Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Pioneer ACO Model

Accountable Care Organizations Cut Medicare Spending by $836M

November 1, 2017 - Accountable care organizations (ACOs) decreased Medicare spending by $836 million in 2016, new data from CMS revealed. As a result, the organizations from four Medicare ACO programs returned about $70.6 million in healthcare savings to the Medicare Trust Fund, according to an analysis by the Health Care Transformation Task Force. The programs included the Medicare Shared Savings...

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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 earlier this week. “The...

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 (OIG).  The report indicates CMS...

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 quality care delivery for Medicare...

Pioneer ACO Model: The Embrace of Population-Based Payments

by Jacqueline DiChiara

The Department of Health and Human Services (HHS) has released an independent evaluation report revealing an innovative patient care payment model. This model, the Pioneer ACO Model, which stemmed from a pilot project and Affordable Care...

CMS Announces Next Generation ACO Model Initiative

by Jacqueline DiChiara

The Department of Health and Human Services (HHS) has announced its latest initiative for the Centers for Medicare & Medicaid Services’ Innovation Center (CMS Innovation Center), the Next Generation Accountable Care Organization...

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 “value rather than...


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