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Medicare Spending Greater on Patients in Downside Risk MSSP ACOs

Medicare Spending Greater on Patients in Downside Risk MSSP ACOs

May 29, 2018Jacqueline BelliveauNo CommentsRevCycle Intelligence

Moving accountable care organizations (ACOs) to Medicare Shared Savings Program (MSSP) tracks with downside financial risk may not help the accountable care initiative generate savings, according to a new analysis from the Center for Healthcare Quality and Payment Reform (CHQPR).

The study found that CMS spends more per beneficiary in ACOs with downside risk compared to organizations in the upside-only track despite downside risk ACOs generating greater savings.

The most recent performance year data showed that Medicare saved $77 per beneficiary attributed to MSSP ACOs in Tracks 2 and 3 in 2016. In contrast, Medicare saw a financial loss of $10 per beneficiary in Track 1 ACOs that same performance year.

Full Article

: Downside Risk, Medicare Spending, MSSP

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