Accountable Care Organizations

Medicare ACOs Reduce Healthcare Spending On Complex Patients

by Jacqueline LaPointe

While one of the primary goals of joining an accountable care organization (ACO) is to coordinate care in effort to reduce healthcare spending, many Medicare ACO participants have seen early benefits...

The Future of Accountable Care Organizations Involves Risk

by Jacqueline LaPointe

As many healthcare providers know, participating in a value-based care program, such as an accountable care organization, is about more than just tying payment to quality.  It involves shouldering...

Characteristics of Successful Accountable Care Organizations

by Jacqueline LaPointe

As the number of accountable care organizations (ACO) continues to grow, many healthcare providers are all too familiar with the alternative payment model’s overarching goals of improving care...

How to Address Challenges of Alternative Payment Models

by Jacqueline LaPointe

As the healthcare industry moves towards value-based care, more providers are choosing alternative payment models to facilitate the transition. CAPG, a trade association of accountable physician...

OIG: CMS Lacked Good Management Policies for Pioneer ACO Model

by Jacqueline LaPointe

The Pioneer Accountable Care Organization (ACO) program faced a number of management and leadership challenges during its early days, according to a report from the Office of the Inspector General...

Medicare Shared Savings Program Gets New Cost Calculations

by Jacqueline LaPointe

The Centers for Medicare and Medicaid Services (CMS) has recently finalized a rule that will change the methodology for calculating costs under Medicare Shared Saving Program, the federal agency...

Detailing ACO Challenges with Risk, MACRA Implementation

by Jacqueline LaPointe

While accountable care organizations (ACOs) are popular and effective ways to implement value-based care, many ACOs are still facing significant challenges with managing risk and healthcare costs as the...

AHA: Commercial ACO Tax Ruling Impedes Value-Based Care Models

by Jacqueline LaPointe

By stripping commercial accountable care organizations (ACOs) of their charitable tax exempt status, the IRS could be threatening the future of value-based care and care coordination, according to the...

CMS Allows Some ACOs to Join New Value-Based Care Model

by Jacqueline LaPointe

CMS has expanded the eligibility requirements in the Comprehensive Primary Care Plus (CPC+) model to include primary care physicians in certain Medicare accountable care organizations (ACOs), according...

Mixed Results for MSSP Accountable Care Organization Savings

by Catherine Sampson

According to a report from Leavitt Partners, 42 percent of accountable care organizations (ACO) residing in high-cost markets in the Medicare’s Shared Savings Program (MSSP) earned shared savings,...

AHA: MACRA Alternative Payment Model Incentives Need Changing

by Catherine Sampson

The MACRA Alternative Payment Model incentives should be implemented in a way that provides the best opportunity for physicians to become qualifying participants, the American Hospital Association argued...

Post-Acute Care Can Help Accountable Care Organizations Save

by Clay Ackerly, MD

As the Center for Medicare and Medicaid Innovation (CMMI) continues to deploy new programs, evidence of the impact of existing models continues to trickle in. One consistent theme: the importance of, and...

How MACRA, MIPS Will Impact Critical Access Hospitals, FQHCs

by Catherine Sampson

MACRA means different things to various types of healthcare providers, such as critical access hospitals, rural health clinics and Federally Qualified Health Centers. Although the new MACRA framework...

Anthem Accountable Care Organizations Save $14.8 Million

by Catherine Sampson

Four medical groups participating in Anthem Blue Cross accountable care organization (ACO) arrangements were able to save a total of $14.8 million from 2013 to 2014 due to improved coordinated care...

Number of Accountable Care Organizations Continue to Rise

by Catherine Sampson

The number of accountable care organizations (ACOs) continue to increase across the county. Earlier this year, the Centers for Medicare & Medicaid Services (CMS) announced 121 new Medicare...

IRS: Commercial ACO Can’t Claim Charitable Tax Exemptions

by Catherine Sampson

An unnamed accountable care organization (ACO) will not be able to claim charitable tax exempt status since its role centered on facilitation instead of the provision of care, the IRS said in a...

MA Medicaid Proposes $1.5B Investment in Accountable Care

by Catherine Sampson

MassHealth, the combine management of Medicaid and Children's Health Insurance Programs by the Commonwealth, is joining the accountable care movement by proposing a major $1.5 billion overhaul of its...

CMS Extends Application Period for Next Generation ACO Model

by Catherine Sampson

Providers interested in participating in the Next Generation Accountable Care Organization (ACO) program now have until May 20, 2016 to submit their letters of intent, CMS announced this week. In order...

NAACOS Comments on Accountable Care Organizations Benchmarks

by Vera Gruessner

Last month, the National Association of ACOs (NAACOS) submitted comments for the Health Care Payment Learning & Action Network (LAN) Financial Benchmarking Draft White Paper. NAACOS takes on the...

Using Revenue Cycle Analytics for Effective Value-Based Care

by Vera Gruessner

The hospital industry has been experiencing a number of challenges in recent years due to the payment reforms coming from the Centers for Medicare & Medicaid Services (CMS) and commercial health payers. There has been a much greater...