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…

What ACOs should do now that CMS won’t extend the Next Gen ACO model through 2022

August 23, 2021Garrett SchmittNo Commentsaccountable care, ACO, ACOs, CMS, Next Gen, Next Generation, Next Generation ACOs, Next Generation model

Accountable care organizations (ACOs) were understandably disappointed in mid-May when the Centers for Medicare and Medicaid Services (CMS) announced that its Next Generation ACO Model would not be extended into 2022. Launched in 2016, the CMS model provides experienced ACOs with a way to assume higher financial risks and rewards offered through the Medicare Shared…

New ACO Playbook: Three Ultimate ACO Strategies To Keep Physician Practices Onboard

August 19, 2021Garrett SchmittNo CommentsACO, ACOs, consolidation, Medicare, PCPs, physician participation, physician practice, physicians, Primary Care, value-based care, value-based payment, value-based payment models, vbc

ACOs have zealously protected their favored status under Medicare Value-Based payment models, ensuring enough time for organizations to feel comfortable with financial risk and make investments in infrastructure. But if your own ACO is losing physicians to new equity-financed networks or to hospitals consolidating practices, more time does not help you. Primary care physicians are…

The Role of CINs in Securing Value-Based Contracts

August 18, 2021Garrett SchmittNo CommentsACOs, CINs, Clinical Integration, Clinically Integrated Networks, cost savings, value-based care, value-based contracts, vbc

It was recently calculated the United States spends $3.8 trillion – or 18 percent of the national economy – on healthcare. The current healthcare landscape indicates this spending rate will not slow anytime soon due to the COVID-19 pandemic, an ongoing healthcare crisis. Value-based care models like Accountable Care Organizations (ACOs) and Clinically Integrated Networks (CINs) have…

The role of CINs in securing Value-Based Contracts

August 18, 2021Garrett SchmittNo CommentsACO, ACOs, CIN, CINs, Clinical Integration, value-based care, value-based care contracts, vbc

It was recently calculated the United States spends $3.8 trillion — or 18 percent of the national economy — on healthcare. The current healthcare landscape indicates this spending rate will not slow anytime soon due to the COVID-19 pandemic, an ongoing healthcare crisis. Value-based care models like Accountable Care Organizations (ACOs) and Clinically Integrated Networks (CINs) have…

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