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…
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…
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 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…
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…
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…
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…
Value-based care has gotten a lot of attention in the health care industry over the past 10 years, but the truth is, it has not succeeded in what it was intended to do at scale. In fact, research shows that value-based care models have not lowered costs or improved patient outcomes at scale. Individual contributions…
In the ever-evolving healthcare landscape, primary care practices and federally qualified health centers are facing a significant shift as the Centers for Medicare & Medicaid Services (CMS) continues to push towards its goal that all Medicare Beneficiaries be under a value-based contract by 2030. Moreover, providers are faced with constant challenges in maintaining sustainable practices…
The Centers for Medicare and Medicaid Services (CMS) remains committed to episode-based payment models as part of its multidimensional strategy to advance accountable care. Its most recent bundled payment program, Bundled Payments for Care Improvement (BPCI) Advanced, has been extended through 2025. In 2023, CMS announced plans to develop a new mandatory model that builds…