality

by Jacqueline LaPointe

Massachusetts-based Atrius Health successfully managed several care quality improvements over the previous year and earned both the recognition of CMS and a portion of shared savings as a participant in...

Next Generation Model Methodology May Boost MSSP ACO Success

by Jacqueline LaPointe

CMS should use a modified Next Generation model benchmark methodology to calculate healthcare cost thresholds to ensure all accountable care organizations (ACOs) in the Medicare Shared Savings Program...

CMS: Medicare Accountable Care Organizations Saved Over $466M

by Jacqueline LaPointe

Medicare accountable care organizations (ACOs) saved more than $466 million in 2015, with 125 ACOs qualifying for shared savings payments under the value-based care model, CMS reported in an announcement...

How CMS Would Reimburse ACOs for Value-Based Care under MIPS

by Jacqueline LaPointe

With a final rule on implementing MACRA coming in the next couple of months, some accountable care organizations (ACOs) have started to analyze new value-based reimbursement structures under the proposed...

Non-ACO Hospitals Outperform ACOs in Value-Based Care Programs

by Jacqueline LaPointe

To usher in the age of value-based care, CMS has implemented several value-based care programs and introduced various alternative payment models, such as accountable care organizations (ACO). These...