Medicare Shared Savings Program

CMS Says 121 New Medicare ACO Participants Advance Quality

by Jacqueline DiChiara

The new future of the Accountable Care Organization is here. The Centers for Medicare & Medicaid Services (CMS) has announced 121 new Medicare Accountable Care Organization (ACO) participants....

CMS Reports ACOs Assume High Risk Yet Generate High Savings

by Jacqueline DiChiara

Accountable care organizations (ACOs) generated over $411 million in net program savings last year, according to financial and quality performance results from the Centers for Medicare & Medicaid...

Do Medicare Shared Savings Program Final Waivers Boost ACOs?

by Jacqueline DiChiara

Laws that restrict financial arrangements between hospitals, physicians, beneficiaries, and the like are on the immediate horizon, according to newly published regulation from the Centers for Medicare...

Are Accountable Care Organizations Worth Investment Risk?

by Jacqueline DiChiara

Do Accountable Care Organizations (ACOs) have longevity in the healthcare industry or will they soon merely be gone with the wind? As RevCycleIntelligence.com reported, the Centers for Medicare &...

CMS: Medicare ACOs Boost Care Quality, Yield Shared Savings

by Jacqueline DiChiara

Medicare Accountable Care Organizations (ACOs) – collaborative groups of physicians, hospitals, and other healthcare providers who voluntarily unite to help provide better coordinated care –...

Improved ACO Participation Saves $240M, Says CMS Final Rule

by Jacqueline DiChiara

Established payment algorithms of Accountable Care Organizations (ACOs) are up for review. Following a hearty cache of recently proposed physician fee schedules and payment policies, the...

CMS Finalizes ACO Medicare Shared Savings Program Rules

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) announces a final rule updating the Medicare Shared Savings Program. The primary objective of CMS’s actions is to promote high...

ACO Expansion: A Costly but Vital Sustainability Investment

by Jacqueline DiChiara

The number of accountable care organizations (ACOs) is on the rise, albeit a tad slowly, confirms new research from Niyum Ghandi, Partner at Oliver Wyman. There has been active ACO expansion...

Physician-Led ACOs Need Opportunities to Thrive

by Jacqueline DiChiara

Many of the HIMSS15 educational sessions this week in Chicago offered valuable insight into the financial future of the healthcare industry. Farzad Mostashari, MD, ScM, Aledade Inc....

History of Value-Based, Accountable Care Models at CMS

by Jacqueline DiChiara

Improving the overall quality and efficiency of medical care via physicians’ active execution of “meaningful and actionable information” is necessary to promote reimbursement rewarding...

Groups Question Changes to Medicare Shared Savings Program

by Stephanie Reardon

118 out of 220 participating Medicare Shared Savings Program ACOs generated savings through reduced costs, but only 58 of these ACOs managed to meet the shared savings threshold. Seventeen medical...

AHA Reacts to Proposed Rule for Medicare Shared Savings Program

by Stephanie Reardon

CMS’s proposed changes to the Medicare Shared Savings Program would save approximately $280 million more than the median net savings in federal funds from 2016 through 2018. The Medicare Shared...

CMS Proposes Rule Changes for Accountable Care Organizations

by Ryan Mcaskill

Several potential new rules would strengthen the Medicare Shared Savings Program by altering risk/reward, enrollment and more. Yesterday, the Centers for Medicare and Medicaid Services (CMS) announced...

Fraud and Abuse Waivers for ACOs Rule Extended by CMS

by Ryan Mcaskill

This week, the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services (HHS) Office of Inspector General (OIG) extended the effectiveness of an interim final...

Investment Initiative Targets Accountable Care Organizations

by Ryan Mcaskill

This week, the Centers for Medicare & Medicaid Services (CMS) announced the availability of a new initiative for Accountable Care Organizations (ACOs) that are participating in the Medicare Shared...

Medicare ACOs improve care, save $372M in healthcare costs

by Elizabeth Snell

Medicare Accountable Care Organizations (ACOs) improved patient care and generated over $372 million in total program savings, according to the Center for Medicare & Medicaid Services (CMS). The...

2015 proposed physician fee schedule, Part B revisions

by Elizabeth Snell

On Friday, July 11, 2014, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule for its “Revisions to Payments Policies Under the Physician Fee Schedule and Other...