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In federal ACO programs, advocates see signs of slow but steady progress

February 23, 2023Nick HutHFMAACO Development & CMS Application,ACO Growth and Expansion

Growth in accountable care organization (ACO) programs has been inconsistent since the Affordable Care Act made accountable care part of the healthcare lexicon in 2010.

Nonetheless, proponents are optimistic about the state of ACOs and their potential in upcoming years, even if there’s uncertainty about CMS’s ability to achieve its stated goal of ensuring every Medicare fee-for-service beneficiary is in an accountable care relationship by 2030.

Reaching that milestone is “probably going to require additional changes from Congress to make sure there are strong enough incentives [for providers] to be in those risk programs,” said Tim Gronniger, executive vice president for accountable care with Signify Health. “I think we’re headed in the right direction. One hundred percent is a big number.

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