ACO Execs Describe Painful Transition to eCQM Reporting

October 1, 2021Garrett SchmittNo CommentsACOs, CMMS, eCQM, eCQM reporting, EHR, reporting

On Oct. 1, at the NAACOS Fall 2021 Conference, executives from three accountable care organizations described the daunting road ahead in transitioning to the submission of electronic clinical quality measures (eCQMs) to the Centers for Medicare & Medicaid Services. After receiving strong feedback from ACOs about how challenging (and expensive) the transition to eCQMS would…

ACOs: Proof of the power of medical culture

September 30, 2021Garrett SchmittNo CommentsACO, ACOs, capitated ACOs, fee-for-service, FFS, healthcare culture, medical culture

Accountable Care Organizations (ACOs) have been around for more than a decade—created with the idea that integrating care providers across settings (hospitals, primary care, specialty care, etc.) and aligning their financial incentives would lead to improved clinical outcomes and lower healthcare costs. And indeed, some of the most effective and efficient healthcare organizations in the…

NAACOS: CMS must provide upfront funds, raise benchmarks to help ACOs close health equity gaps

September 29, 2021Garrett SchmittNo CommentsACOs, Biden, Biden administration, CMS, health equity, health equity gaps, NAACOS

The Biden administration needs to provide money upfront to help form accountable care organizations in rural areas and give more financial support to address health equity, a new report finds. The National Association of ACOs (NAACOS) released a white paper Wednesday that outlines a series of recommendations to better position organizations to help address health…

Special Report: Analyzing 2020 ACO Results and Factors for Success

September 27, 2021Garrett SchmittNo CommentsACO, ACOs, CMS, MSSP

The Medicare Shared Savings Program (MSSP) is the largest value-based care program from the Center for Medicare & Medicaid Services (CMS) to date. As of 2020, there were 513 ACOs participating in the program, with a total shared savings of $2.28 billion.8 This program seeks to accomplish the following: Promote accountability among healthcare institutions for the…

Coordination Without Consolidation? Options for ACOs

September 14, 2021Garrett SchmittNo Commentsaccountable care, accountable care organizations, ACO, ACOs, consolidation, coordination

Accountable care organizations (ACOs) have been a large part of the transition away from fee-for-service payments, with the number of ACOs rapidly growing over the past decade. However, there has been a plateau in the number of ACOs since 2018, with ACO exits outweighing entrants for the past 2 years.1 From our analysis of Medicare Shared…

Supporting Value-Based Health Care — Aligning Financial and Legal Accountability

September 9, 2021Garrett SchmittNo CommentsACOs, financial accountability, legal accountability, value-based care, vbc

U.S. health care payment and delivery-system reforms have focused on improving care by making organizations accountable for outcomes, quality, and costs. Payers have supported the implementation of accountable care organizations (ACOs), bundled-payment models, and other value-based payment reforms because they believe that holding health care systems accountable for population-level costs and quality will be more…

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…

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