If any vignette defines the provider experience in a Medicare accountable care organization (ACO), it is probably the anxious waiting, digesting, and analyzing of the Centers for Medicare and Medicaid Services (CMS) quarterly reports of ACO performance against its benchmark. In offices across the United States, ACO executive directors and analytics teams pore over tables…
The Medicare Shared Savings Program has performed considerably below the financial estimates from the Congressional Budget Office made in 2010, when the MSSP was enacted as part of the Affordable Care Act, according to a new analysis from Avalere. This has raised questions about the long-term financial success of Medicare’s largest alternative payment model. The…
Controlled studies have shown that some care management interventions, which typically support patients with outreach and regular contact by trained individuals such as nurse case managers or health coaches, can have a positive impact on health quality measures like HbA1c for diabetes. However, the impact of care management on associated costs of care is mixed…