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 Program (MSSP). In a letter to HHS Secretary Alex Azar and CMS Administrator Seema Verma, the National Association of ACOs (NAACOS), America’s Physician Group (APG), and Premier are calling…
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Dive Brief: Accountable care organizations are less likely to leave the Medicare Shared Savings Program after their third year in the program, according to a new study published in the May issue of Health Affairs. Some 30% of all MSSP ACOs exited within the first five years of the program, mostly midcontract, the study found. Of that,…
Embraced by some provider groups and disparaged by others, CMS’s five new payment models for practices focused on primary care include much to consider. All reflect a key departure of Medicare’s Value-Based Health Care (VBHC) efforts to date: they are direct efforts by Medicare to transition physician practice revenues to risk without the necessity of…
Within the next three years, nearly half of employers plan on implementing high-performance networks (HPN), centers of excellence (COE), onsite or nearby health centers and accountable care organizations (ACO) as ways to provide quality and affordable healthcare options, according to a Willis Towers Watson (WTW) survey released Wednesday morning. Eighty percent of respondents intend on…
Medicaid accountable care organizations (ACOs) have not grown as quickly as industry experts anticipated, according to a new report from Leavitt Partners. ACOs with at least one Medicaid contract accounted for just eight percent of all ACOs by the end of 2018, the healthcare intelligence business found using ACO data from their Torch Insight database. In other…
Three of the national associations most fully involved in helping their member provider organizations move forward into accountable care organization (ACO) development and value-based contracting released a joint statement on Tuesday asking federal healthcare officials to make the Next Generation ACO model a permanent part of the Medicare Shared Savings Program. America’s Physician Groups (APG),…
Accountable care organizations are more likely to stay in the Medicare Shared Savings Program if they achieve bonuses, even if it’s just once, according to a new study. The analysis, published Monday in Health Affairs, found that the risk of an ACO leaving the Medicare program is cut by more than three-quarters if they receive…
The decision about whether to participate in the Centers for Medicare and Medicaid Services’ (CMS’s) new Medicare Shared Savings Program (MSSP), Pathways to Success, is complicated. It requires a detailed understanding of the rules of the program, your patient population, as well as your level of maturity with several key population-management capabilities (e.g., care management,…
At the 16th annual World Health Care Congress that took place in Washington, D.C., healthcare payer and provider executives held dynamic discussions on the move toward value-based care while emphasizing that transformation will be needed at all levels—clinically, operationally, and culturally. Across two robust conference panel discussions on April 29, industry leaders offered their varying perspectives on the…