Should we do away with ACOs? The answer depends on who you ask

September 6, 2021Garrett SchmittNo Commentsaccountable care, ACOs, CMMS, CMS

Though accountable care organizations have been around for more than a decade, their effectiveness at reducing healthcare costs remains a highly debated issue, prompting impassioned condemnations and defenses from experts in the industry. A new study has stirred up the pot once again. The goal of ACOs, that is, entities that take responsibility for the quality and…

10 ACOs with the most shared savings in 2020

September 3, 2021Garrett SchmittNo CommentsACOs, bonus payments, CMS, downside risk models, one-sided risk models, performance payments, Shared Savings, two-sided risk models

ACOs participating in the Medicare Shared Savings Program in 2020 earned performance bonuses totaling nearly $2.3 billion and saved Medicare a record $1.9 billion, CMS said Aug. 25. CMS said 345 out of 513 ACOs, or 67 percent, earned shared savings payments in 2020, but the data shows that ACOs participating in downside risk models were more…

Characteristics and Performance of ACOs and Accountable Physician Groups: What Does the Evidence Tell Us?

September 1, 2021Garrett SchmittNo Commentsaccountable care, accountable physician groups, ACOs

The Council of Accountable Physician Practices (CAPP) engaged the Institute for Accountable Care (IAC) to review recent literature to assess the current state of research on the characteristics and performance of accountable care organizations (ACOs) and accountable physician groups. CAPP has promoted five elements as essential to accountable care: coordinated care, outcomes-based payment, health information technology,…

RECORDED WEBINAR: Post-Acute Analytics – What’s in It for My ACO?

August 31, 2021Garrett SchmittNo CommentsACO, ACOs, cost of care, hospital readmissions, post-acute analytics, Shared Savings, SNF, SNF networks, SNFs, total cost of care, Webinar, webinars

DOWNLOAD SLIDES Learn about the types of analytics available in post-acute healthcare and how they’re being used by ACOs to: Build and sustain high-performing SNF networks Prevent hospital readmissions and adverse events Reduce total cost of care and Earn more shared savings Speaker: Janine Savage, RN, CHC Vice President, Product Management, Analytics and Business Intelligence…

Medicare ACO Savings Increased to $4.1B in 2020

August 26, 2021Garrett SchmittNo CommentsACOs, Medicare, Medicare ACOs, savings

Medicare ACO savings hit a record high, with accountable care organizations collectively saving Medicare $4.1 billion in 2020, according to a new report. The total savings, along with the $1.9 billion in net savings after accounting for shared savings payments, made 2020 the best year yet for the Medicare Shared Savings Program, report author National Association…

New ACO Playbook: 3 Strategies To Tackle Hidden Costs Of Specialty Care

August 25, 2021Garrett SchmittNo Commentsaccountable care, ACO, ACOs, CMS, cost data, cost variation, healthcare costs, hospital admissions, specialty care, specialty physicians

Your ACO’s most significant costs may seem obvious. CMS and most ACOs have put an enormous emphasis on reducing utilization of hospital facilities and nursing home care to control costs. But your real key to cost reduction is knowing what drives avoidable admissions and stays in the first place. And with 50-60 percent of costs…

ACOs generated $4.1B in gross savings in 2020, nearly double 2019 amount

August 25, 2021Garrett SchmittNo CommentsACOs, Medicare, Medicare Shared Savings Program, MSSP, savings

Accountable care organizations saved Medicare $4.1 billion in 2020 and nearly $2 billion after taking out shared savings, according to new federal data. The data, announced Wednesday by the National Association for Accountable Care Organizations (NAACOS), are an improvement over the $2.6 billion in shared savings they generated in 2019 and $1.9 billion after taking…

Medicare ACOs Saved $4.1B in 2020

August 25, 2021Garrett SchmittNo CommentsACOs, Medicare, MSSP, Shared Savings, shared savings payments

The Medicare Shared Savings Program collectively saved Medicare $4.1 billion last year and $1.9 billion after accounting for shared savings payments. It is the highest annual savings to date for the accountable care organization model that served 10.6 million seniors in 2020. The accountable care organizations had an average quality score of 97.8% and 60…

NAACOS Leaders Document Major MSSP Savings, Support Pro-ACO Legislation in Congress

August 25, 2021Garrett SchmittNo CommentsACOs, alternative payment models, Medicare, Medicare Shared Savings Program, MSSP, NAACOS

On Wednesday, Aug 25, leaders at the Washington, D.C.-based NAACOS—the National Association of ACOs—trumpeted the progress of accountable care organizations in saving money for the Medicare program, one day after joining eleven fellow national healthcare associations in pleading with members of Congress to include legislation supporting alternative payment model acceleration in upcoming federal legislation. On…

Cost Savings Aren’t The Only Objective For ACOs: Growth Matters, Too

August 24, 2021Garrett SchmittNo Commentsaccountable care, ACO, ACO Growth, ACOs, CAHPS, cost savings, episodic bundles, Medicare, Medicare ACOs, MSSP, new patients, Patient Loyalty, Patient Population, Patient Retention, Patient Satisfaction, voluntary commitment

Keeping within expenditure limits is a top priority for most ACOs for Medicare. That makes sense. Savings are the main distinguishing feature of an ACO arrangement, as opposed to straight Fee-for-Service reimbursement. ACOs that accept downside risk can’t afford to exceed the expenditure target. It’s in their best interest to create initiatives to cut costs…

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