17 ACOs join CMS’ Next Generation model

January 24, 2018Garrett SchmittNo CommentsCMS, Medicare, Next Generation

There are 58 ACOs in CMS’ Next Generation model for 2018, including 17 new participants, CMS data shows. Most ACOs participating in the Next Generation model are veterans of the Medicare Shared Savings Program and the Pioneer ACO Model. This year, five of the Next Generation ACOs are new to ACO programs, as pointed out…

AMGA: Align Quality, Performance across Medicare Advantage, ACOs

January 18, 2018Garrett SchmittNo CommentsAMGA, CMS, Medicare, Medicare Advantage

CMS should work to align quality and performance standards across all Medicare programs, including Medicare Advantage (MA) and the Medicare accountable care organization (ACO) initiatives, says AMGA. In a letter issued in response to proposed changes to MA and Medicare Part D, AMGA President and CEO Jerry Penso, MD, MBA, argued that more standardization across…

In Illinois, an MSSP ACO Proves its Worth Once Again

January 16, 2018Garrett SchmittNo CommentsACO, CMS, Medicare, Medicare Shared Savings Program, MSSP

In late October, the Centers for Medicare & Medicaid Services (CMS) announced that Downers Grove, Ill.-based Advocate Health Care, the largest health system in the state, and its affiliated Medicare accountable care organization (ACO), Advocate Physician Partners Accountable Care, Inc., realized $60.6 million worth of cost savings in 2016. Ranking second in savings of 432…

MedPAC Backs Bid to Scrap MIPS Medicare Pay System Amid Dissent

January 11, 2018Garrett SchmittNo CommentsMedicare, MedPAC, MIPS, Physician Compensation

WASHINGTON — Members of an influential federal advisory panel sparred here today over a recommendation that would direct Medicare to scrap its fledgling Merit-based Incentive Payment System (MIPS) and instead implement a new approach for tying reimbursement to judgements about value of care. The Medicare Payment Advisory Commission (MedPAC) voted 14 to 2 in favor…

Pioneer, Next Generation ACOs saved Medicare millions

October 17, 2017Garrett SchmittNo CommentsMedicare, Next Generation, Pioneer

The Pioneer accountable care organization model may have had its share of troubles over the five years of its existence, but the latest data from the Centers for Medicare & Medicaid Services shows that the eight remaining participants generated savings in the final year of the program. CMS last week quietly released (Excel download) the 2016…

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