As the healthcare industry works to move away from the fee-for-service system, three healthcare stakeholders have teamed up to release a playbook that details the best practices for value-based arrangements. The three organizations are AHIP, the American Medical Association (AMA) and the National Association of ACOs (NAACOS). AHIP represents health insurers, while the AMA represents…

CVS Accountable Care and inVio Health Network, a collection of more than 5,600 providers in South Carolina, are partnering to improve care outcomes for 60,000 Medicare beneficiaries. The two partners will create a new accountable care organization under the ACO REACH program. CVS will provide the resources and analytical know-how necessary to scale inVio, the…

Though the Medicare Advantage hospice carve-in is going away at the end of this year, those operators still have a role to play in value-based care. The carve-in, formally known as the hospice component of the value-based insurance design model (VBID), will expire on Dec. 31. The program was designed to test hospice coverage through…

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…

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…

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…

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…