Medicare Shared Savings Program

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...

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...

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...

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...

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...

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...

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,...

Top 5 Facts to Know about MACRA Alternative Payment Models

by Catherine Sampson

CMS recently proposed a rule that would put last year's MACRA's legislation into action. The proposal introduces several significant changes to the way providers will attest to quality...

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...

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...

Accountable Care Organization Savings Shift After First Year

by Catherine Sampson

More than 700 accountable care organizations (ACO) currently work toward the goal of improving the quality of healthcare while also reducing capital costs of healthcare thanks to the Affordable Care Act....

Why Primary Care Matters in Medicare Shared Savings Program

by Vera Gruessner

The Centers for Medicare & Medicaid Services (CMS) is moving forward with updating the rules and programs around accountable care organizations. The American Academy of Family Physicians  (AAFP)...

Is the Medicare Shared Savings Program Cutting Costs?

by Vera Gruessner

The Medicare Shared Savings Program has not, as of yet, reduced healthcare spending for the federal government. Along with the lack of cost savings within the Medicare-sponsored program, Kaiser Health...

Medicare Shared Savings Grows Among Burgeoning Payment Models

by Vera Gruessner

Since the healthcare industry has experienced rising costs over the years, providers and federal agencies have focused their energies on implementing new value-based payment models and healthcare...

Physician-Sponsored Accountable Care Organizations Succeed

by Vera Gruessner

The Centers for Medicare & Medicaid Services (CMS) is constantly attempting to reform and modify current programs in order to achieve the Triple Aim of Healthcare – reduced medical costs,...

CMS Proposes Changes to ACO Medicare Shared Savings Program

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule to improve performance incentives for accountable care organizations (ACOs) under the Medicare Shared Savings...

Why Did Experienced Accountable Care Organizations Fail?

by Jacqueline DiChiara

The Medicare Pioneer Accountable Care Organization (ACO) has proven it is able to manage larger performance-based financial risk levels. But some Pioneer ACOs dropped out when quality benchmarks were too...

Why Accountable Care Organizations Need Revenue Cycle Risk

by Jacqueline DiChiara

Is the "Accountable" part of accountable care organizations being ignored? Over 100 new Medicare Accountable Care Organizations (ACO) participants will keep quality high and costs low, according to...

Accountable Care Organizations Renew Hospital Reimbursement

by Jacqueline DiChiara

Accountable Care Organizations (ACOs) may be a welcome hospital reimbursement innovation for the critical access community. Critical care organizations far away from the hustle and bustle of a...