Analysis: COVID-19 could raise Medicare spending by as much as $115B over next year

March 26, 2020Garrett SchmittNo CommentsCorona, Coronavirus

The COVID-19 outbreak will potentially boost Medicare spending over the next year from $38.5 billion to $115.4 billion, a new analysis found. The analysis released Wednesday by the National Association of Accountable Care Organizations also found that the increase in spending would lead to major losses for ACOs in models that take on financial risk….

Shared savings ‘wipe out’: 5 notes on how coronavirus will affect ACO finances

March 26, 2020Garrett SchmittNo CommentsCorona, Coronavirus

ACOs and healthcare organizations that use global payment models will be particularly burdened by financial challenges related to COVID-19, according to an analysis from the National Association of ACOs. Five things to know: 1. The financial challenges will grow as more Medicare beneficiaries require COVID-19-related hospitalizations, intensive care treatment and post-acute care. Full Article

ACOs Concerned Coronavirus to Impact Shared Savings, Losses

March 18, 2020Garrett SchmittNo CommentsCorona, Coronavirus

Accountable care organizations (ACOs) in the Medicare Shared Savings Program and other shared risk models are worried the novel coronavirus pandemic could leave them responsible for shared losses beyond their control. The National Association of ACOs (NAACOS) recently voiced these concerns in an email to CMS Administrator Seema Verma. In the email obtained by RevCycleIntelligence, NAACOS…

CMS expands Medicare telehealth services to fight COVID-19

March 17, 2020Garrett SchmittNo CommentsCorona, Coronavirus, COVID-19, Seema Verma

The Trump administration on Monday announced that it will expand telehealth services for Medicare beneficiaries and cut back on HIPAA enforcement, the latest move to combat the coronavirus pandemic. Medicare will pay doctors and hospitals for a broad range of telehealth services on a temporary basis, effective March 6. The program will pay for office and…

ACOs seek flexibility from CMS to mitigate losses due to coronavirus

March 15, 2020Garrett SchmittNo CommentsCorona, Coronavirus

Accountable care organizations (ACOs) are seeking flexibility from the Trump administration on mitigating any financial losses that could arise from treating the burgeoning coronavirus outbreak. The concerns come as the coronavirus has spread to more than 1,200 people across the country and has healthcare facilities worried about being overwhelmed. ACOs are in a particularly difficult…

Value-Based Care Defined: Know the Vocabulary of Health Care Reform

March 12, 2020Garrett SchmittNo CommentsAPM, Captitation, Corona, Coronavirus, Primary Care First

Today, as we confront a viral threat that is challenging our health system, its capacity, and how care is financed, it seems appropriate to review some fundamentals. Health care reform has been speeding down a particular track, changing how health care is covered, paid, delivered, and organized. These reforms may seem to be about health…

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