Seventy percent of practices in Medicare’s Oncology Care Model (OCM) would owe payments to CMS if they transition to the program’s two-sided financial risk tracks, a new Avalere analysis...
Risk-based revenue from medical groups and integrated delivery systems (IDNs) accounted for 56 percent of revenues in federal settings and 28 percent of revenues in commercial settings in 2018,...
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...
Health system and health plan CFOs see healthcare consumerism as one of their top organizational risk management priorities, according to a recent survey conducted by the Deloitte Center for Health...
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...
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...
Taking on upside and downside financial risk through value-based contracts is still years away, according to healthcare leaders in a recent survey conducted by HealthCare Executive Group (HCEG) and...
Accountable care organizations (ACOs) are part of the foundation of the healthcare industry’s transition to value-based care and purchasing.
Since the passage of the Affordable Care Act (ACA),...
A new survey of more than 500 C-suite executives showed that most organizations are still experimenting with risk-based contracts in healthcare despite having more ambitious goals for implementation by...
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...
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...
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 recently finalized an overhaul of the Medicare Shared Savings Program (MSSP), which will require accountable care organizations (ACOs) to assume downside financial risk sooner.
The MSSP is the...
Over one-third of accountable care organizations (36 percent) said they are unlikely to continue with the Medicare Shared Savings Program (MSSP) if the proposed overhaul is finalized, a recent survey...
The American Medical Association (AMA), Medical Group Management Association (MGMA), and Health Care Transformation Task Force (HCTTF) are among nine industry groups calling on CMS to reconsider...
Federal regulations and rules are commonly cited as barriers to implementing value-based reimbursement models. The rules can prevent care coordination and appropriate transitions of care, which...
Accountable care organizations (ACOs) in the Next Generation ACO program produced nearly $62 million in net savings to Medicare while maintaining care quality in 2016, CMS recently reported in the...
The proposal to overhaul the Medicare Shared Savings Program (MSSP) would significantly harm the accountable care organization (ACO) movement, the National Association of ACOs (NAACOS) recently...
CMS recently proposed an overhaul of Medicare’s largest accountable care organization (ACO) program, transforming it from the Medicare Shared Savings Program (MSSP) to the Pathways to Success...
Seven House Representatives are calling on CMS to allow successful accountable care organizations (ACOs) in the Medicare Shared Savings Program’s (MSSP) Track 1 to continue in the upside-only...
