It was another record year for the Medicare Shared Savings Program. The 476 accountable care organizations, or ACOs, participating in the program in 2024 saved over $6.5 billion, delivering care to 10.3 million Medicare beneficiaries. What’s more, the ACOs made significant improvements in key patient outcomes, particularly around prevention and chronic disease management. The 2024 financial and…
According to new CMS data, accountable care organizations (ACOs) saved Medicare $2.4 billion in 2024, setting a new record for savings in the Medicare Shared Savings Program (MSSP). At the same time, more healthcare organizations may be turning to value-based care to help them mitigate the impact of new policy changes, financial pressures, and more. Medicare ACOs set new…
Value-based care (VBC) continues to become a mainstream reality for health care providers. While a patient may not notice a difference between a value-based or a fee-for-service (FFS) approach, there is a stark difference for physician practices. It represents a complete paradigm shift. VBC is a necessary approach that allows physicians to care for the…
The transition from fee-for-service to value-based care (VBC) puts continued pressure on the healthcare industry, especially as organizations push to remain relevant in a competitive environment while improving patient outcomes. The primary goal of VBC is to enhance clinical results and reduce overall healthcare costs, aligning care delivery with the evolving expectations of payers and patients. Learning…
Collaboration, clinical evidence, data sharing and a focus on patient access are some of the critical things needed to provide those with cancer the best care while managing costs, say panelists at a session at the Pharmacy Benefit Management Institute’s annual meeting today in Orlando. This will be even more critical as new targeted, innovative…
In 2025, it’s harder than ever to access primary care in the United States, with patients now waiting an average of 31 days for an appointment — a 50% increase over the past two decades. A new Health Affairs Forefront article points to income disparities as a key factor in this trend. Specialists earn about $394,000 annually,…
Download Slides Success in value-based care (VBC) depends on providers working together to deliver high-quality, cost-effective care. However, without access to the right data, they’re forced to navigate VBC challenges without a clear path forward. Join Milliman MedInsight and Genesys PHO for an interactive webinar where we’ll uncover how advanced performance analytics can reveal…
From improving outcomes for vulnerable, post-acute patients to building collaborative networks using real-time data for measurable impact, it can take several different approaches to deliver quality care and get reimbursed in the world of value-based care. In an interview, Steve Holt, VP Government Affairs, PointClickCare, discussed how hospitals and ACOs can succeed with alternative payment…
Out of U.S. News & World Report’s top 50 heart hospitals, Phoenix-based Mayo Clinic Arizona and Rochester, Minn.-based Mayo Clinic had the highest total performance scores in CMS’ Hospital Value-Based Purchasing program for fiscal 2025, at 51.5 and 51.08, respectively. Through its HVBP program, CMS pays hospitals for “inpatient acute care services based on the quality of care, not just…
The Medicare Shared Savings Program, or MSSP, is the largest ACO program in Medicare with 10.3 million beneficiaries covered by almost 480 ACOs. Participating ACOs receive a portion of the savings they generate compared to a benchmark, while ACOs with spending exceeding the benchmark might have to pay a penalty. The goal is to improve…