Accountable Care Organizations Want The Rewards But Few Want The Risk

June 13, 2018Garrett SchmittNo CommentsACOs, Downside Risk, Medicare, Risk

Accountable care organizations, are a new organization of healthcare, combining some aspects of insurance and health systems. They are collaborations which are paid a capitated rate, based on risk, and provide all care to these beneficiaries. If they show savings beyond what they are paid, they receive about half as an “incentive.” Savings cannot be…

RECORDED WEBINAR: Transitioning Into a Successful Risk Based ACO Part 1: Why Move to Risk & How to Protect Your ACO

June 5, 2018Garrett SchmittNo CommentsACO, ACOs, APM, Downside Risk, MACRA, Reinsurance, risk management, Risk Strategies, Surety Bonds, Webinar, webinars

Download Slides  Recorded on 6.5.18, this webinar will be informative for those considering taking risk in an ACO, specifically Track 1 ACO’s considering moving to a risk-based model in 2019. What is covered: Risk taking in the context of MACRA The move toward ACO risk: results & analysis Financial protection for your ACO View Part…

Seema Verma hints at the end of ‘upside-only’ ACOs

May 15, 2018Garrett SchmittNo CommentsACO, ACOs, MSSP, MSSPs, Seema Verma, Upside only

As the healthcare industry continues the march toward value-based care, CMS has turned a critical eye on one-sided ACO contracts for driving up costs and making little progress toward value. “These ACOs are actually increasing Medicare spending, and the presence of these ‘upside-only’ tracks may be encouraging consolidation in the marketplace, reducing competition and choice…

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