Pathways to Success

Top 10 Accountable Care Organizations by Shared Savings in 2019

October 2, 2020 - Accountable care organizations (ACOs) in the Medicare Shared Savings Program collectively saved $2.6 billion in 2019, netting Medicare $1.19 billion, according to the latest program performance data. The figure marks the largest annual savings for the program to date and also the third consecutive year for net program savings, Administrator Seema...

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Medicare Shared Savings Program Saved a Record $1.19B in 2019

by Jacqueline LaPointe

Medicare Shared Savings Program (MSSP) generated $1.19 billion in total net savings to Medicare in 2019, representing the third consecutive year for net program savings and the largest annual savings...

What the Latest ACO Numbers Mean for the Future of the MSSP

by Jacqueline LaPointe

Last week, CMS Administrator Seema Verma reported that CMS approved the applications for 53 new accountable care organizations (ACOs) to join the Medicare Shared Savings Program (MSSP) starting on Jan....

Number of MSSP ACOs Taking Downside Risk Doubles, CMS Reports

by Jacqueline LaPointe

The number of accountable care organizations (ACOs) in the overhauled Medicare Shared Savings Program (MSSP) assuming downside financial risk doubled from 93 ACOS at the start of 2019 to 192 at the...

Driven By Decline in Medicare Contracts, ACO Participation Dips

by Jacqueline LaPointe

The introduction of Pathways to Success may behind falling accountable care organization (ACO) participation numbers, according to researchers from Leavitt Partners and the Duke-Margolis Center for...

Medicare Shared Savings Program ACOs Saved $739M in 2018

by Jacqueline LaPointe

Accountable care organization (ACOs) in the Medicare Shared Savings Program saved $739.4 million in 2018 after accounting for shared savings and losses that year, according to program data released by...

ACO Participation Dipped After Pathways to Success, NAACOS Finds

by Jacqueline LaPointe

The latest accountable care organization (ACO) participation numbers for the Medicare Shared Savings Program (MSSP) raise concerns for the National Association of ACOs (NAACOS). In a recent Health...

Verma Presses Hospitals to Assume Risk in Value-Based Care Models

by Jacqueline LaPointe

CMS Administrator Seema Verma urged hospitals on Tuesday to accept new value-based care models and price transparency requirements or face greater administrative burden, less competition, and lower...

OIG Identifies What Makes Accountable Care Organizations Successful

by Jacqueline LaPointe

Accountable care organizations (ACOs) have reduced Medicare spending and improved care quality, but some organizations are doing it better than others, the HHS Office of the Inspector General (OIG)...

MSSP Sees Drop in New ACO Participation Under Pathways to Success

by Jacqueline LaPointe

CMS selected 206 accountable care organizations (ACOs) to participate in the Medicare Shared Savings Program (MSSP) under Pathways to Success, including 41 entirely new ACOs and 25 re-entering the...

Downside Financial Risk Adoption Still Low Among ACOs, Study Finds

by Jacqueline LaPointe

The number of accountable care organizations (ACOs) increased roughly fivefold since 2012, but the number of contracts with downside financial risk has remained relatively static, according to a new...

How Downside Risk Will Impact Participation in Pathways to Success

by Jacqueline LaPointe

Providers queued up eagerly to partake in the Medicare Shared Savings Program when the rewards outweighed the risks, but many accountable care organizations exited the program as the balance of risk shifted to their perceived...

Provider Groups Want to Make Next Generation ACOs Permanent

by Jacqueline LaPointe

Leading provider groups are asking HHS to make the Next Generation accountable care organization (ACO) model a permanent part of Medicare’s largest ACO program: the Medicare Shared Savings...

CMS Announces Application Cycle for MSSP Pathways to Success

by Jacqueline LaPointe

Starting June 11, providers can submit notices of intent to apply to participate in the overhaul of the Medicare Shared Savings Program (MSSP), dubbed Pathways to Success, CMS recently announced on its...

Half of ACOs Consider Exiting MSSP Over New Downside Risk Rules

by Jacqueline LaPointe

Accountable care organizations (ACOs) are fairly split on whether or not to exit the Medicare Shared Savings Program (MSSP) under new rules that require downside financial risk adoption sooner, a new...

Large, Experienced ACOs Assume Downside Financial Risk Sooner

by Jacqueline LaPointe

Larger, more experienced accountable care organizations (ACOs) are more likely to assume downside financial risk, according to a recent analysis by Leavitt Partners. ACOs that took on downside...

More Groups Want to Extend Medicare Shared Savings Program Deadline

by Jacqueline LaPointe

Eleven healthcare industry groups are supporting the National Association of ACOs’ (NAACOS) call for CMS to extend the Feb. 19 application deadline for the Medicare Shared Savings Program...

67% of MSSP ACOs May Be High-Revenue Under Pathways to Success

by Jacqueline LaPointe

Over two-thirds of Medicare Shared Savings Program (MSSP) accountable care organizations (ACOs) would qualify as high-revenue organizations under the new Pathways to Success initiative, a recent...

CMS Announces Feb 19 Deadline for Pathways to Success Applications

by Jacqueline LaPointe

Accountable care organizations (ACOs) can start their Pathways to Success applications to participate in the initiative replacing the Medicare Shared Savings Program (MSSP) in the summer of 2019. The...

ACO Financial Risk Rules for Pathways to Success Raise Concerns

by Jacqueline LaPointe

Leading healthcare industry groups are concerned that the overhaul of the Medicare Shared Savings Program (MSSP) will impede the transition to value-based care. On December 21, 2018, CMS finalized...

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