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ACO leaders share methods for building successful programs

April 15, 2024Garrett Schmitt

Successful accountable care organizations (ACOs) have lessons to share with their peer health systems, said five organization leaders who spoke at the spring conference of the National Association of ACOs (NAACOS). ACOs have success stories to share, but those have come through hard work, they said. The discussion was part of the Spring Conference of…

Chutes & Ladders—NAACOS President Gaus bids farewell; Parsley Health adds co-CEO

April 12, 2024Garrett Schmitt

National Association of ACOs (NAACOS) President and CEO Clif Gaus is retiring in the fall. The organization will look for a new CEO with a search committee. Gaus founded NAACOS in 2012 as the first and only national org to serve ACOs. Since then, the number of ACOs in the country have grown from 100…

ACO Leaders Press CMS for Response on Catheter Anomalous Billing

April 11, 2024Garrett Schmitt

At this week’s spring meeting of the National Association of ACOs (NAACOS), officials from the Centers for Medicare & Medicaid Services were asked to respond to growing concerns about the impact of widespread anomalous billing and suspected fraud involving urinary catheters that is impacting Medicare ACO results. According to a February 2024 story in the…

Surgeon Leader to Congress: Make CMMI Test Physician-Developed APMs

April 11, 2024Garrett Schmitt

In April 11 testimony before the U.S. Senate Finance Committee, American College of Surgeons (ACS) Executive Director and CEO Patricia L. Turner, M.D., M.B.A., said surgeons seeking to move beyond fee for service still find few physician-focused alternative payment models (APMs) available since none of the models submitted to the Physician-Focused Payment Model Technical Advisory…

CMS officials say agency is monitoring concerns from ACOs about DME costs

April 11, 2024Garrett Schmitt

Accountable care organizations have sounded the alarm on billions in durable medical equipment fraud, and officials at the Centers for Medicare & Medicaid Services (CMS) said Thursday that the agency is monitoring the issue. The National Association of ACOs (NAACOS) told the feds that a review of data from CMS’ Virtual Research Data Center found…

NAACOS to seek new leader, evolve to deal with market changes

April 11, 2024Garrett Schmitt

Changes to leadership and structure are in the plans for the National Association of Accountable Care Organizations (NAACOS). Founding President and CEO Clif Gaus, ScD, announced he will step down in the fall. He has been with the organization since its start in December 2012. NAACOS now has 450 members; since its start, the market…

Medicare leaders discuss accountable care growth as part of NAACOS conference

April 11, 2024Garrett Schmitt

Medicare leaders say they are committed to helping accountable care organizations work toward agency’s 2030 goal of having 100% of traditional Medicare beneficiaries in accountable care relationships. Three top leaders within the U.S. Centers for Medicare & Medicaid Services spoke during the opening plenary of the 2024 spring conference of the National Association of Accountable…

Health care organizations collaborate on best practices for value-based care

April 10, 2024Garrett Schmitt

A new volume outlines the best ways to find success as health care entities integrate value-based care arrangements into their operations. The American Medical Association, the National Association of ACOs (NAACOs) and AHIP, the trade group representing America’s health insurance payers, collaborated to publish“Creating a Sustainable Future for Value-Based Care: A Playbook of Voluntary Best…

Why contract management is crucial for ACOs, risk-bearing providers in VBC

April 8, 2024Garrett Schmitt

Accountable Care Organizations (ACOs) are increasing in popularity as healthcare organizations strive to improve care quality and operational efficiency. Data from the Centers for Medicare and Medicaid Services (CMS) shows that more Medicare patients than ever – nearly 13.4 million beneficiaries – are being cared for by ACOs this year. The largest ACOs serve Medicare…

How ACO Flex Could Make Hospice ‘Top of Mind’ with Primary Care Providers

April 4, 2024Garrett Schmitt

Collaborations with participants in the Centers for Medicare & Medicaid Innovation’s (CMMI) Accountable Care Organization (ACO) Primary Care Flex demo could allow hospices to leverage their skill sets to access more patients. Hospices and palliative care providers can come to ACOs by two main avenues. They can become members of those organizations themselves, or they…

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